Dissertations / Theses: 'Patienet Satisfaction'

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Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.

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Andersson, Boman Oskar, and Andreas Eriksson. "Upplevelser av information på akutmottagningar ur ett patientperspektiv: En litteraturöversikt." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384650.

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Bakgrund: Tidigare forskning har visat på vikten av information för patienters vårdupplevelse och säkerhet. Ändå finns tydliga belägg för att informationen brister på akutmottagningar. Det är därför viktigt att sammanställa patienters upplevelser inom området. Syfte: Att undersöka patienters upplevelser av information på akutmottagningar. Metod: Deskriptiv design med litteraturöversikt som metod där 16 vetenskapliga kvalitativa originalartiklar analyserades. Resultat: Fem teman skapades: Initial vård på akutmottagningen; efterföljande väntetid; tillstånd och behandling; förståelse och minnesförmåga; samt avslutande vård på akutmottagningen. Både positiva och negativa upplevelser framkom. Mest framträdande var negativa upplevelser angående bristande information om saker som väntetider, tillstånd och behandling. Slutsats: Information är en viktig del av vården på en akutmottagning och denna studie belyser dess betydelse ur ett patientperspektiv. I resultatet framkom en mängd olika upplevelser som visar på problemområdets relevans. Behov av mer forskning specifikt gällande patienters upplevelser av information anses behövas. Genom att belysa patienters upplevelser har brister och även möjligheter till förbättringar synliggjorts, vilket kan vara av nytta för sjuksköterskor i sin profession.
Background: Previous research has shown the importance of information for the patients care experience and safety. Still there is clear evidence that information is lacking at emergency departments [ED]. It is therefore important to gather patient experiences on the subject. Purpose: To investigate patient experiences of information in emergency departments. Method: Descriptive design with a literature review as method where 16 scientific qualitative original articles was analyzed. Results: Five themes was created: Initial care at the ED; following waiting time; condition and treatment; understanding and ability to remember; and final care at the ED. Both positive and negative experiences emerged. Most prominently was negative experiences regarding lack of information about subjects such as waiting times, condition and treatment. Conclusion: Information is a crucial part of the care at the ED and this study highlights its importance from the patient perspective. A lot of different experiences emerged in the result that displays the relevance of the problem area. The need of further research regarding patient experiences of information is considered needed. Flaws and opportunities for improvement has also been revealed by highlighting patient experiences, which may be of use for nurses in their profession.

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Hellbom, Maria. "Individual Support for Cancer Patients : Effects, Patient Satisfaction and Utilisation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5183-7/.

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Fröjd, Camilla. "Cancer patients' satisfaction with doctors' care : consequences and contributing conditions /." Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [ditributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8267.

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Lund, Kim, and Linnéa Myrhage. "Att vara människa - inte en diagnos! : En litteraturstudie om vuxna människor med psykisk ohälsa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10747.

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Psykisk ohälsa är ett växande problem i samhället och allmänsjuksköterskan möter i sitt arbete dagligen människor med psykisk ohälsa. Dessa människor upplever sig ofta osynliga i samhället och upplever även förutfattade meningar i mötet med sjuksköterskan. Forskning idag utgår mindre ofta från perspektivet hos människor med psykisk ohälsa, vilket behövs för att omvårdnaden ska kunna utvecklas. Problematiken är att sjuksköterskan många gånger möter människor utifrån deras psykiska diagnos, istället för att möta dessa människor utifrån ett helhetsperspektiv. Examensarbetet beskriver hur vuxna människor med psykisk ohälsa kan uppleva mötet med sjuksköterskan. Två teman framkommer efter sammanställning av befintlig forskning. Vuxna människor med psykisk ohälsa upplever antingen sig sedda i mötet med sjuksköterskan eller en känsla av osynlighet. Känslan av att vara sedd uppkommer när sjuksköterskan bekräftar individen genom att vara öppensinnad. Sjuksköterskan lägger ner tid i mötet genom att lyssna och att försöka förstå personens situation. En känsla av osynlighet i mötet uppkommer när sjuksköterskan förminskar personen till en diagnos. De med psykisk ohälsa upplever hinder i relationen genom att sjuksköterskan utövar makt och behandlar dem som barn. De känner sig ensamma när sjuksköterskan inte har tid för dem och inte tyckts bryr sig om dem. Genom denna studie kan sjuksköterskan få en ökad förståelse för hur vuxna människor med psykisk ohälsa upplever mötet med dem. Ökad förståelse kan förbättra relationen mellan människor med psykisk ohälsa och sjuksköterskan. Det kan även leda till en ökad känsla av hälsa hos människor med psykisk ohälsa.
Background: Mental illness has in recent years increased in society. It has since centuries been seen as a shameful disease and mental illness has not been a high priority in health care. Aim: The aim of this study was to describe how adult humans with mental illness experiences the meeting with the nurse.Method: The method that was used was a literature based study with basis in analysis of qualitative research. 11 articles with a qualitative approach was analyzed. Result: The result showed two main theme. The first theme was a feeling of being seen in the meeting when an open dialogue was used and a relationship was created. The second theme was a feeling of invisible because they felt reduced to a diagnosis and encountered obstacles in the relation. Conclusion: Adult humans with mental illness could experience the meeting in different ways. A good meeting with the nurse could increase the human with mental illness trust in healthcare. It could improve the care and relationship between human with mental illness and the nurse.

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Wong, Sau-Yee, and 黃秀怡. "Determinants of patient satisfaction towards medication information inSOPD patients: DISMIS study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972330.

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Frazier-Warmack, Victoria Maria. "Impact of Telephone Call on Patient Satisfaction in Adult Oncology Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3443.

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Patient satisfaction is an ongoing action in which hospitals and health care providers are constantly seeking strategies to improve their satisfaction ratings. In the ambulatory oncology infusion setting, patient satisfaction is also a key metric that is being monitored, but actual patient satisfaction is unknown. Guided by Lewin's change theory and King's theory of goal attainment, the aim of this project was to use a strategy of conducting follow-up telephones calls to determine if patient satisfaction improved in an ambulatory oncology setting. A descriptive comparative approach was used to evaluate patient satisfaction before and after a telephone follow-up intervention. Participants who were starting an initial or new chemotherapy protocol were randomized into the telephone follow-up (TFU) group or the control group. A TFU script was used to guide the telephone conversation with patients about their experience with the first chemotherapy visit. All participants (N= 62) completed the OUT-PATSAT 35 questionnaire before starting their chemotherapy and 72 hours after the chemotherapy. Demographic characteristics of participants did not differ from the general cancer population. T tests were used to determine whether satisfaction differed between the two groups and revealed that participants receiving the TFU had significantly greater satisfaction in all domains post treatment, compared to those who did not (t = 2.90, df = 15, p = .01), suggesting the TFU had a positive effect on patient satisfaction. Incorporating follow-up telephone calls as a standard of practice to persons receiving an initial or new chemotherapy protocol may contribute to improved patient satisfaction scores and positive social change through an improved sense of well-being in cancer patients.

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Wong, Sau-Yee. "Determinants of patient satisfaction towards medication information in SOPD patients DISMIS study /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972330.

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George, Mercy. "Patient Navigation Program in Oncolgy Clinical Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5193.

