scholarly journals Pengaruh Pelatihan Komunikasi Terapeutik terhadap Kepuasan Pasien : A Systematic Review

Author(s):  
Agostinha Soares ◽  
Kusnanto Kusnanto ◽  
Ninuk Dian Kurniawati

Background: Communication is an important element of quality care that can help build a nurse-patient relationship. Good nurse-patient communication has the potential to increase patient understanding of treatment plans and reduce behaviors that lead to poor outcomes. Not appreciating the importance of people-centered communication and improper communication training can result in unsatisfactory communication performance. Objective: Knowing the effect of therapeutic communication training on patient satisfaction Methods: The database used in this systematic review were taken from Scopus, Science direct, Proquest and Pubmed, journals were limited to the 2013-2019 publication year in the area of nursing medicine journals, as well as English journals. This systematic review used 9 articles that fitted the inclusion criteria. Critical appraisal and data extraction were performed independently by two different authors, there was a difference in results, the consensus was opted to solve the differences. Results: From 9 selected articles found that training varies between 50%-80% there was an influence on patient satisfaction. Therapeutic communication training had a positive impact on hospital services. Conclusion: Therapeutic communication training improves skills, encourages, supports, strengthens therapeutic communication, communication training reduces poor nurse interaction behavior and can increase patient satisfaction. Keywords: training; therapeutic communication; patient's satisfaction ABSTRAK Latar belakang: Komunikasi adalah elemen penting dari perawatan yang berkualitas dapat membantu membangun hubungan perawat-pasien. Komunikasi perawat-pasien yang baik memiliki potensi untuk meningkatkan pemahaman pasien tentang rencana perawatan dan mengurangi perilaku yang mengarah pada hasil yang buruk. Kurang menghargai pentingnya komunikasi yang berpusat pada orang dan pelatihan komunikasi yang tidak tepat dapat mengakibatkan kinerja komunikasi yang tidak memuaskan. Tujuan: Mengetahui pengaruh pelatihan komunikasi terapeutik terhadap kepuasan pasien Metode: Database yang digunakan dalam systematic review ini adalah scopus, science direct, proques dan pubmed, journal dibatasi dengan tahun publikasi 2013-2019 dengan area jurnal nursing medicine, serta jurnal berbahasa Inggris. Systematic review ini menggunakan 9 artikel yang sesuai dengan kriteria inklusi. Telaah artikel dan ekstraksi data dilakukan secara terpisah oleh dua peneliti, jika terdapat perbedaan, maka hasil diambil secara consensus. Hasil Dari 9 artikel terpilih ditemukan bahwa pelatihan bervariasi antara50%-80% ada pengaruh terhadap kepuasan pasien. Pelatihan komunikasi terapeutik memberikan dampak yang positif terhadap pelayanan rumah sakit. Simpulan: pelatihan komunikasi terapeutik meningkatkan keterampilan, mendorong, mendukung, memperkuat komunikasi terapeutik, pelatihan komunikasi mengurangi perilaku interaksi perawat yang buruk dan bisa meningkatkan kepuasan pasien Kata kunci: pelatihan; komunikasi terapeutik; kepuasan pasien

2019 ◽  
Vol 8 (11) ◽  
pp. 1882 ◽  
Author(s):  
Bevilacqua ◽  
Maranesi ◽  
Riccardi ◽  
Donna ◽  
Pelliccioni ◽  
...  

: Objective: the objective of this review is to analyze the advances in the field of rehabilitation through virtual reality, while taking into account non-immersive systems, as evidence have them shown to be highly accepted by older people, due to the lowest “cibersikness” symptomatology. Data sources: a systematic review of the literature was conducted in June 2019. The data were collected from Cochrane, Embase, Scopus, and PubMed databases, analyzing manuscripts and articles of the last 10 years. Study selection: we only included randomized controlled trials written in English aimed to study the use of the virtual reality in rehabilitation. We selected 10 studies, which were characterized by clinical heterogeneity. Data extraction: quality evaluation was performed based on the Physioterapy Evidence Database (PEDro) scale, suggested for evidence based review of stroke rehabilitation. Of 10 studies considered, eight were randomized controlled trials and the PEDro score ranged from four to a maximum of nine. Data synthesis: VR (Virtual Reality) creates artificial environments with the possibility of a patient interaction. This kind of experience leads to the development of cognitive and motor abilities, which usually positively affect the emotional state of the patient, increasing collaboration and compliance. Some recent studies have suggested that rehabilitation treatment interventions might be useful and effective in treating motor and cognitive symptoms in different neurological disorders, including traumatic brain injury, multiple sclerosis, and progressive supranuclear palsy. Conclusions: as it is shown by the numerous studies in the field, the application of VR has a positive impact on the rehabilitation of the most predominant geriatric syndromes. The level of realism of the virtual stimuli seems to have a crucial role in the training of cognitive abilities. Future research needs to improve study design by including larger samples, longitudinal designs, long term follow-ups, and different outcome measures, including functional and quality of life indexes, to better evaluate the clinical impact of this promising technology in healthy old subjects and in neurological patients.


