Adaptation of a stoma care pathway and use of telephone clinics during the pandemic: patient experience survey

2022 ◽  
Vol 31 (1) ◽  
pp. 8-14
Author(s):  
Anna Brewer ◽  
Vanessa Coleman
Keyword(s):  
Patient Experience ◽  
Care Pathway ◽  
Postal Questionnaire ◽  
Outpatient Clinics ◽  
Care Needs ◽  
Face To Face ◽  
The Future ◽  
Experience Survey ◽  
Current Pathway ◽  
Stoma Care

With the arrival of the COVID-19 pandemic, outpatient clinics had to adjust and reduce the number of face-to-face appointments. The Cambridge stoma service has a recognised pathway of stoma care but needed to adjust this in line with government guidelines. The team took the opportunity to audit the current pathway and complete a patient experience survey to determine the future of the service and potential adaptations to the pathway in the future. Aim: To determine the need for adaptation and improvement of the standard stoma clinics pathway. Method: A survey was conducted using a postal questionnaire to all patients who attended stoma clinics between April and June 2020. Findings: 160 questionnaires were sent and 72 responses returned (45%). All elements of the virtual clinic were rated positive by more than 80% of respondents, with nearly 90% of them feeling that all their stoma care needs were met. When asked to indicate their preferred consultation methods (patients were allowed to choose more than one), face to face received 50 votes, telephone 32 votes and video clinic 5 votes. Conclusion: There is a need to adapt the standard clinic pathway to be able to offer standardised care but with flexibility to adjust to circumstances and patients' preferences.

scholarly journals The Impact of Remote Urology Outpatient Clinics during the COVID-19 Pandemic

2021 ◽  
Vol 4 (3) ◽  
pp. e17-e25
Author(s):  
Yehia Abdelmotagly ◽  
Mohamed Noureldin ◽  
Louise Paramore ◽  
Raj Kummar ◽  
Timothy Nedas ◽  
...  
Keyword(s):  
Cost Effective ◽  
Postal Questionnaire ◽  
Telephone Consultation ◽  
Face To Face ◽  
Level Of Satisfaction ◽  
The Future ◽  
Specialist Nurses ◽  
Remote Patient ◽  
The Impact

Introduction: The coronavirus (COVID-19) pandemic of 2020 had a major impact on NHS services. From the 23rd of March 2020, the Urology Department in Basingstoke initiated telephone-led consultation clinicsinstead of face-to-face outpatient appointments, in accordance with U.K. guidance.Objectives: To evaluate patient experience and satisfaction following the introduction of remote (telephone) consultations during the COVID-19 pandemic.Patients and methods: The first 200 remote patient appointments between the 30th of March 2020 and the 16th of April 2020 were sent a postal questionnaire (19 questions relating to their experience and level of satisfaction with the interaction). Telephone consultations were conducted by 6 consultants, 3 registrars, and 2 specialist nurses. The patients were not prewarned to expect a questionnaire after the remote ap-pointment. The associated cost saving resulting from a switch from face-to-face appointments to remote telephone appointments was also calculated.Results: 100 out of the 200 patients responded within 1 month (response rate 50%). A total of 44% of the patients were new referrals, while 56% were follow-ups. Overall, the feedback was positive regarding the telephone consultation, with 88% rating the care received as excellent or very good. In addition, 90% would recommend a telephone consultation to family and friends. However, 35% would prefer in the future to have another telephone consultation rather than face-to-face consultation, with 46% preferring a face-to-face appointment in the future and 19% unsure. For new patients, the proportion wishing to have a face-to-face appointment, in the end, was unsurprisingly higher than it was for those undergoing a follow-up (39% vs. 7 %). In these 2 weeks, the cost reduction to the NHS from shifting from face-to-face consultation to telephone consultation was estimated to be £6500.Conclusions: Telephone urology clinics are a satisfactory alternative to face-to-face appointments for many of our patients now and beyond the COVID-19 pandemic. They are efficient, cost-effective, and feasible to undertake urological consultation and can be implemented successfully in selected patients. The feedback from this questionnaire would suggest that priority should be given to face-to-face appointments for new patients and for complex follow-up appointments. Telephone follow-up appointments, however, are a good approach for the majority of patients.

scholarly journals Public Awareness, Usage, and Predictors for the Use of Doctor Rating Websites: Cross-Sectional Study in England (Preprint)