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Cancer diagnoses affect millions of people in the United States each year. Today, cancer patients face many challenges when trying to navigate the complex healthcare system. Patient navigation programs were developed to address and overcome barriers patients may face as they make their way through the healthcare system. The purpose of this project was to provide an analysis and discussion of the current published literature to provide evidence for improving care coordination and patient satisfaction in the oncology clinical setting with a patient navigator program. The practice-focused question for this project asked if a patient navigator program for adult cancer patients improved patient outcomes. The systematic review, guided by Watson's theory of caring, included 11 studies published between 2010 and 2017 identified through Cochrane Library, CINAHL, ProQuest, PubMed, and Joanna Briggs Institute. Initially a total of 679 articles were identified; however the number reduced by removing duplicates and after review of titles and abstracts. The remaining articles were then evaluated by the level of evidence based on the Manly and Fineout-Overholt's guide on hierarchy of evidence. The results identified in this systematic review showed patient navigation can improve care coordination and patient satisfaction. This review offers findings on the impact of cancer care coordination and patient satisfaction, which may be used by healthcare leaders when determining how to improve cancer care and as a result may provide positive social change. If the organization implements a patient navigator program, it is expected that this change would benefit patients, families, healthcare providers and the organization.

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Molin, Marie, and Christina Magnusson. "Den äldre människans behov av omvårdnad på akutmottagning : En litteraturstudie." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-5003.

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Inom akutsjukvården är en stor del patienterna 65 år och äldre, vilket innebär att en stor del av vården vid en akutmottagning omfattas av bemötande och omhändertagande av äldre patienter. Syfte: Syftet med denna studie var att belysa hur äldre personer beskriver att deras behov av omvårdnad blir tillgodosett av omvårdnadspersonal vid akutmottagning. Metod: Studien genomfördes som en litteraturstudie där 13 artiklar granskades. Resultat: Resultatet visade att många äldre hade en negativ upplevelse av sin vistelse på akutmottagningen. Många fick vänta länge och fick inte sina basala behov tillgodosedda såsom t.ex. mat och dryck. Äldre patienter kände sig oroliga, övergivna och rädda under väntetiden och önskade mer uppmärksamhet och en mer kontinuerlig uppföljning under väntetiden. Resultatet visade också att information till patienten var väldigt viktig. Fick de äldre på akutmottagningen information om vad som skulle hända, hur undersökningar skulle gå till och varför de fick vänta kände de sig nöjda och trygga. Det fanns enligt resultatet en hög respekt för sjuksköterskornas professionella kompetens och omvårdnadspersonalens uppträdande på akutmottagning värderades högre av äldre patienter än av yngre patienter.

In the emergency department a big part of the patients are 65 years old and older, which means that a great deal of the medical care at the emergency department consists of meeting and caring for older patients. The aim: The aim with this study was to enlighten how the older patients describe that nurses at the emergency department provide for their need of care. Method: The study was done as a study of literature where 13 articles were reviewed. Result: The result showed that several older patients had a negative experience of their stay at the emergency department. Many of them had to wait for a long time and did not get their needs provided for. Older patients felt worried, abandon and scared during their time waiting and wished for more attention and more continual checkups during waiting time. The result also showed that information to the patients where very important. If the older patients at the emergency department got information about what was going to happen, how the examinations should proceed and why they had to wait they got more satisfied and secure as patients. There was, according to the result, a high respect for the nurse’s professional competence, and the older patients valued the staff’s behaviour higher than the younger patients.

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Van, Lew Holly, and Debbie Wong. "Evaluation of Satisfaction and Self-Efficacy of Veteran Patients with Heart Failure in a Group Clinic Setting." The University of Arizona, 2006. http://hdl.handle.net/10150/624460.

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Class of 2006 Abstract
Objectives: To evaluate the group clinic patients’ visit satisfaction and self-efficacy assessments at baseline and six months after the implementation of the heart failure group clinic. Additional outcomes of interest included health service utilization and medication management. Methods: This study utilized a pre-experimental design to compare patients’ clinic visit satisfaction and self-efficacy assessments at baseline and six months. Demographic variables, diagnoses, vitals, health service utilization and medication management data were obtained retrospectively from the computerized patient record system (CPRS). Results: Eleven patients met the inclusion criteria, agreed to participate and completed the informed consent. Mean age was 64.1 years (± 11.28); 100% were male; 45.5% were white, not of Hispanic origin. Health service utilization could not be compared using the planned analysis because of the limited data available for this outcome. Medication management trends included titrating angiotensin-converting enzyme inhibitors (n=1), titrating beta-blockers (n=6), and converting from non-preferred HF medications to ACC/AHA guideline recommended agents (n=3). The mean self-efficacy score increased at follow-up when compared to baseline data (7.4 ± 1.7 versus 6.4 ± 2.7, respectively) with no statistical significance shown between the two groups (p=0.12). Additionally, the mean patient satisfaction score increased at follow-up when compared to the baseline scores (74.5 ± 12.3 versus 71.0 ± 15.1 respectively); however, data analysis revealed no statistical significance (p=0.50). Conclusions: Our study demonstrated trends suggesting improved patient satisfaction and improved self-efficacy with a group clinic model in veteran patients with heart failure. Group clinic settings have the potential to optimize HF medication management in the setting of enormous demand for VA healthcare services and limited financial resources.

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Wikehult, Björn. "Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns." Doctoral thesis, Uppsala University, Department of Surgical Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9262.

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A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R² was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R² was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

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Abramson, Lisa Diane. "The relationship of patients' perceptions of physicians' communication style to patient satisfaction." PDXScholar, 1991. https://pdxscholar.library.pdx.edu/open_access_etds/4121.

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This thesis examines the relationship between physician communication style and patient satisfaction in the diagnostic medical interview. Patient satisfaction is a critical issue for health care organizations today. Health care organizations are coping with the recruitment and maintenance of patient consumers in a competitive and costly market. The literature indicates that effective communication between the physician and the patient is important to patient satisfaction. The physician needs to structure the medical visit in order to acquire medical information and, at the same time, invite communication with patients to determine their concerns and needs. Patient satisfaction may ensue if the patient perceives the physician as possessing a positive communication style.

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Malkin, Lisa Sohl. "Patients' and significant others' satisfaction with nursing activities in oncology ambulatory settings." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558093.

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Petersson, Lena-Marie. "Group Rehabilitation for Cancer Patients: : Effects, Patient Satisfaction, Utilisation and Prediction of Rehabilitation Need." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis ; Univ.-bibl. [distributör], 2003. http://publications.uu.se/theses/91-554-5548-4/.

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Rådén, Emelie, and Jenny Wallenius. "Hur patienter med hiv upplever bemötandet från vårdpersonal." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-6326.

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Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles. Results:Two themes were found; to be discriminated and to be powerless and extradited. To be discriminated describes that patients in several cases been treated differently than others, by health professionals.To be powerless and extradited describes that patients are not allowed tobe involved in their care and they have distrust to health care providers.Conclusion:Patients with HIV experience discrimination, excessive precautions and ignorance which cause a care suffering. It is important that the nurse is aware of the deficiencies in the treatment to work towards a good care relationship.There is a great need for further research regarding to explore how patients with HIV experiencing the treatment from health professionals.

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Devreux, Isabelle. "Relationship between staff satisfaction, productivity and patient satisfaction: a study in physical rehabilitation services." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209609.

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La satisfaction du patient et du personnel sont considérés comme des indicateurs importants afin de mesurer la qualité dans le secteur hospitalier.

Dans les services de revalidation, les rencontres thérapeutes-patients présentent une valeur significative par le temps consacré, l'approche thérapeutique mais également la relation qui découle du processus de soin.

L'objectif de la recherche fut d'évaluer la satisfaction du personnel travaillant dans les services de revalidation physique (thérapeutes et techniciens ou assistants) et les différents variables démographiques ou liés à l'environnement du travail ainsi que la satisfaction des patients traités dans ces services.