2021 ◽  
Author(s):  
Faten Amer ◽  
Sahar Hammoud ◽  
Haitham Khatatbeh ◽  
Szimonetta Lohner ◽  
Imre Boncz ◽  
...  

Aims: This systematic review aims to assess the impact of Balanced Scorecard (BSC) implementation at Health Care Organizations (HCOs) on Health Care Workers' (HCWs') satisfaction, patient satisfaction, and financial performance. Up to now, no previous systematic reviews have performed a comprehensive and rigorous methodological approach to figure out the impact of BSC implementation in HCOs. Methods: This systematic review was prepared according to PRISMA guidelines. PubMed, Embase, Cochrane, and Google Scholar databases, as well as Google search engine, were inspected to find all BSC implementations at HCOs until 20 September 2020. Then the resulted articles were screened to find the implementations which measured the impact of BSC on HCWs' satisfaction, patient satisfaction, and financial performance. Quality assessment was performed using the Standards for Reporting Implementation Studies: (StaRI) checklist. Results: Out of 4031 records, 20 articles were finally included for measuring one or more of the three impact types. 17 measured the impact of BSC on patient satisfaction, 7 on HCWs' satisfaction, and 12 on financial performance. Studies with higher quality had a higher positive impact. Conclusion: This paper offers evidence to HCOs and policymakers on the benefits of implementing BSC. BSC implementations showed a positive impact on patient satisfaction and financial performance in HCOs. However, less impact was found on HCWs' satisfaction, which should be given better consideration in future BSC implementations. High and medium-quality BSC studies were associated with higher positive impacts than low ones. BSC can be utilized as an effective tool to improve HCOs' performance during the COVID-19 pandemic.


2019 ◽  
Vol 1 (2) ◽  
pp. 54-61
Author(s):  
Iskandar Markus Sembiring ◽  
Novita Br Ginting Munthe

Good communication between nurses and patients is one thing in meeting patient needs. Communication in question is therapeutic communication in providing nursing care to patients. The low therapeutic communication carried out by nurses has an impact on patient dissatisfaction. New patients will be satisfied if the performance of the health services they obtain is the same or exceeds their expectations. The general objective of this study is to analyze the relationship between therapeutic communication of nurses and the satisfaction of inpatients. This type of research is quantitative research with the design of the study is descriptive correlation and how to collect data by distributing questionnaires. Sampling technique with purposive sampling technique. The statistical test used is spearman's rho. The results showed that there was a relationship between therapeutic communication of nurses and patient satisfaction, of 36 respondents there were 22 people (61.1%) patients who were dissatisfied with nurse therapeutic communication with a value of P = 0.043, p <α (0.05), with a value R = 0.339, then the relationship between therapeutic communication nurses with patient satisfaction is a strong category. Based on the results of this study, it is expected that the deli hospital will improve and conduct training on the implementation of nurse therapeutic communication so that the patient's satisfaction level increases.


2020 ◽  
Vol 25 (1) ◽  
Author(s):  
Yanan Chu ◽  
Jinxiu Yang ◽  
Jiaran Shi ◽  
Pingping Zhang ◽  
Xingxiang Wang

Abstract Background Obesity has been widely reported to be associated with the disease progression of coronavirus disease 2019 (COVID-19); however, some studies have reported different findings. We conducted a systematic review and meta-analysis to investigate the association between obesity and poor outcomes in patients with COVID-19 pneumonia. Methods A systematic review and meta-analysis of studies from the PubMed, Embase, and Web of Science databases from 1 November 2019 to 24 May 2020 was performed. Study quality was assessed, and data extraction was conducted. The meta-analysis was carried out using fixed-effects and random-effects models to calculate odds ratios (ORs) of several poor outcomes in obese and non-obese COVID-19 patients. Results Twenty-two studies (n = 12,591 patients) were included. Pooled analysis demonstrated that body mass index (BMI) was higher in severe/critical COVID-19 patients than in mild COVID-19 patients (MD 2.48 kg/m2, 95% CI [2.00 to 2.96 kg/m2]). Additionally, obesity in COVID-19 patients was associated with poor outcomes (OR = 1.683, 95% CI [1.408–2.011]), which comprised severe COVID-19, ICU care, invasive mechanical ventilation use, and disease progression (OR = 4.17, 95% CI [2.32–7.48]; OR = 1.57, 95% CI [1.18–2.09]; OR = 2.13, 95% CI [1.10–4.14]; OR = 1.41, 95% CI [1.26–1.58], respectively). Obesity as a risk factor was greater in younger patients (OR 3.30 vs. 1.72). However, obesity did not increase the risk of hospital mortality (OR = 0.89, 95% CI [0.32–2.51]). Conclusions As a result of a potentially critical role of obesity in determining the severity of COVID-19, it is important to collect anthropometric information for COVID-19 patients, especially the younger group. However, obesity may not be associated with hospital mortality, and efforts to understand the impact of obesity on the mortality of COVID-19 patients should be a research priority in the future.


