scholarly journals Developing a Model for Evaluating Patient Experience in Educational Hospitals of Mashhad University of Medical Sciences

2021 ◽  
Author(s):  
Mojtaba Najib Jalali ◽  
Ali Vafaee Najar ◽  
Jamshid Jamali ◽  
Elaheh Hooshmand
Keyword(s):  
Patient Experience ◽  
Evaluation Model ◽  
Medical Sciences ◽  
Patient Centered ◽  
Final Model ◽  
Swedish Model ◽  
Effective Components ◽  
American Model ◽  
Centered Care ◽  
Agreement Coefficient

Background: Understanding the "patient experience" is a key step in moving towards patient-centered care. The purpose of this study is to design a patient experience evaluation model to evaluate the effective components in the patient experience in hospitals of Mashhad University of Medical Sciences. Methods: This was a comparative descriptive study conducted using databases and information resources and based on a comprehensive review, and the models used in other parts of the world were extracted based on the research protocol and entered into a comparative matrix. The reliability of the extracted framework was verified using the agreement coefficient of the parties. In order to validate the model, the questions were prepared in the form of a questionnaire and validated by the specialists of Mashhad University of Medical Sciences during two-round Delphi using SPSS 16 software. Results: In this study, 10 models were obtained for evaluating patient experience in different countries, each of which was composed of several dimensions and some of them had overlap. The models included American model (8 dimensions), Swedish model (10 dimensions), British first model (7 dimensions), British second model (8 dimensions), Scotland model (6 dimensions), Hong Kong model (9 dimensions), Norway first model (6 dimensions), Norway second model (5 dimensions), India model (10 dimensions), and the model of Ethiopia (5 dimensions). The final model with 10 dimensions and 29 sub- dimensions was approved and validated. Conclusion: The results showed that the suitable pattern for Iran had 10 dimensions and 29 sub-dimensions. Among the dimensions, respect for the patient's privacy and dignity had the highest score and the way patients are discharged from the hospital had the lowest score.

scholarly journals Insight into Patients’ Experiences of Cancer Care in Taiwan: An Instrument Translation and Cross-Cultural Adaptation Study

2018 ◽  
Vol 15 (8) ◽  
pp. 1772 ◽  
Author(s):  
Tsung-Hsien Yu ◽  
Kuo-Piao Chung ◽  
Yu-Chi Tung ◽  
Hsin-Yun Tsai
Keyword(s):  
Cancer Patient ◽  
Patient Experience ◽  
Cultural Adaptation ◽  
Cancer Care ◽  
Expert Panel ◽  
Cross Cultural ◽  
Patient Centered ◽  
Cross Cultural Adaptation ◽  
Centered Care ◽  
Experience Survey

Background: Since Taiwan launched the Cancer Prevention Act in 2003, several prevention strategies and early detection programs have been implemented to reduce the incidence, morbidity and mortality rates of cancer. However, most of the programs have concentrated on healthcare providers. Evaluations from the patient’s perspective have been lacking. Thus, in this study a cancer patient experience questionnaire was developed in the Taiwanese context and a preliminary nationwide investigation was conducted on the status of cancer care from the patient’s perspective. Methods: An extensive literature review was first conducted to collect information on the existing instruments used to measure the cancer patient’s experience. Thereafter, a multidisciplinary expert panel was convened to select an optimal instrument based on the IOM’s six domains for evaluating patient-centered care. The European Organisation for Research and Treatment of Cancer (EORTC) translation procedure was applied to the questionnaire for cross-cultural adaptation. A nationwide field test was then implemented at certificated cancer care hospitals. Results: Fifteen questionnaires were collected for the literature review. The expert panel selected the National Cancer Patient Experience Survey based on the IOM’s recommendations. After cross-cultural translation of the questionnaire, a total of 4000 questionnaires were administered in 19 certificated cancer care hospitals and two major cancer patient associations, with 1010 being returned (25.25% response rate). Most of the respondents were middle-aged, and 70% were female. The respondents reported they had a good experience with cancer care, except for “Home care and support” and “Finding out what was wrong with you”. Stratified analysis was conducted, with the results showing that the cancer patients’ experiences varied depending on their sociodemographic and cancer-related characteristics. Conclusions: A Taiwanese version of the cancer patient experience survey questionnaire was developed. Its results showed that the cancer patient’s experiences varied, depending on the patient’s age, cancer type, and cancer history. This study can be used as a basis to establish a patient-centered care model for cancer care in Taiwan.