Une analyse transversale par questionnaire a permis de mesurer la satisfaction au travail et les éléments de productivité dans les services de revalidation. Simultanément, une enquête concernant la satisfaction des patients a été réalisée dans ces mêmes départements. La recherche fut effectuée au sein de dix centres hospitaliers au moyen d'un questionnaire d'enquête commun basé sur le modèle " Effort- Reward Imbalance" ou “déséquilibre efforts-récompenses” et des informations complémentaires sur les conditions de travail ont étés collectées au moyen de questionnaires spécifiques. L’étude met en évidence des variables démographiques tells l'âge, la nationalité, le niveau d'éducation, ainsi que la charge travail et les types de cas traités comme facteurs significatifs influençant le stress au travail.

Les résultats confirment une corrélation positive entre le stress au travail par le déséquilibre Efforts-Récompenses et la performance quantitative (productivité) des thérapeutes en revalidation. Il est basé sur la satisfaction des thérapeutes en fonction des heures de travail, du nombre moyen de patients par jours ainsi que des mesures de productivité élevées du département. En ce qui concerne les récompenses perçues comme positives, le soutien du médecin et du superviseur apparaissent comme facteurs de motivation importants. Il a été également déterminé que les thérapeutes appréciaient la participation et l’expression de son opinion dans la gestion thérapeutique du patient. Bien qu’une corrélation entre la satisfaction des patients et le degré de stress au travail des thérapeutes n’ait pas été démontrée, ces deux mesures varient de manière significative en fonction des types d’hôpitaux et du degré de « Over-commitment » des thérapeutes dans leur travail.

Les déterminants essentiels de la satisfaction des patients en revalidation apparaissent toutefois liés à l’intervention du thérapeute tel que sa capacité à rassurer le patient ou la qualité de l’information liée au plan de traitement et doivent être considérés dans l’approche thérapeutique en revalidation.

Les résultats de l’étude ont permis de concevoir un modèle systémique de satisfaction et de stress au travail résumant les éléments liés de manière significative au déséquilibre des efforts et récompenses dans les services de revalidation physique et qui pourrait inspirer les directeurs ou gestionnaires hospitaliers a promouvoir une atmosphère de travail positive.

Patient and staff satisfaction are considered as important indicators to monitor quality in healthcare. In rehabilitation services the patient and therapist encounters are of significant value by the amount of time, the therapeutic approach but also the personal relations in the care process. The aim of the research was to evaluate the staff job satisfaction in physical rehabilitation services and the related variables as well as its correlations to patients’ satisfaction.

A cross sectional survey approach in the rehabilitation services has measured the job satisfaction and the related elements of productivity. Simultaneously a survey of the patients’ satisfaction was performed. As the research in the physical rehabilitation services was conducted in ten different health care facilities of the Jeddah region, a common assessment tool was utilized based on the Effort Reward Imbalance (ERI) model and complementary information were collected using specifically developed survey questionnaires. Socio-demographic variables such as age, nationality, work specialty, educational levels, as well as the caseload and workload appeared also as significantly influencing job satisfaction.

The findings confirmed a positive correlation between the Effort Reward Imbalance and the quantitative performance (productivity) of the rehabilitation staffs. It is supported by the level of job satisfaction of the therapists which is related to the number of patients per day, caseload, hours of work and high productivity measures. From the aspects of positive rewards, the role of the supervisor and doctors appear as important motivators. It was also found that therapists valued the fact of being given the opportunity to participate and discuss opinions in the patient management and quality improvement.

While no evidence confirmed a positive correlation between patients’ satisfaction about the rehabilitation treatments and the staff job satisfaction, both measured patients’ and staff satisfaction varied significantly according to the hospital type and the degree of Over-commitment.

Essential determinants of patients’ satisfaction appeared however related to the therapists' input, such as the ability to reassure or the quality of information given in the treatment plan and have to be taken into account when delivering the patients’ care.

All the results allowed the design of a systemic model of staff job satisfaction resuming the significant related elements of effort and reward in the rehabilitation services and could be utilized to inspire the hospital leaders, managers and executive directors to promote a healthy work life environment based on a valued human resources approach.

Doctorat en Sciences de la santé publique
info:eu-repo/semantics/nonPublished

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Havelick, Julia B. "Nurse-patient communication in oncology settings a phenomenological study of trust from patients' perspectives /." [Denver, Colo.] : Regis University, 2009. http://adr.coalliance.org/codr/fez/view/codr:112.

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Harley, Beth. "Does decentralising the care of patients with chronic disorders result in altered patient satisfaction." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/26549.

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Introduction: In 1994 the Bonteheuwel and Valhalla Park clinics in Cape Town started a pilot project for the care of patients with chronic disorders. Patients in Bonteheuwel and Valhalla Park with chronic disorders who were previously under the care of Day Hospital or Hospitals in other suburbs, can now receive treatment and follow-up at the local authority clinic. There are currently nearly two thousand patients under Bonteheuwel clinic and nearly two hundred patients under Valhalla Park Clinic. Aim: To see if decentralising the care of patients with chronic medical conditions to local clinic level results in altered patient satisfaction. Objective: To look at patient satisfaction with clinic care compared to satisfaction with care at the previous place of service through administration of a comparative questionnaire. Methods: Data was collected by administering a questionnaire to a systematic sample of patients. The questionnaire was administered to 271 clients at Bonteheuwel and 43 clients at Valhalla Park clinics whilst they were waiting to see the doctor or to collect medication. The questionnaire asked patients to assess the clinic service in comparison to their previous place of service by asking whether various aspects of the service are better at the clinic, were better at their previous place or service or are much the same. Patients were also asked what they like best and least about the clinic's service and that of their previous place of service. Results: Results showed a high level of satisfaction with the clinic service compared to the previous place of service, especially in terms of access, cost, surroundings and waiting times. 95% of patients at Bonteheuwel and 98% of patients at Valhalla Park preferred being under the care of the clinic rather than under the care of their previous place of service. Patients felt there was not much difference in the doctor's technical or communication skills at the clinic compared to their previous place of service. Some patients at Bonteheuwel Clinic voiced concerns about the lack of facilities available at the clinic and felt that the clinic needed to be expanded to become a day hospital. Conclusions: Decentralising the care of patients with chronic medical conditions to local clinic level has resulted in increased satisfaction of patients. With the restructuring of health services in the Western Cape at present, decentralising the care of patients with chronic medical conditions to local clinic level may be an option for some communities.

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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital." Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.

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There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.

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Cady, Paul Stevens. "Patient counseling and satisfaction/dissatisfaction with prescription medication." Diss., The University of Arizona, 1988. http://hdl.handle.net/10150/184469.

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This study was undertaken to test the satisfaction process as it relates to the consumption of prescription medication. The disconfirmation of expectations model was used as a framework for the study. The study sought to evaluate the impact the provision of drug information has on the satisfaction/dissatisfaction process. To accomplish this, consumers recruited from two community pharmacies were provided with a scenario that described the purchase, and consequences of taking a prescription product intended for the treatment of migraine headache. Each subject received a scenario that contained one of four (4) levels of drug information. The four levels were: (1) no drug information; (2) information about side effects; (3) information about effectiveness; and (4) information about effectiveness and side effects. Each subject also received a scenario that described one of four therapeutic outcomes. They were: (1) no side effects with total elimination of headaches; (2) no side effects with partial elimination of headaches; (3) side effects with total elimination of headaches; and (4) side effects with partial elimination of headaches. The disconfirmation of expectation model was supported by the study. Using an ANOVA model, analyses revealed that the provision of drug information resulted in more positive disconfirmation and higher levels of satisfaction when the outcome of therapy was less than optimal. The measures of future intention were also affected by the provision of drug information. Further analyses revealed satisfaction was a function of expectation and disconfirmation.

