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Pros and cons of quality care
Literature review on patient satisfaction
Literature review on patient satisfaction
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Improving patient satisfaction is an institutional priority that is directly affected by the quality of the care provided by the frontline staff. Active patient participation in hospital care is shown to result in better health outcomes and places the patient central to information related to care activities (Jeffs et al., 2013). Radtke (2013) reported that bedside report improves communication between nurses, patients, and their families and provides for “patient-focused care and the application of evidence-based care at the bedside” (p. 19). Bedside report serves other functions beyond effective communication. The nurse can better give the patient the opportunity to be involved in his or her care, perform quality and safety checks, check
for misinformation, and ask final questions to ensure continuity of care (Halm, 2013). Through evaluation of the change process, several potential barriers to changing shift reports to be conducted at a patient’s bedside were identified. Nurses are already comfortable with the existing process. The existing process allows for socialization time, whereas the new process would reduce socialization time. Nurses would also fall to the pressures of what to say and include during bedside reporting. Concerns about discussing some patient issues in presence of patients, family members, and/or visitors would arise. With bedside reporting many ethical issues need to be considered. Breaching confidentiality has been identified as a key barrier. Nurses are concerned with Health Insurance Portability and Accountability Act (HIPAA) violations and patient privacy when other patients or families are in the room (Anderson & Mangino, 2006).
Although nurses do not wield the power of doctors in hospital settings, they are still able to effectively compensate for a doctor’s deficits in a variety of ways to assure patient recovery. Nurses meet a patient’s physical needs, which assures comfort and dignity Nurses explain and translate unfamiliar procedures and treatments to patients which makes the patient a partner in his own care and aids in patient compliance. Nurses communicate patient symptoms and concerns to physicians so treatment can be altered if necessary and most importantly, nurses provide emotional support to patients in distress.
The key stakeholders for this system change, and to help implement the strategy on providing new patient navigators would be the financial director, chief nursing officer, floor nurses, the hospitalists, and a group of patients and their family. Identifying the key stakeholders is important because with providing new services to a health care facility this group of people will be responsible for accepting the strategy to put in place which includes adding a new job title, approving the salary and the number of people to be hired, on down to how each navigator will be trained and oriented. Although the patients and their may not have much choice in the beginnings of the process of the system change, they can have a say and impact on helping in figuring out the role, and where there are gaps in the care during stays at the hospital, as well as helping in the interview process.
Patients expect instant response to call lights due to today’s technological advancements. This can negatively impact nurse stress and cause contempt toward the patient. However, the expectation to respond promptly improves safety and encourages frequent rounding. Also, aiming for high patient satisfaction scores on the HCAHPS/Press Ganey by fulfilling patient requests can overshadow safe, efficient, and necessary healthcare. Although patient satisfaction is important, ultimately, the patient’s health takes precedence over satisfying patient and family requests, especially when those requests are unnecessary, harmful, or take away from the plan of care (Junewicz & Youngner, 2015). The HCAHPS/Press Ganey survey focuses on the patient’s perception of care. The problem with this aspect of the survey is that the first and foremost goal of nurses should not be to increase a patient’s score based on perception. According to an article in Health Facilities Management, the nurse’s top priority is to provide the safest, most quality care possible for patients with the resources they are given (Hurst, 2013). Once this has been accomplished, the nurse can then help the patient realize that the most
Meredith Grey, a main character in the television show, Grey’s Anatomy once said, "Surgeons are control freaks. With a scalpel in your hand, you feel unstoppable. There's no fear, there's no pain. You're 10 feet tall and bulletproof.” Dr. Grey said this in the third episode, first season of the hit medical drama Grey’s Anatomy. The ABC series, created by Shonda Rhimes, first aired in 2005, and is in its tenth season, with new episodes on Thursday nights at 9/8 central. The series averaged 16.4 million viewers throughout its first 10 seasons, peaking at 25.41million viewers in the third season. (U.S.) The series concerns several surgical interns and their journey to becoming full-blown surgeons. In the average show, the viewer sees several complicated, unordinary medical cases in which the doctors attempt to save the patients life. The cases are always very dramatic which makes for a great television show. Often times the medical cases will have something to do with the doctors’ personal lives, which are just as dramatic. These connections make the situations seem so real, and make viewer believe that their doctor is just like the one that he or she sees on TV. This blur between what the viewer sees on TV, and his or her real life experiences, is backed up by the Cultivation Theory. (Quick) In the healthcare world, a distortion of reality caused by the viewing of Grey’s Anatomy, has an overall positive impact of real-life patient satisfaction with their real world doctors.
The teach-back method is an evidence-based practice used in patient education. Clinicians use teach-back to educate patients about health information and enable them to “subsequently evaluate whether learning has occurred” (Tamura-Lis, 2013, p. 267). Teach-back checks for patient understanding of medical diagnosis, treatments, and instructions regarding disease complications (Tamura-Lis, 2013, p. 269). Patients become knowledgeable about their disease process and consequently, teach-back promotes clarification and prevents communication errors. It is important to hospital-based nursing because it optimizes patient learning and comprehension (Tamura-Lis, 2013, p. 270). Ultimately, teach-back helps improve quality care, safety, and patient satisfaction (Tamura-Lis, 2013, p. 271).