2018 ◽  
Author(s):  
Salma Patel ◽  
Rebecca Cain ◽  
Kevin Neailey ◽  
Lucy Hooberman
Keyword(s):  
General Practice ◽  
Patient Experience ◽  
Public Awareness ◽  
Cross Sectional Study ◽  
Patient Choice ◽  
Cross Sectional ◽  
Face To Face ◽  
The Public ◽  
Patient Feedback ◽  
The Future

BACKGROUND With the advent and popularity of social media and consumer rating websites, as well as the emergence of the digitally engaged patient, there has been an increased interest in doctor rating websites or online patient feedback websites, both inside and outside academia. However, there is very little known about how the public across England views such rating websites as a mode to give patient experience feedback. OBJECTIVE The aim of the overall study was to measure and understand public awareness, usage, and attitudes towards doctor rating websites as a mode to give experiential feedback about GPs in general practice in England. This paper reports on the findings of one of the aims of the study, which was to measure public awareness, current usage and future consideration of usage of online patient feedback websites, within the context of other feedback methods, This could allow the value of online patient feedback websites to be determined from the patients’ perspective. METHODS A mixed methods population questionnaire was designed, validated and implemented face-to-face using a cross-sectional design with a representative sample of the public (n=844) in England. The results of the questionnaire were analyzed using chi-square tests, binomial logistic regressions, and content analysis. The qualitative results will be reported elsewhere. RESULTS Public awareness of online patient feedback websites as a channel to leave experiential feedback about GPs was found to be low at 15.2% (128/844). However, usage and future consideration to use online patient feedback websites were found to be extremely low, with current patient usage at just 0.4% (3/844), and patient intention to use online patient feedback in the future at 17.8% (150/844). Furthermore, only 4.0-5.0% of those who would consider leaving feedback about a GP in the future selected doctor rating websites as their most preferred method; more than half of patients said they would consider leaving feedback about GPs using another method, but not using an online patient feedback website. CONCLUSIONS The findings suggest that online patient feedback websites may not be an effective channel for collecting feedback on patient experience in general practice. Feedback on online patient feedback websites is not likely to be representative of the patient experience in the near future, challenging the use of online patient feedback not just as a mode for collecting patient experience data, but for patient choice and monitoring too. We recommend the National Health Service channels its investment and resources towards providing more direct and private feedback methods in general practice (such as opportunities for face-to-face feedback, email-based feedback, and web-based private feedback forms), as these are currently much more likely to be used by the majority of patients in England.

scholarly journals 209P_PR Understanding patient experience in Europe: The first global lung cancer coalition patient experience survey

2021 ◽  
Vol 16 (4) ◽  
pp. S810-S811
Author(s):  
V. Beattie ◽  
W. Boerckel ◽  
M. Rigney ◽  
K. O'Hagan ◽  
M. Hennink ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Patient Experience ◽  
Cancer Coalition ◽  
Experience Survey

It only takes a Minute: The Development and Implementation of a Patient Experience Survey in Radiation Therapy

2017 ◽  
Vol 48 (1) ◽  
pp. S11
Author(s):  
Hashmi Fatima ◽  
Gregor Nikolaus ◽  
McGuffin Merrylee ◽  
Turner Angela ◽  
Liszewski Brian ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Patient Experience ◽  
Experience Survey

scholarly journals Lifestyle of Students Studying in the Specialty «Nursing»

2017 ◽  
pp. 131-134 ◽  
Author(s):  
Nataliia Semenova ◽  
Romana Sirenko ◽  
Maryana Ripak ◽  
Liubov Chekhovska
Keyword(s):  
Physical Activity ◽  
Medical Care ◽  
Young Men ◽  
Female Students ◽  
After School ◽  
Care Needs ◽  
The Future ◽  
Alcoholic Drinks ◽  
Medical Colleges

The article analyzes the lifestyle of students studying in the specialty «Nursing». Among students of medical colleges there was conducted a survey, which was attended by young men (n = 10) and women (n = 106), aged 15 to 21 years. The study revealed a small number of students who smoke cigarettes, but alcohol and low alcoholic drinks were consumed by about 73 % of female students, of which 28 people were underage. There was discovered low physical activity among students after school - 107,08 ± 14,9 min. per week, which is about 15 minutes. for a day. It is already stated, that the lifestyle of students studying with a speciality called «Medical care» needs a constant and purposeful forming during the whole learning period.The realizing of the importance of health preservation for patients and first of all for yourself the change of students attitude according to the lifestyle and forming of the value relation to own health – all of it will promote a success full realization of social and professional functions of the future nurses.

