Improving patient satisfaction: the virtual breakthrough series collaborative

2019 ◽  
Vol 32 (1) ◽  
pp. 296-306
Author(s):  
Made Indra Wijaya ◽  
Abd Rahim Mohamad ◽  
Muhammad Hafizurrachman
Keyword(s):  
Patient Satisfaction ◽  
Continuous Improvement ◽  
Repeated Measures ◽  
Rank Test ◽  
Control Group ◽  
Feedback Form ◽  
Content Type ◽  
Friedman's Test ◽  
Breakthrough Series Collaborative ◽  
Breakthrough Series

Purpose The purpose of this paper is to improve the Siloam Hospitals’ (SHs) patient satisfaction index (PSI) and overcome Indonesia’s geographical barriers. Design/methodology/approach The topic was selected for reasons guided by the Institute of Healthcare Improvement virtual breakthrough series collaborative (VBSC). Subject matter experts came from existing global quality development in collaboration with sales and marketing, and talent management agencies/departments. Patient satisfaction (PS) was measured using the SH Customer Feedback Form. Data were analysed using Friedman’s test. Findings The in-patient (IP) department PSI repeated measures comparison during VBSC, performed using Friedman’s test, showed a statistically significant increase in the PSI, χ2 = 44.00, p<0.001. Post hoc analysis with Wilcoxon signed-rank test was conducted with a Bonferroni correction applied, which resulted in a significant increase between the baseline and action phases (Z=3.317, p=0.003) between the baseline and continuous improvement phases (Z=6.633, p<0.001), and between the action and continuous improvement phases (Z=3.317, p=0.003), suggesting that IP PSI was continuously increasing during all VBSC phases. Like IP PSI, the out-patient department PSI was also continuously increasing during all VBSC phases. Research limitations/implications The VBSC was not implemented using a control group. Factors other than the VBSC may have contributed to increased PS. Practical implications The VBSC was conducted using virtual telecommunication. Although conventional breakthrough series might result in better cohesiveness and commitment, Indonesian geographical barriers forced an alternative strategy, which is much more cost-effective. Originality/value The VBSC, designed to improve PS, has never been implemented in any Indonesian private hospital group. Other hospital groups might also appreciate knowing about the VBSC to improve their PSI.

Adult protection training for community nurses: evaluating knowledge following delivery using participant-favoured training methods

2014 ◽  
Vol 16 (1) ◽  
pp. 17-28 ◽  
Author(s):  
Martin Campbell
Keyword(s):  
Repeated Measures ◽  
Control Group ◽  
Training Methods ◽  
Content Type ◽  
Repeated Measures Design ◽  
Training Activities ◽  
The Impact ◽  
And Training ◽  
Adult Protection ◽  
Adult Support

Purpose – The purpose of this paper is to measure nurses’ knowledge about Adult Support and Protection (Scotland) Act 2007 before and after a one-day training course using participants’ favoured methods of training activities. Design/methodology/approach – A repeated measures design was used to evaluate the impact of a one-day Adult Support and Protection training on pre-training knowledge of community nurses across one NHS area. Participants’ favoured methods of training activities were used in the training. Participants were community nurses working in learning disability, mental health, older people's services, acute services, substance misuse, and accident and emergency. All completed a training needs analysis and training preferences study. Individual and group scores on an Adult Support and Protection knowledge questionnaire were analysed pre- and post-training. Findings – There was a statistically significant increase in scores post-training (Wilcoxon's signed-ranks test). Individual increases ranged from 2.5 to 27.5 per cent, with a mean score of 15 per cent. Evaluation of the impact of nationally approved Adult Support and Protection training is needed and training should take account of participants’ existing knowledge and preferred methods of training delivery to improve the transfer of learning into practice. Research limitations/implications – Participants were self-selecting. Existing knowledge was not controlled for in the sample. No longitudinal follow up to measure retention of any improvements in knowledge. No control group. Training methods used were based on the expressed preferences of 40 nursing staff, but only 18 of these staff participated in the training day. Originality/value – There is a dearth of research in evaluating the impact of the adult protection training on staff knowledge and understanding. Designing training activities and content to take account of participant preferences, and areas where knowledge is weakest may enhance the effectiveness of training in this area. This research was funded as a Queens Nursing Institute Community Project. It builds on a pilot project

