The Role of the Perioperative Nursing Care in the Satisfaction of Patients After Large Joint Replacements

Morawik, Iwona; Gospodarek, Monika; Turżańska, Karolina; Zarębska, Aneta; Serefko, Anna; Jabłoński, Mirosław

doi:10.36740/wlek202009103

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Hygiene assistance was rated very positively by 76% of the respondents. Similar results were also obtained in another study aimed at the assessment of medical care, in which 53% of patients rated nursing care as very good, 43% as good, and 1% as bad [29]. Another study showed that providing information on the purpose and types of nursing procedures was rated positively by 78% of patients.…”

Section: Discussionsupporting

confidence: 80%

Patients’ Opinions on the Quality of Services in Hospital Wards in Poland

Borowska

Religioni

Augustynowicz

2022

IJERPH

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Introduction: Patient opinion surveys have become a widely used method for assessing key aspects of the functioning of medical facilities and, thus, of the functioning of the entire health care system. They are a prerequisite for developing patient-centered care and an essential component of quality improvement programs. In many countries, including Poland, patient opinion surveys are written into the accreditation standards of medical institutions. Patient’s readiness to recommend a hospital is a recognized indicator of the quality of patient-centered care. In a report on strategies for improving the quality of health care in Europe published in 2019 by WHO and the OECD (Organisation for Economic Cooperation and Development), patient’s readiness to recommend a hospital was cited as one of the basic indicators of ‘patient centeredness’ along with patient satisfaction. Therefore, as well consideration of the quality of medical care, a patient recommendation index was also used in the study presented in this paper. The index was based on the answers to questions about the patient’s readiness to recommend a hospital ward to family and friends. Aim: The aim of the study was to investigate patients’ opinions on the quality of services in particular hospital wards. A patient opinion survey can be used to improve the quality of services and monitor the effects of health-related activities, identify areas that need improvement, motivate medical staff and prevent their burnout, build a trusting relationship with patients, and compare the quality of health care in various facilities. Material and methods: The study was carried out in March 2022. The patient opinion survey was conducted using the CAWI (Computer-Assisted Web Interview). The sample selection was purposive. The respondents were patients with a history of hospitalization. The sample selection used an algorithm for the random selection of patients who met the criteria for the sample. The inclusion criterion was hospitalization in the 12 months prior to the study. A standardized questionnaire was used that was aimed at the assessment of the quality of medical care and the patient’s rights to information. Additionally, the survey contained questions about the demographic characteristics of the respondents. Results: A total of 38% of patients with a history of hospitalization expressed criticisms. The majority of statistically significant differences were observed when differentiating respondents according to age. Elderly persons significantly more often declared having been treated with respect and interest. They also rated more highly the meals served in the hospital, effective pain treatment, and respect for the patient’s dignity and intimacy during diagnosis and treatment. Younger persons assessed all these aspects of hospitalization less favorably. Conclusions: Variables including age and the level of income had a statistically significant influence on the opinion of the respondents. Elderly persons assessed most aspects of the quality of care in a hospital ward more favorably. There were a similar number of “promoters” (36%) and “detractors” (38%) of the quality of hospital services. Detractors mainly pointed to long waiting times for hospital admission, the poor quality of medical and nursing care, and unappealing meals. The promoters emphasized the high quality of medical and nursing care and the favorable conditions of the accommodation. Regular patient satisfaction surveys are helpful in identifying areas in which the functioning of a medical entity requires changes.

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Section: Discussionsupporting

confidence: 80%

Patients’ Opinions on the Quality of Services in Hospital Wards in Poland

Borowska

Religioni

Augustynowicz

2022

IJERPH

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“…Patients in the observation group received conventional treatment, including precautions, health education, postoperative basic maintenance, and discharge instructions. Patients in the experimental group received targeted treatment, including preoperative, intraoperative, and postoperative management [ 6 , 7 ].…”

Section: Methodsmentioning

confidence: 99%

The Efficacy of Targeted Perioperative Management for Diabetic Patients with Traumatic Calcaneal Fractures