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Anjum, Javed Veena Sirisook. "Patient satisfaction towards out patient Department Services in Pakistan Institute of Medical Sciences, Islamabad /." Abstract, 2005. http://mulinet3.li.mahidol.ac.th/thesis/2548/cd375/4737959.pdf.

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Oi, Katsuya. "Understanding the Role of Patient Activation in the Association between Patient Socio-Economic Demographics and Patient Experience." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/467.

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This study focuses on the association between patient characteristics, which include both demographic and contextual factors, and patients' experiences with health care. The pre-existing literature provides rich information about patients' various demographics related to patient experience. Despite the abundance of empirical evidence showing that patients' demographics do affect how they perceive their health care. However, there is little to no empirical knowledge explaining the significance of such factors. As the existing literature points out the need for taking into contextual factors such as patient's beliefs, attitudes, skills that are pertinent to dealing with health care, my study proposes patient activation as such a contextual factor that explains the association between patient demographics and patient experience. Findings suggest that patient activation is a strong predictor of two patient experience measures: patients' rating of doctor-patient communication and their self-reported difficulties in getting needed care. However, it is also observed that the mediating effects of patient activation vary by the two dimensions of patient experiences. Though this study demonstrates that promoting patient activation may be able to normalize how patients report the quality of doctor-patient interaction, further research is needed to address access to care issues.

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Smith, Cheryl. "Patients’ Perceptions of Patient-Centered Care and the Hospital Experience Pre- and Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3388.

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Florence Nightingale used the principles of patient-centered care as the foundation for nursing practice. Today, patient-centered care delivery is part of the healthcare reform process that extends interprofessionally throughout all settings of healthcare in the United States (U.S.). Patient satisfaction measurement is one primary determinant of effective patient-centered care. The standardized Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and methods is a nation-wide tool used to measure patient satisfaction. However, this method of patient satisfaction assessment relies on recollections of patients’ hospital experiences and requires accurate memory and recall. This study sought to examine the effect of the memory-experience gap on patients’ perceptions of their hospital experiences and address this research question: Are there any statistical differences between in-hospital and two-week post-discharge perceptions of patient-centered care as measured with HCAHPS patient satisfaction ratings on (a) the composite scores for communication with nurses, communication with physicians, communication about medicines, pain management, staff responsiveness, (b) the individual scores for the hospital environment’s cleanliness and quietness, and the inclusion of patient and family preferences in the plan of care, and (c) the overall global rating score? The design was a non-experimental, prospective, descriptive correlational study. The setting was a 255-bed regional hospital that serves individuals from eight surrounding rural counties in southern middle Tennessee. The case-mix contained diverse individuals with multiple economic, environmental, physical, social and spiritual dynamics. A convenience sample of 82 adult patients ages 26 - 93 represented mainly Caucasian females with mostly cardiovascular and respiratory illnesses who had a minimum one-day stay.

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Fox, Jessica M. "The Effect of Patient Expectations on Patient Satisfaction." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1560350332980685.

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Ghazali, R. J. "Patient satisfaction : the Malaysian experience." Thesis, Swansea University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.637051.

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The problem of scarce resources and escalating cost of health care has made the Malaysian governments to think about the corporatization of public hospitals. It is vital to understand the current situation before embarking on such a big project. The fundamental aim of the research was to assess the level of patient satisfaction in seven hospitals. In referral hospitals, only medical, surgical, orthopaedic, obstetric and gynaecology wards were selected. In non-referral hospitals, the wards selected were limited to male and female wards. Inpatients were given self-administered questionnaires after selection based on a set of inclusion and exclusion criteria. As for the staff, the same questionnaires were given to doctors, nurses and attendants who were working during that time. SERVQUAL, which was developed by Parasuraman, Zeithami and Berry, was used as a tool for measuring satisfaction. Apart from SERVQUAL, the questionnaires also include a session on respondent requests. Respondents were asked to list and prioritise five important things that they want from the hospital services. In this study the rate of patient satisfaction was low in all the seven hospitals. None of the hospitals had a patient satisfaction score greater than 45%. However in all the hospitals, the levels of dissatisfaction were only mild. In terms of SERVQUAL, patients and staff were least dissatisfied in the dimension of Empathy. Meanwhile, the greatest level of patient dissatisfaction was in the dimension of Responsiveness. For staff, the greatest level of dissatisfaction was Tangibles. Staff perceived that hospital equipment was not up-to-date. Patients understand that being a public hospital, it could only provide facilities to a certain extent. However they expect the staff to respond promptly to their needs. This study also has proven the hypothesis: The patient satisfaction will deteriorate if staff knowledge about patient requests/expectations decreases.

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Nizamova, Mika, and Zarah Barrett. "Vårdmiljöns betydelse för patientens välbefinnande." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3934.

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SAMMANFATTNING Bakgrund Upplevelsen av hälsa och välbefinnande är beroende av hur miljön vi befinner oss i är utformad. Ett av sjuksköterskans ansvarsområden är att se efter att vårdmiljön uppfyller patientens behov. Vårdmiljön kan utformas av flera olika aspekter såsom ljud, ljus och natur vilka alla har förmågan att kunna skapa en känsla av trygghet. Sjukvårdsreformatorn F. Nightingale menade att den fysiska miljön var lika viktig som den psykiska och sociala omgivningen för att återfinna hälsa samt förebygga sjukdomar. Syfte Syftet med denna litteraturöversikt var att beskriva aspekter i vårdmiljön som främjar patientens välbefinnande. Metod Metoden som valdes för denna studie var en icke-systematisk litteraturöversikt. Databassökningar gjordes i PubMed, CINAHL, Academic Search Elite samt manuella sökningar. Ett urval av 17 vetenskapliga artiklar gjordes efter noggrann granskning. Artiklarna som användes var både kvalitativa och kvantitativa, dessa har kvalitetsgranskats med hjälp av Sophiahemmets Högskolas bedömningsunderlag. Integrerad dataanalys användes som metod. Resultat En hälsofrämjande vårdmiljö påverkar patientens välbefinnande och autonomi under tiden de vårdas på sjukhus. Det första intrycket vid besök på sjukhus är det som utgörs av den fysiska miljön. Vidare framkom att enkelrum ledde till minskat buller, bättre sömn samt stärkt socialt stöd och personlig integritet. Fönster och utsikt över naturen skapade en känsla av fridfullhet då naturen kunde hjälpa till att stärka patientens inre kraft genom distraktion. Naturligt ljus ökade välmåendet och förbättrade sömnen. En välkomnande vårdmiljö med ”mysighetsfaktor” och avskildhet ökade känslan av hemtrevlighet vilket förbättrar välbefinnandet hos patienterna och ökade dessutom närvaron av anhöriga vilka utgjorde ett stort stöd för patienterna. Slutsats Genom en ökad kunskap om vårdmiljöns betydelse för patientens välbefinnande, kan åtgärder vidtas för hur allmänna utrymmen utformas. Vårdmiljön kan antingen stödja eller hindra patientens återhämtningsprocess och har kapaciteten att främja patientens livskvalitet. Denna studie ger en inblick i vårdmiljöns betydelse och bidrar med lärdomar som vidare kan tillämpas i vårt framtida kliniska arbete inom professionen. Nyckelord: Patienters nöjdhet, patientens acceptans av vård, patienter, miljödesign, vårdmiljö.
ABSTRACT Background The design of the environment affects our experience of health and well-being. One of the nurse's responsibilities is to ensure that the care environment meets the patient's needs. The care environment can be designed by several different factors such as sound, light and nature. All with a capacity to provide a feeling of security. According to healthcare reformer F. Nightingale, the physical environment was equally important to the psychological and social environment in order to regain health and prevent disease. Aim The purpose of this literature review was to describe aspects of the care environment that promote the patient’s well-being. Method The method used was non-systematic literature review. Database searches were performed in PubMed, CINAHL, Academic Search Elite as well as manual searches. A selection of 17 scientific articles was made after careful review. The articles were of both quantitative and qualitative research methods, these have been quality checked with the help of Sophiahemmet University’s assessment data. They were analysed based on the integrated data analysis method. Results A health-promoting care environment affects the patient's well-being and autonomy while they are being cared for in hospital. The first impression when visiting a hospital is that of the physical environment. Furthermore, it turned out that single rooms led to reduced noise, better sleep and strengthened social support and personal integrity. Windows and views of nature created a feeling of peace as nature could help strengthen the patient's inner power through distraction. Natural light as well as artificial light increased the well- being and improved sleep. A welcoming care environment with a “cosiness factor” and privacy increased the feeling of homeliness, which improves the well-being of the patients and also increased the presence of relatives who constituted a great support for the patients. Conclusion Through increased knowledge on the importance of the care environment for the well- being of the patient, measures can be taken focusing on the design of public spaces in this environment. The care environment can either support or hinder the patient's recovery process and has the ability to promote the patient’s quality of life. This study provides an insight into the importance of the care environment and contributes with lessons that can be further applied in our future clinical work within the profession. Keywords: Patient satisfaction, patient acceptance of health care, patients, environment design, health facility environment.

