Torok Zsofia, O'Keeffe Aisling, Darley Andrew, Carroll Áine
School of Medicine, University College Dublin, Dublin, D04 V1W8, Ireland.
National Rehabilitation Hospital, Dublin, A96 E2H2, Ireland.
HRB Open Res. 2024 Feb 26;6:5. doi: 10.12688/hrbopenres.13672.2. eCollection 2023.
Patient experience is routinely collected in the clinical environment in many different ways throughout various person-provider encounters, but so far limited research focused on understanding the methods of using it to improve the quality of healthcare. This paper presents a protocol for a methodological scoping review examining the methods of obtaining, analysing, reporting, and using patient experience data for quality improvement in rehabilitation settings.
The scoping review will be conducted according to the guidelines from the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and the methodological framework by Arksey & O'Malley. A comprehensive search of the literature will be performed using a three-step search strategy: an initial limited search of two databases was already performed and helped to identified relevant key words and index terms. The developed search string will be adapted and applied across four databases. This will be followed by search of the reference lists of selected sources and hand-search relevant data-hubs. Studies with a clear focus on patient experience or feedback collected or used for healthcare improvement in rehabilitation context, will be included. A data extraction framework will be developed and piloted to guide the literature screening and data charting. Qualitative content analysis will be employed to address research questions and the results will be presented - beside the descriptive format - as a map of data in chart and tabular formats.
This scoping review will show the extent and scope of the literature on the applied methods of collecting, communicating, and using patient experience for quality improvement in post-acute rehabilitation settings and will evaluate and map the evidence on these topics. The findings will inform a research project entitled "An exploration into the use of patient experience to inform improvement in a National Rehabilitation Hospital".
在临床环境中，患者体验通常通过多种不同方式在各类医患接触过程中收集，但迄今为止，专注于理解如何利用患者体验来提高医疗质量的研究有限。本文提出了一项方法学范围综述方案，旨在研究在康复环境中获取、分析、报告和利用患者体验数据以提高医疗质量的方法。
范围综述将按照乔安娜·布里格斯研究所（JBI）证据综合手册的指南以及阿克西和奥马利的方法框架进行。将采用三步搜索策略对文献进行全面检索：已经对两个数据库进行了初步的有限搜索，以帮助确定相关关键词和索引词。所制定的搜索字符串将进行调整并应用于四个数据库。随后将搜索所选文献的参考文献列表并手工搜索相关数据中心。将纳入明确聚焦于在康复环境中收集或用于改善医疗的患者体验或反馈的研究。将开发并试行一个数据提取框架，以指导文献筛选和数据制表。将采用定性内容分析法来回答研究问题，结果除了以描述性形式呈现外，还将以图表和表格形式的数据图呈现。
本范围综述将展示关于在急性后期康复环境中收集、交流和利用患者体验以提高医疗质量的应用方法的文献范围和程度，并将评估和梳理这些主题的证据。研究结果将为一个名为“探索利用患者体验促进国家康复医院改善”的研究项目提供信息。