The development of a positive deviancy strategy to identify excellence in patient experience

2018 ◽  
Vol 6 (4) ◽  
pp. 540
Author(s):  
Fraser Rubens ◽  
Li Chen ◽  
Tim Ramsay ◽  
Alan Forster ◽  
George Wells ◽  
...  
Keyword(s):  
Patient Experience ◽  
Regression Models ◽  
Random Effect ◽  
Hierarchical Regression ◽  
Physician Communication ◽  
Global Rating ◽  
Composite Measure ◽  
Patient Centered ◽  
Intra Class Correlation ◽  
Centered Care

Rationale, aims and objectives: Patient experience is recognized as a key target of quality improvement to foster patient-centered care. Identification of excellence in patient experience could highlight behaviors that may be shared to improve quality. The objective of this study was to develop a strategy to identify positive practice deviants in patient experience at the surgeon level.Methods: Patient experience surveys were analyzed from 1707 discharged surgical patients. Multilevel hierarchical regression models were developed to predict topbox scores of global rating and physician communication. The influence of the surgeon outlier from the larger group was determined by identifying the random effect of the cluster and measuring the intra-class correlation (ICC).Results: In 2 services with greater than 20 surgeons, positive deviants were identified in the physician composite score (random surgeon effect <0.05). Removal of the surgeons from the analysis of the composite measure resulted in a 69% decrease in the ICC (7.54% to 2.3%) in the first service and a 32% decrease in the ICC (6.83% to 4.59%) in the second service and the random surgeon effect was no longer significant in either service (p>0.05).Conclusion: This study has illustrated the application of a process which can identify positive deviants at the provider level for the delivery of excellence in patient experience.

scholarly journals Virtual Experience of Perioperative Patients: Walking in the Patients’ Shoes Using Virtual Reality and Blended Learning

2021 ◽  
Vol 18 (12) ◽  
pp. 6457
Author(s):  
Hyeon-Young Kim ◽  
Ji-Hye Lee ◽  
Eun-Hye Lee
Keyword(s):  
Nursing Students ◽  
Blended Learning ◽  
Patient Experience ◽  
Nursing Student ◽  
School Curriculum ◽  
Patient Experiences ◽  
Practical Training ◽  
Patient Centered ◽  
Virtual Experience ◽  
Centered Care

PURPOSE: This study examined the significance, nature, and structure of the virtual experience of perioperative patients as undergone by nursing students during their practical training through VR and blended learning. METHODS: Data were collected through a focus group interview (FGI) of 21 nursing student participants from November 2019 to December 2019 and analyzed through Colaizzi’s phenomenological method. RESULTS: Seven theme clusters were organized that described nursing students’ experiences. They are “placed in a passive position,” “facing the limits of communication,” “thinking of developing and improving competency as a nurse,” “recognizing the importance of interacting with their patients”, “learning vividly through experience”, “engaging in a new type of participatory learning”, and “designing nursing knowledge.” CONCLUSION: Patient-centered care can be achieved in the nursing school curriculum through “patient experiences.” Additionally, the feedback from research participants who have “become keenly aware of the need for patient experiences” shows that empathizing with the “patient experience” is an essential quality to acquire by prospective medical professionals before they are introduced to the nursing field. We suggest future studies that expand on nursing students’ patient experience in various teaching methods and curriculums.

scholarly journals Mapping the Patient Journey Across the Continuum: Lessons Learned From One Patient’s Experience

2018 ◽  
Vol 6 (2) ◽  
pp. 103-107 ◽  
Author(s):  
Melanie A Meyer
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Patient Centered Care ◽  
Communication Process ◽  
Care Process ◽  
Multiple Chronic Conditions ◽  
Patient Centered ◽  
Patient Journey ◽  
Centered Care ◽  
The Continuum

Patient-centered care is essential for achieving high-quality and cost-effective health care. This is particularly important for patients with chronic or complex conditions who utilize more health-care services and require comprehensive care coordination. This case report draws on a longitudinal journey map—a valuable tool to capture patient experience and inform the care process—for a patient with multiple chronic conditions who needed a hip replacement. An analysis of the patient journey revealed 3 critical needs for a more patient-centered process: (1) making the patient health goal visible; (2) instigating transparent, shared decision-making; and (3) using a closed-loop communication process. Although key challenges exist, systems can facilitate more patient-centered care enabling health-care organizations to improve the patient experience across the continuum and provide higher quality care.

