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患者体验:从患者角度识别有意义的沟通以指导实践。

The Patient Experience: Informing Practice through Identification of Meaningful Communication from the Patient's Perspective.

作者信息

Grocott Angela, McSherry Wilfred

机构信息

The University Hospitals of North Midlands NHS NHS Trust, Newcastle Rd, Stoke-on-Trent ST4 6QG, UK.

Department of Nursing, School of Health and Social Care, Staffordshire University, Blackheath Lane, Stafford ST18 0YB, UK.

出版信息

Healthcare (Basel). 2018 Mar 20;6(1):26. doi: 10.3390/healthcare6010026.

Abstract

(1) Background: There is limited empirical knowledge concerning aspects of healthcare that contribute to a good patient experience from the patient's perspective and how patient feedback informs service development. (2) Aim: To examine the issues that influence the effectiveness of communication on patient satisfaction, experience and engagement, in an acute National Health Service (NHS) setting, through identification of the patient's requirements and expectations. (3) Method: Data was gathered from a large teaching hospital using a Friends and Family Test (FFT) and a communication specific survey. Both surveys captured patient narrative to identify predominant influences to explain the quantitative responses. (4) Results: The key priorities for patients are involvement in their care and receiving the right amount of information to support this. However, the delivery of compassionate care was identified as having the most influence on the likelihood of patients to recommend an acute NHS Trust. (5) Conclusion: The findings support a broader understanding of the constituents of an all-encompassing patient experience from the patient's perspective. (6) Implications: healthcare organizations need to focus their resources on how to improve patient/provider communication to support patients to be true partners in their care.

摘要

(1) 背景:从患者角度来看,关于有助于带来良好患者体验的医疗保健方面以及患者反馈如何为服务发展提供信息,实证知识有限。(2) 目的:通过确定患者的需求和期望,研究在国家医疗服务体系(NHS)急症环境中影响沟通对患者满意度、体验和参与度有效性的问题。(3) 方法:从一家大型教学医院收集数据,采用朋友和家人测试(FFT)以及一项针对沟通的特定调查。两项调查都收集了患者的叙述,以确定主要影响因素来解释定量反应。(4) 结果:患者的关键优先事项是参与自身护理并获得适量信息以支持护理。然而,提供富有同情心的护理被认为对患者推荐急症NHS信托机构的可能性影响最大。(5) 结论:研究结果支持从患者角度更广泛地理解全方位患者体验的构成要素。(6) 启示:医疗保健组织需要将资源集中于如何改善患者/提供者沟通,以支持患者成为其护理中的真正伙伴。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d73e/5872233/bd5df7572f1f/healthcare-06-00026-g001.jpg

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