Examining pre-post results

2019 ◽  
Vol 11 (1) ◽  
pp. 146-159
Author(s):  
Roberta Waite ◽  
Janell Mensinger ◽  
Christine Wojciechowicz ◽  
Angela Colistra ◽  
Stephen Gambescia
Keyword(s):  
Undergraduate Students ◽  
Repeated Measures ◽  
Leadership Practices ◽  
Survey Design ◽  
Student Leadership ◽  
Health Professions ◽  
Control Group ◽  
Leadership Program ◽  
Content Type ◽  
The Usa

Purpose The purpose of this paper is to examine changes in scores from the Kouzes and Posner Student Leadership Practices Inventory of undergraduate students in the health professions who were engaged in a nine-month leadership program. The authors also assessed changes in scores on the same inventory for several observers who rated the students’ leadership competence and examined differences between the students’ self-assessment on leadership practices and those of their observers. Design/methodology/approach A pre-post survey design using repeated measures factorial ANOVA, Pearson correlations and paired t-tests was used to investigate the data. An α level of 0.05 was used. Findings Statistically significant changes were found in the pre- to post-surveys of students on three of the five subscales but only one of the five subscales for observers. Students’ and observers’ ratings were largely uncorrelated, with the exception of Encouraging the Heart ratings at post-program. Research limitations/implications Participants were recruited from one setting at a private university in the USA and the sample size was small. A control group was not available to offer a comparison for the outcomes of the leadership program and only quantitative data were assessed. Originality/value Data capturing undergraduate leadership practices on students in the health professions using a validated tool bring value to better understanding strategies that university faculty can use to improve students’ leadership skills.

The cognitive and behavioral impact of a culinary education program on schoolchildren

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nur Al Ali ◽  
Andres Arriaga ◽  
Margarita Rubio
Keyword(s):  
Diet Quality ◽  
Education Program ◽  
Repeated Measures ◽  
Statistical Power ◽  
Statistical Significance ◽  
Control Group ◽  
Content Type ◽  
Repeated Measures Design ◽  
The Mean ◽  
Culinary Education

Purpose The purpose of this paper is to design a culinary education program and ascertain its impact on knowledge, phobias, culinary skills and diet quality in schoolchildren. Design/methodology/approach Repeated measures design to determine changes after the implementation of the culinary education program in a pre-school and primary school located in a Madrid (Spain) neighborhood with a low socioeconomic level. A total of 58 children agreed to participate in the program and 40 parents authorized the evaluation of the effect of the program. Variables were measured with Student’s t-test or Wilcoxon-signed range test for quantitative variables. Effect size was calculated by Cohen’s d. Findings The mean scores in knowledge and beliefs improved from 5.0 to 7.8 (P < 0.001; Cohen’s d = 1), the mean value obtained in the food phobias test decreased from 24.6 to 20.7 (P = 0.01; Cohen’s d = 0.53), diet quality on Kid Med Test score increased from 7.4 to 8.2 (P = 0.06; Cohen’s d = 0.38), and the children improved their culinary skills from 21.2 to 27.9 (P < 0.001; Cohen’s d = 0.66). Research limitations/implications Self-declared data could lead to information biases. Other limitations were the lack of control group and a scarce statistical power that could explain the absence of statistical significance in the results on diet quality. To observe the effects of this change on eating habits, long-term evaluations would have to be carried out. Originality/value The brand-new culinary education program had a positive effect on children’s knowledge of nutrition and culinary skills as well as reducing food phobias. This proposal is beyond the state-of-the-art and could be implemented elsewhere with a robust effect on children, parents and educators.

Telephone follow-up for cataract surgery: feasibility and patient satisfaction study

2016 ◽  
Vol 29 (4) ◽  
pp. 407-416 ◽  
Author(s):  
Jeremy J.S.L. Hoffman ◽  
Lucia Pelosini
Keyword(s):  
Patient Satisfaction ◽  
Cataract Surgery ◽  
Small Sample Size ◽  
Small Sample ◽  
Low Risk ◽  
Control Group ◽  
Content Type ◽  
Randomised Study ◽  
Risk Patients

