Elgendy Hossam, Shalaby Reham, Owusu Ernest, Nkire Nnamdi, Agyapong Vincent I O, Wei Yifeng
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2R3, Canada.
Addiction and Mental Health, Alberta Health Services, Edmonton, AB T5J E34, Canada.
Healthcare (Basel). 2023 Dec 9;11(24):3130. doi: 10.3390/healthcare11243130.
Patient satisfaction with hospital services has been increasingly discussed as an important indicator of healthcare quality. It has been demonstrated that improving patient satisfaction is associated with better compliance with treatment plans and a decrease in patient complaints regarding doctors' and nurses' misconduct. This scoping review's objective is to investigate the pertinent literature on the experiences and satisfaction of patients with mental disorders receiving inpatient psychiatric care. Our goals are to highlight important ideas and explore the data that might serve as a guide to enhance the standard of treatment and patient satisfaction in acute mental health environments. This study is a scoping review that was designed in adherence with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) statement. A systematic search was conducted in the following databases: PubMed, MEDLINE, PsycINFO, CINAHL, and EMBASE. A comprehensive review was completed, including articles from January 2012 to June 2022. Qualitative and quantitative studies were included in this review based on our eligibility criteria, such as patient satisfaction as a primary outcome, adult psychiatric inpatients, and non-review studies published in the English language. Studies were considered ineligible if they included nonpsychiatric patients or patients with neurocognitive disorders, review studies, or study measure outcomes other than inpatient satisfaction. For the eligible studies, data extraction was conducted, information was summarized, and the findings were reported. A total of 31 studies representing almost all the world's continents were eligible for inclusion in this scoping review. Different assessment tools and instruments were used in the included studies to measure the level of patients' satisfaction. The majority of the studies either utilized a pre-existing or newly created inpatient satisfaction questionnaire that appeared to be reliable and of acceptable quality. This review has identified a variety of possible factors that affect patients' satisfaction and can be used as a guide for service improvement. More than half of the included studies revealed that the following factors were strongly recommended to enhance inpatient satisfaction with care: a clear discharge plan, less coercive treatment during the hospital stay, more individualized, higher quality information and teaching about the mental disorder to patients by staff, better therapeutic relationships with staff, and specific treatment components that patients enjoy, such as physical exercise sessions and music therapy. Patients also value staff who spend more time with them. The scope of patient satisfaction with inpatient mental health services is a growing source of concern. Patient satisfaction is associated with better adherence to treatment regimens and fewer complaints against health care professionals. This scoping review has identified several patient satisfaction research gaps as well as important determinants of satisfaction and how to measure and utilize patient satisfaction as a guide for service quality improvement. It would be useful for future research and reviews to consider broadening their scope to include the satisfaction of psychiatric patients with innovative services, like peer support groups and other technologically based interventions like text for support. Future research also could benefit from utilizing additional technological tools, such as electronic questionnaires.
患者对医院服务的满意度作为医疗质量的一项重要指标,受到了越来越多的讨论。事实证明,提高患者满意度与更好地遵守治疗计划以及减少患者对医生和护士不当行为的投诉相关。本综述的目的是调查有关接受住院精神科护理的精神障碍患者的经历和满意度的相关文献。我们的目标是突出重要观点,并探索可能有助于提高急性心理健康环境中治疗标准和患者满意度的数据。本研究是一项按照系统评价和Meta分析扩展的范围综述的首选报告项目(PRISMA-ScR)声明设计的范围综述。在以下数据库中进行了系统检索:PubMed、MEDLINE、PsycINFO、CINAHL和EMBASE。完成了一项全面综述,包括2012年1月至2022年6月的文章。根据我们的纳入标准,本综述纳入了定性和定量研究,如以患者满意度作为主要结果、成年精神科住院患者以及以英语发表的非综述研究。如果研究纳入非精神科患者或患有神经认知障碍的患者、综述研究或研究测量结果不是住院患者满意度,则被认为不符合纳入标准。对于符合条件的研究,进行了数据提取、信息总结并报告了研究结果。共有31项代表世界几乎所有大洲的研究符合纳入本范围综述的条件。纳入研究中使用了不同的评估工具和仪器来测量患者的满意度水平。大多数研究要么使用了现有的要么新创建的住院患者满意度问卷,这些问卷似乎是可靠的且质量可接受。本综述确定了多种可能影响患者满意度的因素,可作为服务改进的指南。超过一半的纳入研究表明,强烈建议通过以下因素提高住院患者对护理的满意度:明确的出院计划、住院期间减少强制性治疗、工作人员为患者提供更个性化、更高质量的关于精神障碍的信息和教导、与工作人员建立更好的治疗关系以及患者喜欢的特定治疗组成部分,如体育锻炼课程和音乐治疗。患者也重视花更多时间陪伴他们的工作人员。住院心理健康服务的患者满意度范围日益受到关注。患者满意度与更好地遵守治疗方案以及减少对医护人员的投诉相关。本范围综述确定了几个患者满意度研究差距以及满意度的重要决定因素,以及如何测量和利用患者满意度作为服务质量改进的指南。未来的研究和综述考虑扩大范围,将精神科患者对创新服务(如同伴支持小组)和其他基于技术的干预措施(如短信支持)的满意度纳入其中,可能会有所帮助。未来的研究还可以受益于使用额外的技术工具,如电子问卷。