[19]Press I. 2005. Patient Satisfaction: Understanding and Managing the Experience of Care, 2nd Edition. Chicago, IL: Health Administration Press.
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
Since the days of Florence Nightingale, nurses have strived to provide their patients with the best care possible. Nursing theory was developed by desire and provides a theoretical framework on which the nurses challenge themselves to improve patient experience. Nursing in the twenty first century has taken many different directions by assuming more responsibility, and some have argued that the evolution of the profession has come with a price of caring less. To improve our patient satisfaction scores, the Practice Committee will implement the use of Jean Watson’s Theory of Caring into the clinical nursing practice at the Community Medical Center.
In most aspects of life the saying “less is always more” may ring true; however when it comes to providing quality care to patients, less only creates problems which can lead to a decrease in patient’s quality of life as well as nurse’s satisfaction with their jobs. The massive shortage of nurses throughout the United States has gotten attention from some of the most prestigious schools, news media and political leaders. Nurses are being burnt out from their jobs, they are being overworked and overlooked. New nurses are not being properly trained, and old nurses are on their way to retirement. All the while the rate of patient admissions is on the rise. Nurses are reporting lower satisfaction in their job positions and hospital retention rates are at an all-time low, conversely this is affecting all patients’ quality of care. As stated in the article Addressing The Nurse Shortage To Improve The Quality Of Patient Care “According to an Institute of Medicine report, Nurses are the largest group of health care professionals providing direct patient care in hospitals, and the quality of care for hospital patients is strongly linked to the performance of nursing staff”.
Introduction The introduction paragraph gives information on communication and the impact that it has on patient-nurse relationships. It gives the reader an understanding of what is involved in true communication and how it is a fundamental part of nursing and the skills all nurses need. It leads those interested in delivering quality nursing to read on. Showing us the significance that communication makes in the perception of the quality of care that patient perceives they received based not on the care it’s self but on the patient-nurse communication.. Purpose/Problem/Hypothesis
It is important to have a strong nurse-to-patient relationship to ensure adequate care is provided. However, when nurses are short staffed this does not occur the way it should because the nurses are now having to take care of more patients. This means that the one-on-one time with each individual patient is cut short and nurses are now becoming overworked which affects their overall performance as well. Ensuring proper staffing levels have been shown to; reduce errors, decrease complications when providing patient care, lower death rates, improve patient satisfaction, reduce nurse fatigue, improve nurse retention and job satisfaction. (2015, American Nurses Association) Optimal staffing is essential in order to provide optimal patient care. Innovative and collaborative strategies that focus on developing long-term solutions will improve
Enhancing the nursing quality of affective support, health information, decisional control and professional/technical competencies heightens patient satisfaction with nursing care. Personalized nursing care maximizes patient satisfaction and facilitates positive patient outcomes, which directs researchers to detect the uniqueness of the nurse patient relationship as satisfaction with nursing care predicts overall satisfaction with the hospital experience which results in a good reputation, a greater market share of the patient population, compliance with healthcare regimens and better health outcomes. By highlighting the importance of patient satisfaction in the healthcare market today, it is vital that nurses continue to find ways to measure and improve patient satisfaction. By thorough research in this area, knowledge about patient satisfaction with nursing care will expand, the nursing discipline will continue to mature, and patient satisfaction will be
Nurses play a critical role on patient’s health; the relationship that a nurse and patient develop can in some cases be life altering. Applying these characteristics and being a servant leader to patients establishes life long impressions and makes critical difference in treatment allowing for optimal care to be received. Always listen to patients concerns, be empathetic in their concerns, and help while committing to their personal growth, one never knows whom they are actually a leader for. Some individuals look up to nurses and count
Another tool for verifying naturopathic treatments is patient outcome measures, including blood tests, patient questionnaires, or physical examination methods. As explained by Breakspear (2015), a HbA1c blood test may show a positive change in the blood level, but this value is isolated from the patient as a whole and is not a part of patient-centered care unless it is considered alongside aspects of the patient’s physical, psychological, and social life. Patient Reported Outcome Measures (PROMs), a specific patient outcome measure, allow each patient to respond with their own perspective of the success and quality of the treatment methods as it relates to six categories: health status, quality of life, health-related quality of life, wellbeing
The standardize terminology fosters “better communication among nurse and other health care providers” with improved and enhanced communication of the care being implemented to a particular patient offering quality and consistent care to the patient (Rutherford, 2008). This process of standardize communication “increases visibility of nursing interventions” through exact documentation of what the nurse did for the patient during their shift instead of relying on “word-of-mouth” made at shift change (Rutherford, 2008). This type of verbal documentation of care from one nurse to another makes the work conducted by the nurse invisible if not documented appropriately. Through standardized terminology, documentation is easier and clearer making the work of the nurse known and easily accessed by all persons concerned in the patients care. “Enhanced data collection to evaluate nursing care outcomes” is also achieved through this form of terminology usage as well as “greater adherence to standards of care, and facilitated assessment of nursing competency” (Rutherford,