Purpose – The purpose of this paper is to investigate the feasibility of telephone follow-up (TFU) after uncomplicated cataract surgery in low-risk patients and patient satisfaction with this alternative clinical pathway. Design/methodology/approach – Prospective, non-randomised cohort study. A ten-point subjective ophthalmic assessment questionnaire and a six-point patient satisfaction questionnaire were administered to patients following routine cataract surgery at two to three weeks post-procedure. All patients were offered a further clinic review if required. Exclusion criteria comprised ophthalmic co-morbidities, hearing/language impairment and high risk of post-operative complications. Patient notes were retrospectively reviewed over the study period to ensure no additional emergency attendances took place. Findings – Over three months, 50 eyes of 50 patients (mean age: 80; age range 60-91; 66 per cent second eye surgery) underwent uncomplicated phacoemulsification surgery received a TFU at 12-24 days (mean: 16 days) post-operatively. Subjective visual acuity was graded as good by 92 per cent of patients; 72 per cent patients reported no pain and 20 per cent reported mild occasional grittiness. Patient satisfaction was graded 8.9 out of 10; 81.6 per cent defined TFU as convenient and 75.5 per cent of patients preferred TFU to routine outpatient review. No additional visits were required. Research limitations/implications – Non-randomised with no control group; small sample size. One patient was unable to be contacted. Practical implications – Post-operative TFU can be suitably targeted to low-risk patients following uncomplicated cataract surgery. This study demonstrated a high patient satisfaction. A larger, randomised study is in progress to assess this further. Originality/value – This is the first study reporting TFU results and patient satisfaction to the usual alternative two-week outpatient review.

Effect of a leadership intervention on subordinate well-being

2014 ◽  
Vol 33 (3) ◽  
pp. 182-195 ◽  
Author(s):  
Anna-Liisa Elo ◽  
Jenni Ervasti ◽  
Eeva Kuosma ◽  
Pauliina Mattila-Holappa
Keyword(s):  
Leadership Development ◽  
Personal Growth ◽  
Repeated Measures ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Practical Training ◽  
Content Type ◽  
Quasi Experimental ◽  
Leadership Intervention

Purpose – Leadership behaviours are shown to contribute to subordinate well-being. The purpose of this paper is to investigate the effect of a 7.5-day personal growth-orientated leadership intervention among line supervisors on subordinate well-being at work in a public sector construction organization. Design/methodology/approach – A quasi-experimental design was applied to investigate the effects on the subordinates’ perceptions of the psychosocial work environment, leadership, and well-being. The intervention group comprised the subordinates (n=49) of the leadership intervention units and the control group comprised the subordinates (n=96) of the non-participating units. Data were collected with pre- and post-measurement surveys and analysed with repeated measures ANCOVA. Findings – The intervention improved the flow of information after adjusting for the subordinates’ level of participation in the organizational stress management programme and background variables. The subordinates’ perception of leadership or of their own well-being did not improve compared to the control group. Research limitations/implications – More detailed and proximal outcome indicators are needed. Several measurements and a process evaluation of the implementation are recommended. Practical implications – Line supervisors need to be informed about the goals and methods of a personal growth intervention in order to encourage them to meet their strengths and limitations. The improvement of blue-collar subordinate well-being through leadership development might benefit from more practical training approaches. Originality/value – The personal growth approach to line supervisors’ development is rare. The effect of the development on subordinate well-being has not been investigated.

scholarly journals Development of multi-component counseling program for enhancing resilience among Thai caregivers of older persons with dementia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thidajit Maneewat ◽  
Somrat Lertmaharit ◽  
Sookjaroen Tangwongchai ◽  
Phenphop Phansuea
Keyword(s):  
Repeated Measures ◽  
Older Persons ◽  
Intervention Group ◽  
Outpatient Setting ◽  
Pharmacological Intervention ◽  
Control Group ◽  
Program Participation ◽  
Counseling Program ◽  
Content Type ◽  
Resilience Scale

PurposeThe purpose of this study was to develop a multi-component counseling program and examine the short-term effects of an 8-session program.Design/methodology/approachThis present study was a research and development of a multi-component counseling program for enhancing resilience. The concept of resilience was reviewed based on a synthesis of existing research, together with an exploration of qualitative data derived from an interview with ten caregivers of older persons with dementia. Six domains of resilience were identified: physical, relationships, emotional, moral, cognitive and spiritual; which were then used to develop the eight-week program. The program was examined by a panel of three experts for content validity, which yielded an index of 0.87. The program was then tried out with 60 caregivers recruited and assigned 30 caregivers in the intervention and control group. The Caregiver’s Resilience Scale (CRS) was used by trained nurses to evaluate the program and data were analyzed using repeated measures ANOVA.FindingsThe results indicated that the resilience scores of the participants in the intervention group were statistically significantly higher than those of the control group at one month after program participation and at the follow-up three months later (p < 0.05).Originality/valueIt could be concluded that the program yielded support for the evidence-based practice of non-pharmacological intervention. The program would be suitable as a clinical practice guideline to provide help to caregivers of older persons with dementia at the outpatient setting.

