Examining the concept of patient satisfaction in patients with a diagnosis of schizophrenia: a qualitative study

Abstract

Examining the concept of patient satisfaction in patients with a diagnosis of schizophrenia: a qualitative study AIMS AND METHODTen people with a diagnosis of schizophrenia were interviewed. The interviews were analysed qualitatively with the aim of examining the concept of patient satisfaction in the context of a recent in-patient admission. RESULTSThe analysis identified two themes that influenced the expression of patient satisfaction: external factors and internal factors. The theme of external factors contained four categories: fear of violence, communication with staff, lack of autonomy and ward routines. The theme of internal factors comprised participants' conceptions and expectations. CLINICAL IMPLICATIONSThis small study suggests the complexity of the concept of patient satisfaction should be respected in assessing experiences of people with a diagnosis of schizophrenia.

A systematic review of factors associated with service user satisfaction with psychiatric inpatient services

“…Those that felt they were prematurely discharged were more likely compared to others to report dissatisfaction with help received from physicians, and were less likely to feel that staff had time for them (Gjerden, 1997). Qualitative research (Duggins and Shaw, 2006) found that higher satisfaction was related to low initial expectations of the service. The remaining study found that satisfaction was significantly lower in those who felt that they did not need to be hospitalised (Barker et al, 1996).…”

“…Studies suggested that satisfaction was lower in participants who felt that they were not in need of hospital treatment (Barker et al, 1996), that they had been discharged too early (Gjerden, 1997), or had low initial expectations of the service (Duggins and Shaw, 2006). Those that felt they were prematurely discharged were more likely compared to others to report dissatisfaction with help received from physicians, and were less likely to feel that staff had time for them (Gjerden, 1997).…”

“…They also did not score highly regarding representativeness of the sample, mainly due to a failure to report the number of people who had declined to participate, and the associated reasons. Of the qualitative studies, one scored 25% (Duggins and Shaw, 2006) and three scored 50% (Rose et al, 2015;Stewart et al, 2015;Wallace et al, 1999). The qualitative papers generally scored well for reporting the analysis used, but there was little or no acknowledgement of the impact of the researcher on the research process.…”

“…Three studies reported how participant's perceptions of their care related to satisfaction ratings (Barker et al, 1996;Duggins and Shaw, 2006;Gjerden, 1997). Studies suggested that satisfaction was lower in participants who felt that they were not in need of hospital treatment (Barker et al, 1996), that they had been discharged too early (Gjerden, 1997), or had low initial expectations of the service (Duggins and Shaw, 2006).…”

“…No significant effects of gender or number of previous admissions. 25% Duggins and Shaw (2006) (Howard et al, 2003). MHSIP-21 consumer survey (Jerrell, 2006) CSQ-8 >70% indicated satisfaction with services received.…”