scholarly journals Preparedness of graduate paramedics for practice: a comparison of Australian and United Kingdom education pathways

2019 ◽  
Vol 16 ◽  
Author(s):  
David Reid ◽  
Kenneth Street ◽  
Shelley Beatty ◽  
Stefan Vencatachellum ◽  
Brennen Mills
Keyword(s):  
United Kingdom ◽  
Care Pathway ◽  
Tertiary Level ◽  
Theoretical Knowledge ◽  
Independent Practice ◽  
Practical Skills ◽  
Clinical Practicum ◽  
Face To Face ◽  
Emergency Ambulance ◽  
The Uk

IntroductionInternationally, emergency ambulance paramedic education has evolved from ‘on the job’ training by ambulance services to tertiary-level qualifications. However, across many countries and jurisdictions, clinical practicum requirements still differ substantially. For example, Australian paramedic students spend fewer hours on clinical practicum than their United Kingdom (UK) counterparts.MethodsFifteen semi-structured face-to-face interviews were conducted with Australian and UK paramedics and managers to identify their perceptions regarding the preparedness of graduate paramedics for practice. ResultsInterviewees in Australia and the UK identified that newly graduated paramedics require an internship period before independent practice. Interviewees in both jurisdictions recognised the robust theoretical knowledge and practical skills of graduates. Organisational operations, clinical judgement and decision-making, and care-pathway selection were areas where interviewees identified that an internship period consolidated the graduate’s learning. ConclusionThis research found that increased time spent by paramedic students on ambulances did not increase a new graduate’s ability to practice independently before an internship period. The time spent on ambulance practicums, objectives and supervisory model should be reviewed.

scholarly journals Distance Learning in Greece during Covid-19 Pandemic

2021 ◽  
Vol 4 (2) ◽  
pp. p69
Author(s):  
Apostolou George ◽  
Papatsimpas Achilleas ◽  
Gounas Athanasios ◽  
Gkouna Ourania
Keyword(s):  
Distance Learning ◽  
Online Education ◽  
Educational Process ◽  
Statistical Hypothesis ◽  
Hypothesis Tests ◽  
Face To Face ◽  
The Future ◽  
E Learning ◽  
Face To Face Learning ◽  
Restrictive Measures

The purpose of this study is to investigate the reaction of Greeks to this new educational reality due to the Covid-19 outbreak. Since the first restrictive measures were implemented in March 2020in Greece, distance learning has become a dynamic part of people’s daily lives with the prospect of remain in gas such in the future. A total of N=170 students, parents, teachers, civil servants, private sector employees who were involved in the distance learning process either as instructors or as students in the period of Covid-19 pandemic in Greece, were selected with the use of snowball sampling. A questionnaire using demographic and satisfaction related variables was completed by the respondents, namely citizens across Greece, based on a Likert scale questionnaire which is a useful and multidimensional instrument, to assess satisfaction within the time frame from July 7, 2020 to October 20, 2020; the period when there occurred a loosening in the restrictive measures between the two lockdowns in Greece. It was investigated how the demographic factors, specifically gender, age, occupation, and place of residence, influence the attitude of the respondents towards synchronous and asynchronous distance learning as well as their intention to continue using online education services in the future after the lifting of the restrictive measures. Additionally, the customers’ preferences concerning the most enjoyable distance learning experience were examined, so that they will be available to the distance learning program designers. Descriptive statistical analysis and non-parametric statistical hypothesis tests were conducted in SPSS and R. Most of the respondents had not participated in online courses before the Covid-19 outbreak, 46 % did participate in e-learning courses before the Covid-19 lockdown while 54 % did not and 34.1% respondents prefer face-to-face learning, while 15.9% prefer e-learning. Also, 50% respondents prefer a combination of face-to-face learning and e-learning. Hypothesis tests showed that there are statistically significant differences between users’ preferences as well as regarding their demographic characteristics. Undergraduate and postgraduate university students continue to participate in online learning courses and are willing to invest financial resources and time in this new educational process (?2(4)=10.440, p=0.034), unlike high school students who prefer face-to-face learning (p=0.042). The present study will lead to practical implications, such as the formation of e-learning programs which aim for the best user experience and the best learning outcomes. Also, private educational organizations can include the results in the key elements to implementing a strategic marketing mix.

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