Exploring patient satisfaction after operative and nonoperative treatment for midshaft clavicle fractures: a focus group analysis

Tutuhatunewa, Eric D; Stevens, Martin; Dams, Olivier C; Son, Jeffrey van; Louhanepessy, Rebecca D.; Krabbe, Paul F M; Postma, Maarten J.; Diercks, Ron L.

doi:10.1186/s12891-020-03557-y

“…This is in line with findings from previous studies, where lack of information was the major cause of dissatisfaction. 18,28 A study by Longstaffe et al in 2015 showed that surgeons and physiotherapists reported a negative view of their interprofessional communication. 29 Both surgeons and physiotherapists in this study did often disagree on information provided to patients concerning several aspects of rehabilitation, such as the aim of treatment and referral criteria.…”

Section: Discussionmentioning

confidence: 99%

“…The focus group script, which was made by an experienced team of researchers and medical specialists consisting of shoulder dedicated trauma and orthopedic surgeons, was based on the script previously used in a clavicular fracture population (Table 1). 17,18 The first part of the script consisted of four open questions regarding the impact of shoulder instability on daily activities, expectations prior to treatment, up-and downsides during the course of the treatment. Patients were able to freely discuss these subjects within the focus group.…”

Section: Focus Groups and Scriptmentioning

confidence: 99%

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study

Iersel

¹

,

Tutuhatunewa

²

,

Kaman

³

et al. 2022

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Background Little evidence is available regarding patient perceptions of the treatment of shoulder instability. The aim of this study is to investigate patient perceptions regarding the operative and nonoperative treatment of anterior shoulder instability. Methods Patients who presented to the emergency department or outpatient clinic between 2016 and 2020 were retrospectively selected using diagnosis and procedure codes. Online focus groups and semistructured interviews were conducted, systematically recorded and subsequently transcribed to MaxQDA 2007 for qualitative analysis. Coded transcripts of all focus groups were subjected to a grounded theory–based analysis. Results Six focus groups and two semistructured interviews were hosted with 35 included patients. The mean age of included patients was 34.1 years (±11.5). Eight patients were female (23%), and 27 patients were male (77%). Fear of (recurrent) dislocation, preoperative counseling, communication between surgeon and physiotherapists and need for a consistent postoperative rehab protocol turned out to be important patient perceptions. The most crucial factor for discontent was a lack of communication from the surgeon. Discussion This patient-centered focus group study revealed that fear of (recurrent) dislocation, preoperative counseling, communication between surgeons and physiotherapists and the need for a consistent postoperative rehabilitation protocol was the most frequently discussed themes.

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“…The collected data were analyzed, processed and saved with the help of statistical package for social sciences (SPSS 21) from which descriptive analysis (percentage, proportions and measures of central tendency) t-test and ANOVA had been used appropriately. Age was categorized into adolescence (13)(14)(15)(16)(17)(18)(19), young adult (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), middle age (36-60) and elder (above 60), Level of pain was categorized into no pain (0), mild pain (1-3), moderate pain (4-6) and severe pain (7-10) and level of perceived satisfaction was categorized into very satisfied, moderately satisfied, moderately dissatisfied and very dissatisfied and scored 3,2,1,0 for the ease of analysis. Marital status was classified as unmarried, married and others.…”

Section: Data Analysis and Processingmentioning

confidence: 99%

“…Widow, widower, divorced, separated and living together were included in category "others". For the ease of reporting overall satisfaction was categorized into very satisfied (26)(27)(28)(29)(30)(31)(32)(33) The participants of our research were given a clear explanation about the details of the research.…”

Section: Data Analysis and Processingmentioning

confidence: 99%

Level of Perceived Satisfaction with Acute Pain Management among the Patients with Fracture of Long Bones in Teaching Hospital Jaffna