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Barlesi, Fabrice. "Evaluation de la santé perçue en oncologie thoracique : place dans l'aide à la décision." Aix-Marseille 2, 2006. http://www.theses.fr/2006AIX20681.

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Le cancer bronchique (CB) a un mauvais pronostique. Des efforts, soutenus par le Plan Cancer, sont faits pour améliorer la survie des patients et contrôler la toxicité des traitements. De plus, le patient est clairement placé au centre du dispositif de soins. Ainsi, au delà des mesures quantitatives classiques d’efficacité, des mesures qualitatives sont initiées. Nos travaux suggèrent (i) qu’il existe une volonté des médecins impliqués en oncologie thoracique pour s’investir dans ce domaine, (ii) que ces mesures fournissent des informations complémentaires aux mesures quantitatives, notamment dans le cadre de l’évaluation de la période post-opératoire après chirurgie pour cancer bronchique, (iii) qu’un des moyens d’influencer positivement la santé perçue pourrait reposer sur les modalités de l’information délivrée par les médecins aux patients, (iv) mais que ces mesures sont insuffisantes, à elles seules, pour évaluer la qualité des soins reçus
Lung cancer is associated with a poor prognosis. Efforts included a the “Plan Cancer” are done to improve patients survival and control treatment-related toxicities. In addition, patients have been clearly placed at the centre of health system. Then, besides classical quantitative assessment of treatments efficacy, qualitative measures have been initiated. Our works suggest that (i) doctors involved in thoracic oncology wish to include these measures into their practice, (ii) these measures provide additional information regarding post-operative course after thoracic surgery, (iii) a tool possibly influencing health perception might be represented by information delivered by doctors to patients, (iv) these measures are however not strictly related to the quality of health care

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Mornet, Chantal. "Le patient-client à l'hopital : contribution à la formulation d'une métamorphose." Lyon 3, 2000. http://www.theses.fr/2000LYO33028.

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Les gestionnaires des organismes de santé sont soumis à l'obligation d'évaluer la satisfaction du patient depuis l'ordonnance de 96. On ne peut décider que le service rendu est satisfaisant ou fixer ce qu'est la satisfaction d'un patient sans le questionner pour le laisser témoigner sur son expéreince. Nous avons donc une démarche qualitative avant de formuler un questionnaire d'évaluation. Le patient arrive avec certaines représentations qu'il confronte avec d'autres représentations construites pendant son hospitalisation. Le soignant constitue un élément prépondérant dans l'environnement du patient. Il s'agit d'une co-construction. Le patient est aussi "sujet" de son expérience : il n'est pas simplement rationnel et conforme à un rôle et met du sens dans sa décision de soins. Le concept sociologique de sujet plutôt que d'acteur exprime mieux cette complexité d'un patient. Porter ce regard nous amène à observer "l'expérience" du sujet et nous avons eu recours aux sciences cognitives pour les concepts de représentation et d'expérience. Mais cela pose des questions méthodologiques. On ne peut atteindre directement l'expérience du patient mais seulement son discours et les représentations qu'il met en oeuvre. Pour cela, l'analyse de contenu permet de mettre en évidence les représentations du patient utilisées pour construire son discours. L'enquête quantitative qui a suivi l'investigation qualitative n'est pas toujours convainquante et nous voulons plutôt modifier le statut de l'évaluation de la satisfaction du patient pour ne plus la voir comme un instrument de controle à posteriori mais comme un élément de management pour l'organisation des processus et l'élaboration des projets. D'un point de vue gestionnaire, nous nous situons dans des problématiques d'organisations apprenantes.

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Nguyen, Thi Phi Linh. "Satisfaction des patients hospitalisés en France et au Viet Nam." Nancy 1, 2003. http://docnum.univ-lorraine.fr/public/SCD_T_2003_0239_NGUYEN_THI.pdf.

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Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.

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Magister Curationis - MCur
Background: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purpose of this study was to describe psychiatric inpatients’ satisfaction with the care provided in a psychiatric hospital in Cape Town.Objectives : (1) To describe the psychiatric inpatients’ satisfaction with the care provided in a psychiatric teaching hospital in terms of their views on the: care provided by nurses (interpersonal/nurse-patient- interaction and technical skills); care provided by doctors (interpersonal/doctor-patient interaction and technical skills; and the nature of the environment of care, and (2) to describe the psychiatric inpatients’ overall satisfaction with the care received in a psychiatric teaching hospital in terms of the: quality of care received from nurses and doctors; nature of the environment of care; and the likelihood of future utilization of the hospital serviceMethod/Design: The study made use of the quantitative descriptive design using the Primary Provider Theory of patient satisfaction and the Batho Pele Principles served as the conceptual framework. Data were collected from discharged patients using a self-administered questionnaire which was mailed to individual participants. A five and a four point Likert scales were used for different sections in the questionnaire.The study made use of 120 participants between the ages of 18 and 60.Findings: Generally respondents were satisfied with the care provided in thispsychiatric hospital. Greater satisfaction was noted on aspects of staff-patient interactions. Low satisfaction scores were observed on nurses’ technical aspects of care. The Batho Pele principles of information, openness and transparency,consultation, access and redress seem not to have been adhered to.Conclusions: General inpatient satisfaction in psychiatric hospital care was good.However, more innovative methods for improvement in the areas of dissatisfaction need to be developed. Special attention should be given to the implementation of the Batho Pele Principles and the protection of the patients’ rights.

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Twomey, Mary. "Post operative pain-patient controlled analgesia and patient satisfaction /." Staten Island, N.Y. : [s.n.], 2000. http://library.wagner.edu/theses/nursing/2000/thesis_nur_2000_twome_post.pdf.

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Krainin, Penelope. "The influence of patient weight on patient-physician interaction and patient satisfaction." Full text available online (restricted access), 2001. http://images.lib.monash.edu.au/ts/theses/krainin.pdf.

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Tat, Lien Thieu. "LASIK clinical results and their relationship to patient satisfaction /." University of Sydney. Faculty of Health Sciences, 2006. http://hdl.handle.net/2123/1607.