2021 ◽  
Vol 36 (2) ◽  
pp. 83-91
Author(s):  
Sandrah-Ann M. Almond ◽  
Madelyne J. Warren ◽  
Kayce M. Shealy ◽  
Tiffaney B. Threatt ◽  
Eileen D. Ward

OBJECTIVE: The purpose of this systematic review is to evaluate the available evidence for safety and efficacy of over-the-counter (OTC) sleep aids used for the treatment of insomnia in older people.<br/> DATA SOURCES: PubMed, EBSCO, and International Pharmaceutical Abstracts.<br/> STUDY SELECTION: Five studies were included that involved humans 65 years of age and older being evaluated on OTC sleep aids in the outpatient setting.<br/> DATA EXTRACTION: Data extraction from each study included primary and secondary efficacy endpoints, such as differences in the mean total sleep time, sleep latency, sleep efficiency, and number of awakenings, along with safety endpoints, such as psychomotor ability, cognitive ability, and adverse effect profiles. Both subjective and objective measures of changes in sleep and adverse effects were included.<br/> DATA SYNTHESIS: Diphenhydramine had a statistically significant increase in sedation and decrease in number of awakenings but was not shown to be any less or more safe than compared products. Despite lacking safety issues, valerian was found to have no effect on subjective or objective sleep outcomes. Overall, melatonin had the most evidence and was found to have a statistically significant positive impact on sleep measures without safety issues.<br/> CONCLUSION: Diphenhydramine and melatonin appear to be efficacious in improving some sleep measures while causing minimal adverse effects. However, there are very few studies that examine the use of over-the-counter sleep aids in those 65 years of age and older with primary insomnia. Additional studies are needed in this population.


2021 ◽  
Vol 9 (1) ◽  
pp. 59-71
Author(s):  
Johanes Tantra Wijaya ◽  
Agusdini Banun Saptaningsih ◽  
Tantri Yanuar Rahmat Syah

Establishing an excellent hospital image is critical as many people are still experiencing trust issues for hospitals in Indonesia, especially in major cities. A hospital's image comes from its quality of service, the patient's trust in the quality of service, and the patient's satisfaction. This study tries to provide empirical evidence on the effect of quality of service and patient confidence on the hospital's image mediated by patient satisfaction. A quantitative - causality research method is used. Primary data was taken from survey to patients who are taking drugs in the outpatient pharmacy installation unit at Taman Sari Hospital, West Jakarta. This research uses AMOS-path analysis, and the results showed the quality of service and patient's trust had a positive and significant effect on the hospital's image with patient satisfaction as an intervening variable. Partially, the quality of service has a positive and significant effects on both patient satisfaction and hospital image. Patient confidence has a significant positive effect on patient satisfaction but it is insignificant to the hospital's image. Research findings show that a patient's trust has a positive impact on the hospital's image when mediated by patient satisfaction. Suggestions from this research are conducting training, i.e. speed training not to exceed the standard response time as well as competency, skills training and service excellence training for pharmaceutical personnel. Improving the quality of pharmacy facilities such as waiting rooms to make it more comfortable is also suggested


2021 ◽  
Vol 10 (2) ◽  
pp. 5-13
Author(s):  
Joel Rey Acob

Background and Aims: Patient satisfaction is acknowledged as the corner stone of quality management and it is the paramount of any quality management program in health care system. This study is aimed to conduct an up-to-date systematic review on different validated tools that provide quantification of patient satisfaction in out-patient physical therapy services. Type: Systematic review Literature survey: An extensive literature search was performed using 3 electronic database systems (Google scholar, PubMed, and PEDro) for articles published between 2000 and 2020. Boolean operator AND was used in compilation with the exhaustive list of search terminologies. A total of 19 studies that investigated any patient satisfaction tool in outpatient physiotherapy settings were included. Methodology: The process of data extraction was performed in accordance with PRISMA guidelines (2009). Results: Consensus based standards for the selection of health status measurement instruments (COSMIN) scoring quantified psychometric property of each study as excellent, good, and fair. 8 studies reflected fair scoring of Cronbach alpha, 3 studies showed excellent whereas, 2 appeared to be poor. Conclusion: The COSMIN scoring quantified multiple patient satisfaction tools. However, no gold standard was found. Nevertheless, physiotherapists working in out-patient care can increase the efficiency of patient-centered treatment by identifying and maximizing these patient satisfaction tool determinants.


