Kemp Kyle A, Naqvi Farwa, Quan Hude, Paolucci Elizabeth Oddone, Knudtson Merril L, Santana Maria J
Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
Libin Cardiovascular Institute of Alberta, Calgary, Alberta, Canada.
CJC Open. 2020 Nov 30;3(4):427-433. doi: 10.1016/j.cjco.2020.11.016. eCollection 2021 Apr.
Experience surveys provide an opportunity for patients to give their feedback about health care processes and services. Unfortunately, the most current surveys have been designed as "one-size fits-all" tools, and thus, do not take into account items pertaining to specific clinical groups. The objective of this study was to gain a deeper understanding of the specific aspects of care deemed important to cardiac surgery patients.
Individual semistructured telephone interviews were conducted with a cohort of patients who had previously underwent cardiac surgery. Interviews were recorded and transcribed. Using a phenomenological approach, a thematic analysis was used to generate a list of themes and subthemes deemed important by participants.
Eight interviews were conducted in July and August 2019. Participants included 7 men and 1 woman, ranging from 55 to 84 years of age. Five key themes emerged from the data: (1) overall experience; (2) communication; (3) the physical hospital environment; (4) care needs and ongoing management; and (5) person-centred care. Our interviews revealed that participants had many overwhelmingly positive experiences with care. Through reports of their own experiences, participants highlighted important areas that might be improved.
Our results confirm and expand upon those highlighted in quantitative research by our group. Findings and knowledge derived from this study might be used to inform quality improvement activities. These might also play a key role in the development of a patient experience survey, specifically for those who undergo cardiac surgery; thus addressing a potential limitation of surveys currently in use.
经验调查为患者提供了对医疗保健过程和服务提供反馈的机会。不幸的是，当前的大多数调查都被设计成“一刀切”的工具，因此没有考虑到与特定临床群体相关的项目。本研究的目的是更深入地了解对心脏手术患者而言重要的护理具体方面。
对一组曾接受心脏手术的患者进行了个人半结构式电话访谈。访谈进行了录音和转录。采用现象学方法，通过主题分析生成参与者认为重要的主题和子主题列表。
2019年7月和8月进行了8次访谈。参与者包括7名男性和1名女性，年龄在55岁至84岁之间。数据中出现了五个关键主题：（1）总体体验；（2）沟通；（3）医院物理环境；（4）护理需求与持续管理；（5）以人为本的护理。我们的访谈显示，参与者在护理方面有许多非常积极的体验。通过讲述自己的经历，参与者强调了可能需要改进的重要领域。
我们的结果证实并扩展了我们团队在定量研究中强调的内容。本研究得出的结果和知识可用于为质量改进活动提供信息。这些结果在患者体验调查的开发中也可能发挥关键作用，特别是针对接受心脏手术的患者；从而解决了目前使用的调查的一个潜在局限性。