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Doctor of Philosophy (PhD) Orthoptics
The aim of this study was to evaluate the safety and efficacy of LASIK as a refractive surgical procedure, using a repeated measures design to assess satisfaction of patients who had LASIK and to correlate clinical outcomes with detailed measures of patient satisfaction to document long-term viability, monitor changes over time and patients’ functional abilities post-operatively. Method In the study 216 post-LASIK subjects were randomly selected from among patients who underwent simultaneous bilateral LASIK using the Chiron Technolas 217C plano-scan excimer laser with the Chiron ACS (Automated Corneal Shaper) and the Hansatome microkeratome. The subjects were recruited from within one centre, and the procedures were performed by any one of three surgeons. The study also included 100 non-LASIK subjects as a control group, to compare and differentiate ocular symptoms and visual difficulties between LASIK and non-LASIK patients. Clinical data documented included visual acuity, subjective refraction, record of glasses and/or contact lenses prescription, corneal topography with EyeSys and Orbscan, slit lamp examination, surgical details, and any pre-existing eye disease/conditions and previous surgery or injury that might prevent the subjects from achieving their desired visual outcome post-operatively. Subjective patient satisfaction evaluation of the treatment group was assessed by subjects completing a survey questionnaire at 3 months, 6 months, 12 months and 24 months post-operatively. The control group subjects completed a comparable questionnaire and were assessed at baseline and 3 months later. Because the control group subjects did not have any surgical alterations, it was unnecessary for them to have more than one follow-up. Results LASIK achieved relatively high patient satisfaction, with only a small number of dissatisfied patients. It was effective in correcting myopia, hyperopia and astigmatism. However, there was some persistent under-correction in myopic spherical and minus cylindrical refractive errors. Hyperopic spherical correction was less effective, as there were more under- as well as over-correction, and the plus cylindrical correction tended to be under-corrected. The LASIK subjects’ post-operative distance uncorrected visual acuity was not as good as their pre-operative best corrected visual acuity, but it did not significantly correlate with patient satisfaction. The findings were consistent with other studies and confirmed the concept that patient satisfaction is not unidimensional and is not related to outcome solely in terms of visual acuity and residual refractive errors. Other contributing factors included problems with glare, rating of unaided distance and near vision, ability to drive at night, change in ability to perform social/recreational, home and work activities, change in overall quality of life, amount of information given prior to surgery, rating of surgery success, and surgery outcome relative to pre-operative expectations. These variables demonstrated distinctive differences between subjects who were satisfied and dissatisfied. Conclusions The findings of this study are consistent with those of earlier studies. However, the repeated measures design and the comparisons between LASIK subjects and the control group revealed some new insights that were previously undocumented. LASIK achieved high patient satisfaction, and factors associated with satisfaction were predictable, but sources of dissatisfaction were more idiosyncratic and contributing factors were identified.

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Cheung, Sok-yee. "Determinants of outpatient satisfaction in a specialist clinic in Hong Kong." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B3197160X.

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Dosier, Sharla June. "Satisfaction Determinants: Parents with Children Admitted to an Adult Inpatient Surgical Unit." Thesis, Montana State University, 2006. http://etd.lib.montana.edu/etd/2006/dosier/DosierS0506.pdf.

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With the recent movement in healthcare to view the patient as a consumer, it has been recognized that patient satisfaction is an essential measurement of high quality healthcare. For populations of patients that have difficulty speaking for themselves, such as pediatrics, assessing the parent guardian satisfaction becomes essential. Rural areas face unique challenges with pediatric care including long distances from home to a healthcare facility and lack of specialized care. The causal model is used for the theoretical framework, which states that there are two factors that directly influence patient satisfaction. These are process quality and clinical quality. Demographic factors are also included because there is conflicting information of the correlation between demographics and satisfaction. There is little known about the factors that contribute to high levels of satisfaction in the pediatric population. The purpose of this study is to understand what factors play the greatest role in directly influence satisfaction of parents whose children are hospitalized. Specifically, the relationship between overall satisfaction and parent demographics, process quality and clinical quality were explored. The study is a descriptive correlational study with a non-random, convenience sample of parents whose children are admitted to adult in-patient surgical unit during an eight week period of time. The parents filled out a Pediatric Family Satisfaction Questionnaire (PFSQ) at the time of discharge. The total sample size was 13 with a 77% response rate. Overall, the satisfaction scores were very high. Correlations could not be established due to the lack of variability in certain factors. The study did reveal trends that are consistent with findings of previous studies. These trends include the reluctance to be critical of healthcare, higher satisfaction scores with lower levels of education and higher satisfaction with process quality.

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Coyle, Joanne. "Exploring the meaning of dissatisfaction with health care : towards a grounded theory." Thesis, London South Bank University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264820.

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Maurice-Szamburski, Axel. "Le vécu du patient en anesthésie." Thesis, Aix-Marseille, 2016. http://www.theses.fr/2016AIXM5020.

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Ces 20 dernières années, la mortalité attribuable à l’anesthésie a été divisée par 10. Cette baisse de mortalité offre la possibilité de porter une attention plus importante à certains critères d’évaluation, reportés par les patients, tels que le vécu ou la satisfaction. Appliqué au contexte periopératoire, le vécu du patient peut constituer un indicateur de résultats de l’anesthésie, à classer aux côtés de la morbidité et de la mortalité. Une prémédication anxiolytique est largement pratiquée avant une intervention chirurgicale à travers le monde. Une autre stratégie répandue pour améliorer le vécu du patient consiste à réaliser une sédation prolongée au décours des interventions réalisées sous anesthésie locorégionale. Ces pratiques ne reposent que sur un faible niveau de preuve et leur efficacité n’est pas évaluée.Ce travail de thèse à permis de développer deux outils d’analyse de la période periopératoire, soit un questionnaire d’évaluation de l’anxiété préopératoire et une échelle d’évaluation du vécu periopératoire en anesthésie locorégionale. Ces outils ont été déployés au sein d’une démarche de recherche clinique afin d’évaluer formellement l’efficacité de la prémédication sédative et celle de la sédation peropératoire dans deux études prospectives randomisées distinctes. Les résultats mettent en évidence que si l’anxiété préopératoire est liée à un moins bon vécu global de la période periopératoire, la réalisation systématique d’une prémédication ou d’une sédation ne résulte pas en une meilleure expérience pour le patient et est à l’origine d’effets adverses significatifs
The last 20 years, mortality due to anesthesia was divided by 10. This decline in mortality allows to bring more attention to certain evaluation criteria, reported by patients, such as experience or satisfaction. Applied to the perioperative context, the patient experience can be a major outcome of anesthesia, alongside morbidity and mortality. Different empirical approaches, are implemented for several years to improve the patient experience. Sedative premedication is widely practiced before surgery worldwide. Another common strategy to improve the patient experience is to perform continuous sedation in interventions performed under regional anesthesia. These practices rely on a low level of evidence and their effectiveness is not evaluated. Such an assessment would require the use of validated tools together with a clinical experimental approach placing the patient experience as the primary endpoint.This thesis allowed to develop two tools for analyzing the perioperative period, i.e. an evaluation of preoperative anxiety and the assessment of perioperative patient experience in regional anesthesia. These tools have been deployed in a clinical research process to formally evaluate the effectiveness of sedative premedication and intraoperative sedation in two separate randomized studies. The results show that if preoperative anxiety is related to poorer overall experience of the perioperative period, the systematic implementation of premedication or sedation does not result in a better experience for the patient and could lead to significant adverse effects

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Rosales, Elisa Renee. "Predicting Patient Satisfaction With Ensemble Methods." Digital WPI, 2015. https://digitalcommons.wpi.edu/etd-theses/595.

