Patient Satisfaction and Pain

¶ … setting, definition Sample/Setting

Conclusions (Appraisal)

Level of Evidence

(Flagg, 2015)

Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients

A healthcare organization with nursing staff on twelve-hour schedules

Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5.

Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory, patients' medicine/treatment plans

Necessity of bedside reporting, patient satisfaction and all-inclusive care framework

A case study technique implies researchers cannot undertake a broad-scale research using the sample. Outcomes might be case-specific and non-generalizable.

This article contributes to clarifying nursing role by employing numerous kinds of patient-focused care elements for improving care quality safely and manageably.

Level 4.d -- Descriptive Observational Studies -- Case Study

(Fawaz, Williams, Myers, Jones, & Logsdon, 2015)

Assessing the efficacy of a combined intervention entailing script-based interaction, hourly rounding and whiteboard use associated with pain management and satisfaction of patients with pain management efforts of nursing staff

Design: quasi-experimental, retrospective, post-test -- pre-test design.

Setting: Wards of a South US educational health science institution's hospital which offer care services to patients with various surgical-medical diagnoses

Pain-related communication, hourly rounding, script-based provider-patient interaction, and whiteboard utilization intervention

Nursing staff deemed whiteboard utilization and script-based interaction to be appropriate approaches.

Achieving the positive impacts of this communication intervention might take time.

When nursing staff employed open, continuous communication with pain patients, with time, a positive impact was observed on the element of satisfaction of patients with their pain management. The simple intervention proved to be successful and replicable in various healthcare facilities.

Level 2.d -- Quasi-experimental study design - -- Post-test, pre-test or retrospective/historic control group research

(Martin, 2015)

Employing a pain-care toolkit to ascertain whether or not it facilitates improvement in patients' pain care perceptions

Design: Hospital units

Setting: Healthcare organizations that have adopted the value-based buying/purchasing (VBP) concept

Improvement or lack thereof in patients' perceptions regarding their pain care.

Thanks to the VBP Program, healthcare organizations can now be reimbursed for superior care delivery; this entails patients' opinion of care provided, as gauged by the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) that covers patient experiences with their pain care.

NA

By applying a toolkit for enhancing patient care quality, their views with regard to their pain care may improve, thereby enhancing the likelihood of maximum VBP reimbursement.

Level 2.a - Quasi-experimental Study Designs -- A systematic analysis of quasi-experimental researches

(Martin L. K., 2016)

Executing/maintaining processes for improving patient views of the quality of their pain care through the implementation of a quality-of-pain-care toolkit within care standards in case of 3 inpatient nurse units.

Design: Implementation of quality-of-pain-care toolkit

Setting: A community hospital with a capacity of housing 110 inpatients simultaneously, belonging to a major multi-center health care system

Communication, pain scales, whiteboards, patient education, non-pharmacologic approaches (ice/heat, distractions, positioning and guided imagery) and hourly rounding

Monthly HCAHPS pain score acquisition and hospitalized patients' reactions to a six-item PainCQ-N© survey with the use of prevalence approach

PainCQ-N ratings failed to show improvements in spite of appreciable HCAHPS score growths after intervention. Information points after intervention are very scare and cannot support trends in enhanced quality of patient pain care

Constant supervision of compliance with toolkit use and measures of quality of pain care is necessary for driving and maintaining process improvements.

Level 3.b -- Analytic, Observational Study Designs -- A systematic analysis of analogous study designs such as cohort designs

(Huang, 2016)

Successful pain management represents a widespread and insistent requirement in the current healthcare arena. Pain, if left untreated, has the potential to severely affect QOL (quality of life) of patients and cause adverse psychological and clinical effects

Design: A pilot project with patients as partners

Setting: UPMC-Passavant hospital

Factors associated with patient pain management -- institutional/human factors, visual signs, pain cards, reduced dose, pain hotline and rebalancing of nurse assignments

Healthcare organizations must necessarily regard pain management to be crucial to patient satisfaction. This pilot project proved the efficacy of multiple quality initiatives

Patients' hospital experience perceptions may be impacted by elements such as sound patient-provider communication, clinical result, responsiveness, consideration, etc. Hence, scoring immeasurable events may complicate attempts at coming up with the appropriate treatment.

Pain drives people to seek expert help as well as allows healthcare professionals enhance care efficacy and quality. Pain management ought to be made a nationwide priority.

Level 2.a -- A systematic quasi-experimental research work analysis

(Dempsey, Wojciechowski, McConville, & Drain, 2014)

Appraising nurse managers' contribution to patient care

Design: A connected, understanding healthcare framework

Setting: Determining approaches to meet the challenging tasks of interacting with pain patients and decreasing their pain

Functional, clinical, behavioural and cultural components linked to patient care for targeting patient requirements depending on their condition

Nurse managers are in charge of facilitating direct-care nursing staff's connection with patients for enhancing their care experiences. Compassionate linking to patients for alleviating their inherent pain and avoiding unnecessary pain is vital to achieving patient experience improvements

Nurses express more understanding and kindness towards patients, while nurse managers are in a better position to engage their subordinates at inpatient bedsides.