Management of Osteoarthritis Using 1 Intra-articular Platelet Concentrate Administration in a Canine Osteoarthritis Model

2021 ◽  
pp. 036354652098155
Author(s):  
João Carlos Agostinho Alves ◽  
Ana Margarida Moniz Pereira dos Santos ◽  
Patrícia Isabel Figueiredo Jorge ◽  
Catarina Falcão Trigoso Vieira Branco Lavrador ◽  
Luis Miguel Alves Carreira
Keyword(s):  
Body Weight ◽  
Repeated Measures ◽  
Interleukin 1 ◽  
Canine Model ◽  
Platelet Concentrate ◽  
Rank Test ◽  
Control Group ◽  
Laboratory Findings ◽  
Paired Samples ◽  
Naturally Occurring

Background: Osteoarthritis (OA) represents a significant burden to societies, as it affects quality of life and performance and implies a large cost in terms of health care. Autologous platelets are a regenerative treatment modality for OA that are thought to be a potential stimulation of the natural healing cascade. Purpose: To describe the effect of the platelet concentrate V-PET in the management of OA in a naturally occurring canine model, using several outcome assessment modalities. Study Design: Controlled laboratory study. Methods: A total of 40 joints of active working police dogs with hip OA were randomly assigned to a control group (CG) and a platelet concentrate group (PCG; treatment) and evaluated. At treatment day (T0) and 8, 15, 30, 90, and 180 days after treatment, weight distribution, joint range of motion at flexion and extension, thigh girth, digital thermography, radiographic signs, 4 clinical metrology instruments, and synovial fluid interleukin 1 and C-reactive protein levels were recorded. Results were compared using repeated-measures analysis of variance with a Huynh-Feldt correction, paired-samples t test, or Wilcoxon signed rank test, with P < .05. Results: Dogs were 6.5 ± 2.4 years old (mean ± SD) and had a body weight of 26.7 ± 5.2 kg. At T0, 32 (80%) joints were graded as having mild OA, 6 (15%) as moderate, and 2 (5%) as severe. No differences were found between groups at T0. Between the PCG and CG, the symmetry index showed significant improvements in the PCG from 8 days ( P = .01) to 180 days ( P = .01). Joint flexion also improved in the PCG up to 90 days ( P < .05) and extension improved up to 180 days ( P < .01). Several clinical metrology instrument scores also improved up to 90 to 180 days after treatment. In the CG, radiographic signs progressed, while the PCG showed some improved signs. In both groups, increasing body weight and age corresponded with worse clinical and laboratory findings. Conclusion: A single injection of platelet concentrate had a positive effect, lasting up to 6 months, on several clinical, imaging, and laboratory signs in a naturally occurring canine OA model. Clinical Relevance: We characterized the effects of this platelet concentrate in dogs, considered the gold standard of the study of OA, with a group of working animals with similar high demands as athletes.

scholarly journals Effect of a purpose in life program on the wellness of Southern Thai adolescents

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Karnsunaphat Balthip ◽  
Pimpanit Pasri ◽  
Bunrome Suwanphahu ◽  
Wilfred McSherry ◽  
Charuwan Kritpracha
Keyword(s):  
High School Students ◽  
Junior High School ◽  
Repeated Measures ◽  
Purpose In Life ◽  
Control Group ◽  
Content Type ◽  
Thai Adolescents ◽  
Significant Difference ◽  
The Mean ◽  
Experimental Group

PurposeThe study aimed to examine the effect of a purpose in life (PIL) program on the wellness of Thai adolescents.Design/methodology/approachTwo schools located in municipalities in southern Thailand were selected by simple random sampling. Students from each school were randomly allocated to either an experimental group (n = 35) or a control group (n = 32). The experimental group received the PIL program for 16 weeks. The control group received the routine education program. Participants' wellness was measured using the Wellness Scale (WS). The WS was validated for content validity by five Thai experts and tested for reliability with 30 junior high school students, yielding the Cronbach's alpha coefficient of 0.84. The differences in the mean score of wellness across time were analyzed using repeated measures ANOVA.FindingsThe mean scores of wellness of the experimental group and the control group were statistically significantly different across time (p < 0.001). Post hoc tests in the experimental group showed a statistically significant difference in the mean scores of wellness between Week 1 and Week 16, Week 1 and Week 20 and Week 16 and Week 20 (p < 0.05). In the control group, the results showed a statistically significant difference in the mean scores of wellness between Week 1 and Week 20 and Week 16 and Week 20 (p < 0.05).Originality/valueThe PIL program, originally developed within a Thai context and focused on the spiritual dimension, was effective in enhancing the wellness of Thai adolescents.