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Health plans are constantly seeking ways to assess and improve the quality of patient experience in various ambulatory and institutional settings. Standardized surveys are a common tool used to gather data about patient experience, and a useful measurement taken from these surveys is known as the Net Promoter Score (NPS). This score represents the extent to which a patient would, or would not, recommend his or her physician on a scale from 0 to 10, where 0 corresponds to "Extremely unlikely" and 10 to "Extremely likely". A large national health plan utilized automated calls to distribute such a survey to its members and was interested in understanding what factors contributed to a patient's satisfaction. Additionally, they were interested in whether or not NPS could be predicted using responses from other questions on the survey, along with demographic data. When the distribution of various predictors was compared between the less satisfied and highly satisfied members, there was significant overlap, indicating that not even the Bayes Classifier could successfully differentiate between these members. Moreover, the highly imbalanced proportion of NPS responses resulted in initial poor prediction accuracy. Thus, due to the non-linear structure of the data, and high number of categorical predictors, we have leveraged flexible methods, such as decision trees, bagging, and random forests, for modeling and prediction. We further altered the prediction step in the random forest algorithm in order to account for the imbalanced structure of the data.

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Morris, Mary Kathryn. "Investigation of Patient Anxiety, Patient Satisfaction, and Dental Student Behaviors." DigitalCommons@USU, 1987. https://digitalcommons.usu.edu/etd/5968.

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The present study examined the effect of information about patient's dental anxiety on patient satisfaction, patient discomfort, and patients' perceptions of dental student behaviors. The validity of patients' perceptions was examined by independent observation of dental student behaviors on videotaped dental screening visits. Thirty dental students each examined two dentally anxious female patients. Each student received information about one of the patient' s dental anxiety and no information about the other. The order of presentation of the conditions information and no information was counterbalanced. The dependent measures were the Dentist Behavior Checklist, the Dental Visit Satisfaction Scale, the Patient Discomfort Item, and independent observations of seven specific dental student behaviors. Results of the present study suggest that patients' perceptions of specific dental student behaviors are only moderately correlated with independent observation for three of the behaviors. The presentation of information about patient dental anxiety resulted in no significant differences in patients' perceptions of behaviors. A significant interaction effect was found, however, between information and order of presentation for the independent observations of Took Patient Seriously and Was Calm. These findings suggest that when nonverbal behaviors were examined, dental students were more responsive to patients. This was only true, however, when students received information in the Information/No Information order. No significant differences were found in either patient satisfaction or patient discomfort as a result of providing information about patient anxiety. Lastly, none of the dental student behaviors as independently observed were related to patient satisfaction. However, patients' perceptions of Encouraged Questions and Took Patient seriously were significant predictors of patient satisfaction. Suggestions for further research include continued attempts to delineate dentist behaviors which are correlated with patient satisfaction.

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Robert, Valérie Mertes Paul Michel. "Satisfaction et vécu périopératoire des patients opérés sous anesthésie péribulbaire dans le service d'ophtalmologie A au CHU de Nancy." [S.l] : [s.n], 2003. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2003_ROBERT_VALERIE.pdf.

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Thompson, Leesa M. "Satisfaction with pain mangement for adolescence and anxiety." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/626.

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43

Guittard, Laure. "Le dossier de santé détenu par le patient : attentes des acteurs, impact médical, relationnel et systémique." Lyon 1, 2006. http://www.theses.fr/2006LYO10297.

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Les conditions d’utilisation et d’accès au dossier du patient ayant profondément évolué, nous avons souhaité évaluer l’impact médical et systémique d’un dossier de santé, géré par le patient, et partagé avec les professionnels de santé. Prenant l’exemple de la prise en charge du cancer du sein, nous avons défini les attentes des acteurs et le format du dossier qui pourrait être confié à la patiente. Un essai randomisé multicentrique a ensuite été réalisé, comparant un groupe de patientes de référence, à un groupe bénéficiant du dossier expérimental. Le dossier élaboré est source d’adhésion et de satisfaction pour les patientes et les médecins. Il a représenté un outil de communication patient-médecin et intra-professionnels et a pu généré de l’anxiété chez certains types de patientes. La qualité de vie, la confidentialité des données ou la consommation de soins sont restées identiques dans les deux groupes. L’étude objective un nouveau format de dossier porté par les patients
The conditions of use and access to medical records became an important source of interest in the last decade. Our objective was to estimate the impact of a patient-held records, shared with health professionals. Using the example of breast cancer management, we identified practitioners and patients’ expectations and we defined the size of a medical records which could be held by each patient. The synthesis of these works allowed us to set up a randomized controlled trial comparing patients with the usual follow-up and patients holding this new records containing essential information for their follow-up. The patient-held records is a source of membership and satisfaction for the patients and health professionals. It was used as a tool of communication between physicians and patients but could also cause anxiety to some patients. The patient quality of life, the data confidentiality or the care consumption remained identical. A new concept of medical records was revealed by this study

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Griskonis, Sigitas. "Patients' perceived satisfaction with hospital services." Thesis, Nordic School of Public Health NHV, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3250.

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ackground. There are a number studies related to patients’ satisfaction with health care. Since the Baltic States regained independence in 1990, a reform of the health care system took place in which a serious consideration is paid to health care quality. Patients' views are becoming increasingly important in the current health system. They provide information on effectiveness of healthcare and how it may be improved.The main objective of this study was to investigate inpatients experiences with the care and treatment given in Klaipeda hospitals in order to improve the quality of care and patients’ satisfaction. Material and methods. A cross-sectional survey with questionnaires was made. The subjects of the investigation were patients (from 18 years old), hospitalized in internal and surgery departments in different Klaipeda city hospitals. The survey questions were divided into sections that broadly followed the patient's experience in the hospital. The analyses included descriptive statistics, interrelationship analysis between the different characteristics, and multiple logistic regression to estimate Odds for each of the independent variables in the model.Results. The study shows that 60-80 % of the respondents were satisfied with different parts and aspects of health care services. Satisfaction with getting enough time for discussion with the doctor was higher for younger, male and employed patients. Those from the city needed more understandable explanation from doctor about health condition or treatment plan. Doctors listened more to male patients compare to female. Those results were statistically significant. Conclusions. Majority of the patients were satisfied with hospitalization order in Klaipeda hospitals. Better physician communication skills can improve patient satisfaction and clinical outcomes. Physicians could more effectively facilitate patient involvement by more frequently using partnership-building and supportive communication. Hospital cleanliness is quite important factor to overall satisfaction with hospital care. Waiting time is a significant component of patient satisfaction and depends from patients’ characteristics and their behavior. Different aspects of reception can influence patients’ satisfaction and must be considered. Information about continuity of the treatment were needed more for patients with an increased need for follow up, younger and living alone patients. It is important to provide the setting customers expect and create an environment that meets or exceeds customer needs for safety, security, support, competence, physical comfort, and psychological comfort.

ISBN 91-7997-146-6

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Villalona, Seiichi. "Looking Beyond Patient Satisfaction: Experiences of Spanish-Speaking Patients Seeking Non-Urgent Care in an Emergency Department." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7374.