Level 2.a -- A systematic quasi-experimental research work analysis

(Maben, Griffiths, & Penfold, 2015)

Examining single-room patient unit staff's experiences. This is chiefly founded on comprehensive midwives and nurse interview analyses in 4 case study units, conducted roughly 12 months following hospital establishment.

Design: Researcher observations and interviews of allied health professionals, nurse leaders and medical staff.

Setting: Open-plan unit personnel appreciated their auditory and visual closeness to their charges and coworkers

Room check quality, patient monitoring and surveillance, patient interactions, direct communication and avoiding patient falls

Hospital unit and patient room designs fulfilled several personnel expectations for a better work climate and facilitated effectual, successful care delivery.

Personnel voiced concerns that levels of new-unit staffing didn't always suffice when it came to delivery successful, safe healthcare.

Personnel devised novel work approaches and care processes including patient supervision, decentralized nurse teams, fall interventions, supervision to ensure situational awareness, and ongoing room checks.

Level 4.a -- Systematic descriptive research examination

(Ciaramella, Longworth, Larraz, & Murphy, 2014)

Enhancing infant and maternal satisfaction with discharge nurse position

Design: HCAHPS

Setting: Healthcare organization discharge documentation and procedure

Patient satisfaction and education

NA

NA

Records of better results in terms of reliability, efficacy patient satisfaction and patient education standardization.

Level 3.d -- Case -- controlled research

(Ann Rodney, 2015)

Patient health results and satisfaction emerged as key healthcare aspects from the time of VBP implementation. Patient satisfaction gauged through the HCAHPS survey

Design: correlational non-experimental design; a quality enhancement venture

Setting: VBP initiative

Assimilate data from relationship-focused care, focus groups, and literature review of articles/studies addressing the caring theory of Kristen for creating and executing a relationship-centered healthcare delivery hospital model.

Nurse communication elements improved by 13.2%, general care rating by 14.5%, responsiveness of nurses by 12.5%, and recommendation readiness 8.7%. Audit outcomes of pilot division medical documents suggested fall decrease by 3, Catheter-Associated Urinary Tract Infections decreases by 2, and Hospital-Acquired Pressure Ulcer decreases by 2 since the reference month (August)

NA

Model adoption will take place in every inpatient nurse unit. The research's target group encompasses nurse educators, managers and bedside nurses interested in personnel empowerment and patient-focused care.

Level 4.a -- Systematic descriptive research examination

(Ferguson & Howell, 2015)

Conventional reporting procedures failed to cover direct patient data reporting or to enable queries between providers

Design: Standardized hand-off" communication technique for engaging nurses to share important facts and apportion time for patient-related discussions.

Hand-off; Bedside reporting; Patient-focused care;

Nurse reporting between shifts; Shift-change reports; bedside and patient safety reports and patient safety objectives

Advantages of bedside reports include active patient participation in care, active patient-care team discussions, reduced likelihood of errors, enhanced patient family and patient satisfaction with healthcare services provided, improved cooperation, reduced anxiety, and improved nursing accountability.

Deal with issues linked to bedside reporting such as a possible Health Insurance Portability and Accountability Act (HIPAA) violation, patient confidentiality and privacy breaches, placement of patients in multi-bed or semiprivate rooms.

Studies reveal bedside reporting to be one of the best-practice standards for surgical-clinical and rehab wards. But more analyses are required particularly in emergency rooms, intensive care units, delivery/post-delivery wards and other specialty areas.

Level 3.a -- Systematic comparable cohort research analysis

(Elena, 2015)

Examining healthcare professionals' routine practices, ideals and views in a single-room post-delivery ward while catering to postnatal females and family members

Design: Ethnographic focused research

Characteristics: Single-room post-delivery ward care model, in which females remain in the same room in the entire course of childbirth; this involves provider continuity

Factors linked to provision of pre-, intra- and post- partum healthcare

Outcomes suggest interlinked themes- and developing and sustaining culture and work-family- which impact team members' everyday workplace actions.

NA

Successful collaboration and communication foster a positive, helpful work climate and help accomplish family and patient focused healthcare objectives. Ward culture has a significant impact on personnel views of everyday practices and roles.

Level 4.b -- Cross-sectional research

(Massaro & Murphy, 2013)

Patient scores on the element of satisfaction with care showed areas for improving, particularly in doctor-nurse communication, lactation training and pain medicine accessibility