Kanagalingam

¹

,

Murukananthan

²

,

Menadchisundaram

³

et al. 2023

Preprint

0

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Introduction Pain is an unpleasant sensation that has to be managed properly. In fracture patients, effective pain management plays a major role in their treatment. Although much efforts are put in by the doctors, there is uncertainty about the level of satisfaction with acute pain management. We hope to assess the level of satisfaction with acute pain management among fracture patients and the results could be used to improve the level of satisfaction in the future. Objectives To assess the level of perceived satisfaction with acute pain management and associated socio-demographic and health related factors among patients with long bones fractures in surgical casualty ward of Teaching Hospital Jaffna. Methodology An institutional based descriptive cross-sectional study was conducted at ward 24, Teaching Hospital, Jaffna. This study was conducted from October 2020 to March 2021. Data was collected through interviewer-administrated questionnaires from patients above 12 years of age with fractures of long bones who had undergone management within 12 hours of admission and analyzed with SPSS 21 (T-test and ANOVA). Femoral neck, intertrochanteric, subtrochanteric and femoral head fractures were grouped as hip fractures for ease of analysis. Perceived satisfaction score was calculated according to the participant’s answers to 11 Likert scale questions which were selected from The Pain Treatment Satisfaction Scale (PTSS), each scoring from 0 to 3. (Overall score 0 to 33) Numerical pain scale was used to assess the level of pain. Results Among 120 study participants, 70 were male and 50 were female. The median pain score immediately after fracture was 8, one hour after analgesic administration was 5 and after non-medical intervention following analgesic administration was 4. There was a significant association with the patient’s satisfaction and time taken for initial administration of analgesics (p=0.46), site of fracture (clavicle p=0.005) and type of non-medical intervention (pop cast p=0.049, intervention p=0.011). There were no significant association between patient’s perceived satisfaction with gender (p=0.218), age category (p=0.935), educational level (p=0.130), marital status (p=0.095), past medical history (p=0.957) and past surgical history (p=0.227). Conclusion Majority of the patients were satisfied with the acute pain management. Early onset analgesics administration & non-medical interventions and lower level of patient’s expectation regarding pain management in our community were the reasons for higher overall satisfaction.

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“…Widow, widower, divorced, separated and living together were included in category "others". For the ease of reporting overall satisfaction was categorized into very satisfied (26)(27)(28)(29)(30)(31)(32)(33), moderately satisfied (17)(18)(19)(20)(21)(22)(23)(24)(25), moderately dissatisfied (8)(9)(10)(11)(12)(13)(14)(15)(16) and very dissatisfied (0-7) The participants of our research were given a clear explanation about the details of the research.…”

Section: Data Analysis and Processingmentioning

confidence: 99%

Level of Perceived Satisfaction with Acute Pain Management among the Patients with Fracture of Long Bones in Teaching Hospital Jaffna

Kanagalingam

¹

,

Murukananthan

²

2022

Preprint

0

View full text Add to dashboard Cite

Introduction Pain is an unpleasant sensation that has to be managed properly. In fracture patients, effective pain management plays a major role in their treatment. Although much efforts are put in by the doctors, there is uncertainty about the level of satisfaction with acute pain management. We hope to assess the level of satisfaction with acute pain management among fracture patients and the results could be used to improve the level of satisfaction in the future. Objectives To assess the level of perceived satisfaction with acute pain management and associated socio-demographic and health related factors among patients with long bones fractures in surgical casualty ward of Teaching Hospital Jaffna. Methodology An institutional based descriptive cross-sectional study was conducted at ward 24, Teaching Hospital, Jaffna. This study was conducted from October 2020 to March 2021. Data was collected through interviewer-administrated questionnaires from patients above 12 years of age with fractures of long bones who had undergone management within 12 hours of admission and analyzed with SPSS 21 (T-test and ANOVA). Femoral neck, intertrochanteric, subtrochanteric and femoral head fractures were grouped as hip fractures for ease of analysis. Perceived satisfaction score was calculated according to the participant’s answers to 11 Likert scale questions which were selected from The Pain Treatment Satisfaction Scale (PTSS), each scoring from 0 to 3. (Overall score 0 to 33) Numerical pain scale was used to assess the level of pain. Results Among 120 study participants, 70 were male and 50 were female. The median pain score immediately after fracture was 8, one hour after analgesic administration was 5 and after non-medical intervention following analgesic administration was 4. There was a significant association with the patient’s satisfaction and time taken for initial administration of analgesics (p=0.46), site of fracture (clavicle p=0.005) and type of non-medical intervention (pop cast p=0.049, intervention p=0.011). There were no significant association between patient’s perceived satisfaction with gender (p=0.218), age category (p=0.935), educational level (p=0.130), marital status (p=0.095), past medical history (p=0.957) and past surgical history (p=0.227). Conclusion Majority of the patients were satisfied with the acute pain management. Early onset analgesics administration & non-medical interventions and lower level of patient’s expectation regarding pain management in our community were the reasons for higher overall satisfaction.

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Exploring patient satisfaction after operative and nonoperative treatment for midshaft clavicle fractures: a focus group analysis

Cited by 5 publications

References 18 publications

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study

Level of Perceived Satisfaction with Acute Pain Management among the Patients with Fracture of Long Bones in Teaching Hospital Jaffna

Level of Perceived Satisfaction with Acute Pain Management among the Patients with Fracture of Long Bones in Teaching Hospital Jaffna

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