scholarly journals Patient satisfaction with nurse practitioner care in Newfoundland and Labrador

2018 ◽  
Vol 6 (4) ◽  
pp. 101 ◽  
Author(s):  
Wanda Emberley-Burke ◽  
Robert J. Meadus ◽  
June Creina Twomey ◽  
Kelly Power Kean
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Newfoundland And Labrador ◽  
Health Care Services ◽  
Health Care Settings ◽  
Primary Health ◽  
Primary Health Care Settings

Objective: The aim of the study was to determine the level of patient satisfaction with health care provided by Nurse Practitioners (NPs) in Newfoundland and Labrador (NL), in primary health care settings.Methods: This is a descriptive study. 155 adult patients (N = 155) were recruited from the four regional health authorities (RHAs) throughout NL who employed NPs in a primary health care setting. A 47-item questionnaire called the Nurse Practitioner Satisfaction Survey (NPSS) was given to patients after receiving care from a NP.Results: Over 93% of the participants agreed or strongly agreed with their degree of satisfaction of care provided by the NP. Patients who visited the NP one to five times in the past year reported higher levels of satisfaction. No significant differences based upon marital status, gender or ethnicity were found.Conclusions: Patient satisfaction was rated as high for care provided by NPs with over 98% of participants reporting they would seek the services of a NP in the future. The majority of the participants would recommend the NP to others seeking health care services. This study describes patient satisfaction with NP care and highlights NPs as valued providers of care in rural and urban primary health care settings. Identified narrative themes were timely access to care, NP knowledge, trust, and provider consistency. NPs should seek ways to ensure they work to their full scope of practice to meet the needs of the population and increase their presence in primary health care settings.

scholarly journals Nurse practitioner consultations in primary health care: a case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement

2018 ◽  
Vol 20 ◽  
Author(s):  
Julian Barratt ◽  
Nicola Thomas
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Convenience Sample ◽  
Primary Health ◽  
Communication Processes ◽  
Consultation Time

AbstractBackgroundResearch has not yet fully investigated links to consultation duration, patient expectations, satisfaction, and enablement in nurse practitioner consultations. This study was developed to address some of these research gaps in nurse practitioner consultations, particularly with a focus on expectations, satisfaction, and enablement.AimTo explore the influence of pre-consultation expectations, and consultation time length durations on patient satisfaction and enablement in nurse practitioner consultations in primary health care.DesignSurvey component of a larger convergent parallel mixed methods case study designed to conjointly investigate the communication processes, social interactions, and measured outcomes of nurse practitioner consultations. The survey element of the case study focusses on investigating patients’ pre-consultation expectations and post-consultation patient satisfaction and enablement.MethodsA questionnaire measuring pre-consultation expectations, and post-consultation satisfaction and enablement, completed by a convenience sample of 71 adults consulting with nurse practitioners at a general practice clinic. Initial fieldwork took place in September 2011 to November 2012, with subsequent follow-up fieldwork in October 2016.ResultsRespondents were highly satisfied with their consultations and expressed significantly higher levels of enablement than have been seen in previous studies of enablement with other types of clinicians (P=0.003). A significant, small to moderate, positive correlation of 0.427 (P=0.005) between general satisfaction and enablement was noted. No significant correlation was seen between consultation time lengths and satisfaction or enablement.ConclusionHigher levels of patient enablement and satisfaction are not necessarily determined by the time lengths of consultations, and how consultations are conducted may be more important than their time lengths for optimising patient satisfaction and enablement.

Psychometric Evaluation of the Nurse Practitioner Satisfaction Survey (NPSS)

2009 ◽  
Vol 17 (2) ◽  
pp. 114-133 ◽  
Author(s):  
Lucie J. Agosta
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nurse Practitioner ◽  
Health Care Services ◽  
Factor Model ◽  
Psychometric Evaluation ◽  
Internal Consistency Reliability ◽  
Satisfaction Survey ◽  
Primary Health

The purpose of this study was to identify and define underlying latent constructs within the concept of patient satisfaction with nurse practitioner delivered primary health care. The Nurse Practitioner Satisfaction Survey (NPSS), a 28-item, Likert-type, researcher developed instrument was completed by 300 clients presenting for primary health care visits in a hospital outpatient clinic. Factor analysis with promax rotation resulted in a three factor model explaining 70.77% of the variance. Eighteen items loaded on general satisfaction. Six items loaded on communication, and four items loaded on accessibility and convenience. Cronbach’s alpha internal consistency reliability coefficients were .98, .83, and .76 for the three factors, respectively. The NPSS was found to be reliable and valid for measuring patient satisfaction with nurse practitioner delivered primary health care services.

Integrating Trauma and Violence Informed Care in Primary Health Care Settings for First Nations Women Experiencing Violence: A Systematic Review

2021 ◽  
pp. 152483802098557
Author(s):  
Patricia Cullen ◽  
Tamara Mackean ◽  
Natasha Walker ◽  
Julieann Coombes ◽  
Keziah Bennett-Brook ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
First Nations ◽  
Health Care Services ◽  
Health Care Settings ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Primary Health Care Settings ◽  
First Nations Women

It is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women’s individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives.

scholarly journals Validation of the WHO self-reporting questionnaire-20 (SRQ-20) item in primary health care settings in Eritrea

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Tesfit Brhane Netsereab ◽  
Meron Mehari Kifle ◽  
Robel Berhane Tesfagiorgis ◽  
Sara Ghebremichael Habteab ◽  
Yosan Kahsay Weldeabzgi ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Settings ◽  
Primary Health ◽  
Self Reporting Questionnaire ◽  
Primary Health Care Settings
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