2021 ◽  
Vol 24 (3) ◽  
pp. 237-250
Author(s):  
Yu Ming ◽  
Aleksandra A. Zecevic ◽  
Susan W. Hunter ◽  
Wenxin Miao ◽  
Rommel G. Tirona

Background Medication review is essential in managing adverse drug reactions and improving drug safety in older adults. This systematic review evaluated medication review’s role as a single intervention or combined with other interventions in preventing fall-related injuries in older adults. Methods Electronic databases search was conducted in PubMed, EMBASE, Scopus, and CINAHL. Two reviewers screened titles and abstracts, reviewed full texts, and performed data extraction and risk of bias assessment. Meta-analyses were conducted on studies with similar participants, interventions, outcomes or settings. Results Fourteen randomized, controlled studies were included. The pooled results indicated that medication review as a stand-alone intervention was effective in preventing fall-related injuries in community-dwelling older adults (Risk Difference [RD] = -0.06, 95% CI: [-0.11, -0.00], I2 = 61%, p = .04). Medication review also had a positive impact on decreasing the risk of fall-related fractures (RD = -0.02, 95% CI: [-0.04, -0.01], I2 = 0%, p = .01). Discussion This systematic review and meta-analysis has demonstrated that medication review is effective in preventing fall-related injuries in general, and fractures specifically, in community-dwelling older adults. Future investigations focusing on the process of performing medication review will further inform fall-related injury prevention for older adults.


2018 ◽  
Vol 119 (5/6) ◽  
pp. 295-312 ◽  
Author(s):  
Ghulam Murtaza Rafique ◽  
Khalid Mahmood

Purpose The purpose of this study was to systematically collect and review the English language studies that provided empirical evidence for the existence of relationship between knowledge sharing (KS) and job satisfaction (JS) and their impact on each other. Design/methodology/approach A systematic review of the literature was conducted searching Google Scholar, LISTA, ISI Web of Knowledge, Scopus and ProQuest Dissertation and Theses. Searches were completed through March 2017. Language limit was applied; and manual searching from review articles and some key studies using backward and forward citation from Google Scholar was also completed. Studies determining the relationship or correlation between KS and JS were included and books were excluded in this review. Data extraction and critical appraisal were performed to determine the risk of bias of each study. Findings The findings clearly reveal that these two variables had a significant relationship with and were influenced by each other. It is concluded that KS had a positive impact on JS and, similarly, JS had strong effect on KS among the individuals working in different organizations. Originality/value This review is first to examine the relationship between KS and JS and their impact on each other by systematically collecting and reviewing the English language studies. This study has theoretical and practical implications for managers and HR departments.


2021 ◽  
Vol 36 (2) ◽  
pp. 83-92
Author(s):  
Sandrah-Ann M. Almond ◽  
Madelyne J. Warren ◽  
Kayce M. Shealy ◽  
Tiffaney B. Threatt ◽  
Eileen D. Ward

Objective The purpose of this systematic review is to evaluate the available evidence for safety and efficacy of over-the-counter (OTC) sleep aids used for the treatment of insomnia in older people. Data Sources PubMed, EBSCO, and International Pharmaceutical Abstracts. Study Selection: Five studies were included that involved humans 65 years of age and older being evaluated on OTC sleep aids in the outpatient setting. Data Extraction Data extraction from each study included primary and secondary efficacy endpoints, such as differences in the mean total sleep time, sleep latency, sleep efficiency, and number of awakenings, along with safety endpoints, such as psychomotor ability, cognitive ability, and adverse effect profiles. Both subjective and objective measures of changes in sleep and adverse effects were included. Data Synthesis Diphenhydramine had a statistically significant increase in sedation and decrease in number of awakenings but was not shown to be any less or more safe than compared products. Despite lacking safety issues, valerian was found to have no effect on subjective or objective sleep outcomes. Overall, melatonin had the most evidence and was found to have a statistically significant positive impact on sleep measures without safety issues. Conclusion Diphenhydramine and melatonin appear to be efficacious in improving some sleep measures while causing minimal adverse effects. However, there are very few studies that examine the use of over-the-counter sleep aids in those 65 years of age and older with primary insomnia. Additional studies are needed in this population.


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