Clinical outcome of gliosarcoma compared with glioblastoma multiforme: North Central Cancer Treatment Group results

1998 ◽  
Vol 89 (3) ◽  
pp. 425-430 ◽  
Author(s):  
Evanthia Galanis ◽  
Jan C. Buckner ◽  
Robert P. Dinapoli ◽  
Bernd W. Scheithauer ◽  
Robert B. Jenkins ◽  
...  
Keyword(s):  
Glioblastoma Multiforme ◽  
Survival Time ◽  
Disease Free Survival ◽  
Phase Iii ◽  
World Health ◽  
Rank Test ◽  
Control Group ◽  
Entire Group ◽  
Content Type ◽  
Fine Print

Object. Gliosarcoma, a rare malignancy of the central nervous system, consists of gliomatous and sarcomatous elements. There are conflicting reports regarding its aggressiveness and cell line of origin compared with those of glioblastoma multiforme (GBM). The goal of this study was to compare clinicopathological features such as disease-free survival time and actual survival time in patients with gliosarcoma with a matched group of patients with GBM as well as with the entire group of patients with GBM. Methods. The authors report on 18 cases of gliosarcoma derived from a series of 748 Grade 4 astrocytoma cases that were part of four consecutive randomized Phase III trials conducted between 1979 and 1996. In this series the gliosarcoma group represented only 2.4% of all GBMs and included 11 men and seven women with a median age of 61.5 years (range 31–81 years). The median tumor size was 5 cm (range 2–8 cm). The locations, all supratentorial, included temporal in 44%, parietal in 28%, frontal in 17%, and occipital in 11%. The 18 patients with gliosarcomas, all Grade 4 (World Health Organization classification), were compared with the entire group of 730 patients with GBM and a control group of 18 patients with GBM matched for known prognostic factors including patient age, randomization date, performance status, extent of resection, and protocol number. Patients in all treatment groups received radiation and nitrosourea-based chemotherapy. The median time to progression and the median survival times for the patients with gliosarcoma were 28.0 and 35.1 weeks as compared with 24.7 and 41.6 weeks for the entire group of patients with GBM (log rank test, p = 0.94 and 0.27, respectively) and 16.7 and 34.4 weeks in the control group (p = 0.20 and 0.84, respectively). In previous molecular cytogenetic analyses of gliosarcoma these authors have shown similar genetic changes in the gliomatous and sarcomatous components. Conclusions. The data obtained in this study support the conclusion that gliosarcoma shares significant clinical and genetic similarities with GBM and that the same principles should be applied for patient enrollment in research protocols and treatment for these two kinds of tumor.

scholarly journals The effectiveness of the One Health SMART approach on dengue vector control in Majalengka, Indonesia

2020 ◽  
Vol 35 (1) ◽  
pp. 63-75
Author(s):  
Wawan Kurniawan ◽  
Agus Suwandono ◽  
Bagoes Widjanarko ◽  
Ari Suwondo ◽  
Wayan Tunas Artama ◽  
...  
Keyword(s):  
Local Government ◽  
Elementary Students ◽  
Vector Control ◽  
Intervention Group ◽  
Rank Test ◽  
Control Group ◽  
Cluster Sampling ◽  
Dengue Vector ◽  
Content Type ◽  
Dengue Vector Control

PurposeThe purpose of this study was to apply the OH-SMART approach on dengue vector control and assess the influence on knowledge, attitude, practice (KAP) amongst elementary students in Majalengka as well as check the dengue serotypes distribution.Design/methodology/approachThis study was designed by sequential exploration. An OH-SMART workshop involving local government institutions, schools, colleges and health professional organizations was conducted. A total of 334 elementary students, chosen by cluster sampling, participated including 171 in the intervention group and 163 in the control group. A self-administered questionnaire was used to assess the differences in the subject's KAP. Dengue serotypes were analyzed by reverse transcription–polymerase chain reaction (RT-PCR), and the distribution was measured by GPS. Descriptive statistics, paired t-test and the Wilcoxon rank test were used for data analysis.FindingsThere were eight gaps in Dengue vector control in Majalengka and three main recommendations after the OH-SMART workshop i.e. the formation of OH-teams, the preparation of module training, and training of vector control in the schools. After the program, there were statistically significant differences between the intervention and control groups (p = 0,001, CI 95%). All differences in the intervention group were higher than in the control. The most commonly found dengue serotype was DEN-1.Originality/valueOH-SMART has never been applied in Indonesia, especially in a local government setting but is recognized as an effective approach in the prevention of vector-borne disease and zoonotic.

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