Hao

Liu

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To assess the efficacy of targeted perioperative management for diabetic patients with traumatic calcaneal fractures. Methods. Between April 2020 and December 2020, 100 diabetic patients with traumatic calcaneal fractures treated in our institution satisfying the inclusion criteria were enrolled and assigned to receive either conventional treatment with surgery or plaster fixation (observation group) or targeted treatment with surgery or plaster fixation (experimental group) via the random number table method, with 50 patients in each group. All eligible patients were followed up for 1 year postoperatively. Outcome measures included length of hospital stay, recovery time, fracture healing, duration of postoperative wound drainage, complication rate, blood glucose, and treatment satisfaction. The Maryland score was used for the assessment of foot function. Results. The duration of postoperative wound drainage, length of hospital stay, and recovery time in the experimental group (3.63 ± 1.04 d, 12.13 ± 3.77 d, and 111.22 ± 16.24 d) were significantly shorter than those in the observation group (5.71 ± 2.34 d, 15.28 ± 4.42 d, 123.10 ± 22.82 d) ( P < 0.01 ). The experimental group obtained a markedly higher complete healing rate versus the observation group ( P < 0.001 ). A significantly lower complication rate was observed in the experimental group than in the observation group ( P < 0.05 ). The Maryland scores results were dichotomized into good (≥75 points) and poor (<75 points). The experimental group showed significantly higher Maryland scores good rate and treatment satisfaction versus the observation group ( P < 0.01 ). The experimental group patients were associated with better postoperative fasting glucose and 2 h postprandial glucose versus those in the observation group ( P < 0.05 ). Conclusion. Targeted treatment in the perioperative management of diabetic patients with traumatic calcaneal fractures significantly promotes the recovery of patients, reduces the incidence of complications, increases treatment satisfaction, and ameliorates the doctor-patient relationship.

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“…In evaluating a medical service, a particularly important aspect is the direct relationship between the medical staff and the patient. Along with this, the availability of a doctor, medical care, conditions in the ward, and the patient's involvement in the treatment process, all offer clear information as well as an improved state of health [58]. Preoperative diagnosis, location of surgery, and length of stay do not significantly affect hospital or clinician satisfaction [59].…”

Section: Practices For Evaluation Of Medical Servicesmentioning

confidence: 99%

Assessment of Patient Matters in Healthcare Facilities

Moldovan,

Moldovan

2024

Healthcare

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Background and Objectives: Ensuring the sustainability of healthcare facilities requires the evaluation of patient matters with appropriate methods and tools. The objective of this research is to develop a new tool for assessing patient matters as a component of social responsibility requirements that contribute to the sustainability of healthcare facilities. Materials and Methods: We carried out an analytical observational study in which, starting from the domains of the reference framework for the sustainability of health facilities (economic, environmental, social, provision of sustainable medical care services and management processes), we designed indicators that describe patient matters. To achieve this, we extracted from the scientific literature the most recent data and aspects related to patient matters that have been reported by representative hospitals from all over the world. These were organized into the four sequences of the quality cycle. We designed the method of evaluating the indicators based on the information couple achievement degree-importance of the indicator. In the experimental part of the study, we validated the indicators for the evaluation of patient matters and the evaluation method at an emergency hospital with an orthopedic profile. Results: We developed the patient matters indicator matrix, the content of the 8 indicators that make it up, questions for the evaluation of the indicators, and the evaluation grids of the indicators. They describe five levels for each variable of the achievement degree-importance couple. The practical testing of the indicators at the emergency hospital allowed the calculation of sustainability indicators and the development of a prioritization matrix for improvement measures. Conclusions: Indicators designed in this research cover social responsibility requirements that describe patient matters. They are compatible and can be used by health facilities along with other implemented national and international requirements. Their added value consists in promoting social responsibility and sustainable development of healthcare facilities.

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The Role of the Perioperative Nursing Care in the Satisfaction of Patients After Large Joint Replacements

Cited by 3 publications

References 12 publications

Patients’ Opinions on the Quality of Services in Hospital Wards in Poland

Patients’ Opinions on the Quality of Services in Hospital Wards in Poland

The Efficacy of Targeted Perioperative Management for Diabetic Patients with Traumatic Calcaneal Fractures

Assessment of Patient Matters in Healthcare Facilities

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