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This exploratory mixed-methods study examines the experiences of Spanish-speaking patients seeking non-urgent care in an emergency department setting. Emphasis is placed on understanding variables that influence patient satisfaction among this particular special patient population. This study draws from the explanatory models of illness and perspectives of clinically applied anthropology in contributing to the limited body of scholarly work that utilizes ethnographic approaches in clinical spaces to investigate how patients experience seeking emergency care services. Health-related deservingness, social determinants of health, and health literacy are used as complementary frameworks in understanding the unique experiences of these patients. The combination of methodological approaches employed in this study included: participant observation (120+ hours), patient shadowing (40 hours, N=10), administration of a modified patient satisfaction survey (N=100), semi-structured interviews (N=25), and retrospective analysis of existing patient satisfaction data from the research site. Quantitative findings generally indicate high degrees of satisfaction among this particular patient population, with statistically significant differences when compared to English-speaking patients. Quantitative data also indicate how modality of communication with this patient population is important to consider in terms of patient comprehension and perceived levels of care/attention demonstrated by hospital staff. The qualitative findings from this project highlight the similarities in explanatory models of illness between this patient population and emergency medical providers. Qualitative data additionally elucidates many of the barriers Spanish-speaking patients face when seeking out non-urgent care such as: limitations in exercising individual autonomy when communicating with medical staff, self-blame for not being able to effectively articulate their symptoms and concerns, as well as lack of clarity in understanding follow-up care plans. The results from this study call for addressing issues pertaining to health literacy, specifically at the end of the clinical encounter when follow-up care and treatment plans are explained to patients.

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46

Young, Richard William Royce. "The satisfaction paradox." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368353.

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47

Skärlén, Annie, and Malin Söderman. "Patientens upplevelse av trygghet i prehospital miljö : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3691.

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SAMMANFATTNING Bakgrund: Trygghet kan beskrivas som en säkerhet som varje person kan lita på och som medför en skyddande känsla. Patientens upplevelse från ambulansen har en stor påverkan på välbefinnande och livskvalitet efter vårdtidens slut. Hur patienten känner är en av de största informationskällorna för att kunna avgöra hur upplevelsen har varit i ambulansen. Varje vårdsituation i den prehospitala vårdmiljön är unik, vårdmiljöns utformning har en direkt koppling till patientens hälsa. Syfte: Syftet var att beskriva patientens upplevelse av trygghet i prehospital miljö. Metod: Den valda metoden var en allmän litteraturöversikt med induktiv ansats där både kvalitativ och kvantitativ forskning använts. En strukturerad sökning genomfördes i databaserna PubMed och Cinahl. 15 vetenskapliga artiklar inkluderades efter att de analyserats och genomgått kvalitetsgranskning. Resultatet är främst baserat på kvalitativ forskning. Resultat: Resultatet i studien syntetiserades till två huvudkategorier som beskrev patienters upplevelse av trygghet; mellanmänskliga faktorer och yttre faktorer. De mellanmänskliga faktorerna innefattar underkategorierna ambulanspersonalens yrkesskicklighet, deras förmåga till att ge information, skapa förtroende och bedriva en personcentrerad vård. De yttre faktorerna innefattar underkategorierna den prehospitala miljön i sig, patientens exponering av smärta och värme. Slutsats: Litteraturstudiens resultat visade på patientens upplevelse av trygghet i prehospital miljö via huvudfynden mellanmänskliga faktorer och yttre faktorer. De mellanmänskliga faktorerna beskrivs i större omfattning med direkt påverkan på upplevelsen av trygghet genom ambulanspersonalens uppträdande. De yttre faktorerna beskrivs indirekt påverka upplevelsen av trygghet via frihet från lidande. Upplevelsen från ambulansen har påverkan på hur patienten upplever välbefinnande och livskvalitet efter vårdtidens slut. Hur patienten känner är en av de största informationskällorna för att kunna avgöra hur upplevelsen har varit i ambulansen. Hälso- och sjukvårdsbarometern ges ut årligen i Sverige för att inventera förtroendet för somatisk slutenvård, primärvård eller somatiska specialiserade mottagningar. Förtroende har i litteraturstudien identifierats som ett huvudfynd när det gäller upplevelse av trygghet.
Background: Safety can be described as a security that every person can rely on and that brings a protective feeling. The patient's experience from the ambulance has a major impact on well-being and quality of life after the end of the care period. How the patient feels are one of the biggest sources of information in order to determine how the experience has been in the ambulance. Every care situation in the prehospital care environment is unique, the design of the care environment has a direct link to the patient's health. Purpose: The purpose was to describe the patient's experience of safety in the prehospital environment. Method: The method chosen was a general literature review with inductive approach where both qualitative and quantitative research was used. A structured search was performed in the PubMed and Cinahl databases. 15 scientific articles were included after being analyzed and subjected to quality review. The result is mainly based on qualitative research. Results: The results of the study were synthesized into two main categories that described the patient's experience of safety; interpersonal factors and external factors. The interpersonal factors include the subcategories of the ambulance staff's professional skills, their ability to provide information, create confidence and conduct a person-centered care. The external factors include the subcategories of the prehospital environment itself, the patient's exposure to pain and heat. Conclusion: The results of the literature study showed the patient's experience of safety in the prehospital environment via the main findings of interpersonal factors and external factors. The interpersonal factors are described to a greater extent with direct impact on the experience of security through the behaviour of ambulance personnel. The external factors are described indirectly affecting the experience of safety through freedom from suffering. The experience from the ambulance has an impact on how the patient experiences well-being and quality of life after the end of care. How the patient feels are one of the biggest sources of information in order to determine how the experience has been in the ambulance. The health barometer is issued annually in Sweden to inventory confidence in somatic inpatient care, primary care or somatic specialized clinics. In the literature study, confidence has been identified as a key finding when it comes to experiencing safety.

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Moizan, Hervé. "Problèmatique éthique liée à l'utilisation des questionnaires de qualité de vie en cancérologie clinique des voies aéro-digestives supérieures : contributions d' un odontologiste." Paris 5, 2005. http://www.theses.fr/2005PA05N29S.

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La pathologie cancéreuse cervico-céphalique impose des thérapeutiques lourdes pour des bénéfices modestes en terme de taux de survie. De ce fait de nombreux auteurs s'intéressent à la qualité de vie (QDV) des malades. Cette évaluation de QDV, grâce aux outils spécifiques est conduite en recherche clinique lors des essais de phase III. Notre travail avait pour objectif de recenser les problèmes éthiques liés à l'utilisation de tels instruments en pratique clinique. L'évaluation de la QDV pose un problème épistémologique majeur. Elle se heurte à des difficultés méthodologiques propres : objectivité, pertinence, changements de référentiel. Les phénomènes d'intrusion, les processus d'ingérence et les attentes différentes des patients sont clairement ressentis. La mesure de QDV semble une démarche éthique justifiée et légétime mais impose une vigilance. La nécessité d'approches complémentaires est indispensable pour affiner à la fois les outils et les méthodes d'évaluation
Head and neck cancer requires intensive treatments, often with only a limited benefit in terms of survival. Many authors have tried to assess the quality of life (QoL) of these patients. QoL assessment by means of validated specific tools is essentially conducted in phase III clinical trials. This study was designed to evaluate ethical problems related to the use of these instruments in clinical practice. QoL assessment raises a major epistemological problem for practitioners and Ethics Committees and raises specific methodological difficulties : objectivity, relevance, changes of reference system. Intrusion phenomena (fatal prognosis), interference processes (sexuality, sprituality, body image) and various patient expectations are clearly experienced. QoL assessment appears to be an ethically justified and legitimate approach , but its practical application in clinical oncology requires extreme caution and complementary approaches to refine existing tools and methods of evaluation

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Campbell, Thomas A. "Relation of Healthcare Provider-Patient Interpersonal Impacts and Health Related Control Appraisals to Patients' Satisfaction and Compliance With Treatment." VCU Scholars Compass, 2005. http://hdl.handle.net/10156/1465.

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Novosel, Lorraine Marie. "Depressive symptomatology, patient-provider communication, and patient satisfaction : a multilevel analysis." [Tampa, Fla] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0001866.

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Dissertations / Theses on the topic 'Patienet Satisfaction'

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