scholarly journals Facilitators and barriers of patient-centered care at the organizational-level: a study of three district hospitals in the central region of Ghana

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jacqueline Nkrumah ◽  
Gordon Abekah-Nkrumah
Keyword(s):  
Patient Experience ◽  
Central Region ◽  
Patient Centered Care ◽  
Organizational Level ◽  
Exploratory Research ◽  
Patient Centered ◽  
Experience Of Care ◽  
District Hospitals ◽  
Centered Care ◽  
Facilitators And Barriers

Abstract Background Improving patient experience of care has gained enormous attention from policy makers and providers of healthcare services in Ghana. In spite of the supposed support for patient-centered care as the means for improving patient experience of care, scientific evidence point to poor patient experience of care in Ghana. Moreover, there seem to be little evidence on organizational-level factors that facilitate or hamper patient-centered care. In this study we assess organizational-level factors that facilitate or impede patient-centered care in three district hospitals in the Central Region of Ghana. Methods The study was exploratory research that used qualitative methods to collect data from seven senior managers and 3 junior managers in three district hospitals in the Central Region of Ghana. Data were collected with the aid of an interview guide and a checklist. Data were analyzed using content analysis. Results Two main Organizational-level factors were identified, namely, facilitators and barriers of patient-centered care. Facilitators to patient-centered care included: 1) Leadership commitment. 2) Leadership support. 3) Training and education for patient-centered care. Patient-centered care barriers identified in the hospitals were: 1) Leadership conceptualization of patient-centered care. 2) Lack of goals and sufficient activities for patient-centered care. 3) Communication related challenges.4) Ownership type. 5) Degree of centralization. 6) Financial constraints. Conclusion Organizational-level factors that promoted patient-centered care were fairly present in the hospitals. Yet, several other factors negatively affected patient-centered care in the hospitals. A suitable patient-focused intervention is recommended for implementation at the health system and institutional-levels to improve patient-centered care. Hospitals managers should develop suitable goals and activities to stimulate patient-centered care with the full participation of hospital employees and patients and families.

scholarly journals Patient experience with clinical pharmacist services in Travis County Federally Qualified Health Centers

2020 ◽  
pp. 1751
Author(s):  
Jennifer Shin ◽  
Leticia Moczygemba ◽  
Jamie C. Barner ◽  
Aida Garza ◽  
Sara Linedecker-Smith ◽  
...  
Keyword(s):  
Patient Experience ◽  
Clinical Pharmacist ◽  
Patient Centered Care ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Related Factors ◽  
Clinical Pharmacists ◽  
Centered Care ◽  
Health Related ◽  
Pharmacist Services

Background: Positive patient experiences with care have been linked to improved health outcomes. Patient experience surveys can provide feedback about the level of patient-centered care provided by clinical pharmacists and information about how to improve services. Objectives: Study objectives are: 1) To describe patient experience with clinical pharmacist services in a federally qualified health center (FQHC). 2) To determine if demographic or health-related factors were associated with patient experience. Methods: This cross-sectional survey included adult patients who were English or Spanish speaking, and completed a clinical pharmacist visit in March or April 2018. Patient experience was evaluated, on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree), with 10 items using four domains: pharmacist-patient interaction information provision, support for self-care, and involvement in decision making. In addition, one item was used to rate the overall experience. Demographic and health-related variables were also collected. Eligible patients completed the survey after their clinical pharmacist visit. Descriptive and inferential statistics, as well as Cronbach’s alpha for scale reliability, were employed. Results: Respondents (N=99) were 55.4 (SD=12.1) years and 53.1% were women. Overall, patients rated their experiences very high with the 10-item scale score of 4.8 (SD=0.4) out of 5 points and the overall experience rating of 4.9 (SD=0.4) out of 5 points. With the exception of race, there were no differences between patient experience and demographic and health-related variables. African Americans had significantly (p=0.0466) higher patient experience scores compared to Hispanics. Conclusions: Patients receiving care in a FQHC highly rated their experience with clinical pharmacists. This indicates that clinical pharmacists provided a high level of patient-centered care to a diverse group.

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