The use of patient experience feedback in rehabilitation quality improvement and codesign activities: Scoping review of the literature

Abstract

Objective To characterize the literature, reported enablers, and gaps on the use of patient experience feedback for person-centered rehabilitation quality improvement and codesign activities. Design Scoping Review. Data sources Scientific databases (PubMed, CINAHL, Rehabdata, Scopus, Web of Science, ProQuest), website searches (e.g. Beryl Institute), snowballing, and key-informant recommendations. Methods Two independent reviewers performed title and abstract screenings and full-text reviews. Eligibility focused on English-language, peer-reviewed (all time) and gray literature (last five years) that used patient experience feedback in rehabilitation improvement activities. The aims, settings, methods, findings, implications, and reported limitations were extracted, followed by content analyses identifying reported enablers and gaps. Results Among the 901 unique references and 52 full texts reviewed, ten were included: four used patient experience surveys for improving patient experiences; six used codesign methodologies to engage patient feedback in service improvement activities. Implementation enablers included securing managerial support, having a structured methodology and facilitator, using efficient processes, engaging staff experiences, and using appreciative inquiry. Reported study gaps included limited follow-up, low sample sizes, analytical limitations, lack of reported limitations, or narrow range of perspectives (e.g. not from people with severe impairments). Conclusion Few examples of the use of patient experience feedback in quality improvement or codesign activities were found in the rehabilitation literature. Patient experience improvement activities relied exclusively on retrospective survey data, which were not combined with often more actionable forms (e.g. qualitative, real time) of patient experience feedback. Further research might consider design of activities that collect and use patient experience feedback for rehabilitation service improvements.

Mediasi Kerja Ikhlas antara Perilaku Kerja terhadap Keterlibatan dan Budaya Kerja Guru

“…yaitu Integritas, profesionalitas, inovasi, tanggung jawab dan keteladanan dan moderasi beragama. Untuk meningkatkan kualitas kerja dan menjadi pemimpin [9], layaknya seperti manager dengan mendengar masukan dari atasan untuk senantiasa berinovasi. Menurut Kementerian Agama fungsi pendidikan Islam adalah membentuk manusia Indonesia yang beriman dan bertakwa kepada Tuhan Yang Maha Esa dan berakhlak mulia serta mampu memelihara perdamaian dan kerukunan dalam hubungan antar dan antar umat beragama, serta ditujukan untuk mengembangkan kemampuan peserta didik memahami, menghayati, dan mengamalkan nilai-nilai agama yang selaras dalam ilmu pengetahuan, teknologi, dan seni.…”

Systematic review of contemporary improvement interventions on care coordination, discharge support and transitional care from the patient experience perspective

“…This might include how tailored the communication was to the individual patient 18 to avoid the risks of being perceived as just another box-ticking exercise. 49 Finally, in alignment with growing focus on coproduction and on experience-based codesign for health-service improvement activities, 50 51 the patient experience with care can be further engaged all the way through from the intervention codesign to its evaluation. The literature reviewed here had no focus on engaging the patient perspective in the codesign of the improvement interventions.…”

A protocol for a scoping review of methodologies used to explore patient experience in post-acute rehabilitation settings

“…A recently published scoping review examined the use of patient experience feedback for person-centred rehabilitation quality improvement (Jesus et al, 2022). It focused on the outcomes and included papers that contained an analysis of the impact of the quality improvement informed by patient experience data.…”