Progress in applying patient experience in nursing quality improvement

Cheng-Shuang Wang , Mei-Zhen Zhao , Tie-Ying Zeng
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引用次数: 5

Abstract

Background

Improving and sustaining the quality of nursing care is an intractable and persistent challenge. The patient experience of nursing care can give a different perspective on nursing quality and help clinical nursing staff to direct quality improvement. Attempts to identify what is patient experience, the relationship with nursing care, and the application of patient experience in nursing quality improvement practice, in order to provide advices for constructing the quality standards and quality improvement strategies of nursing care.

Methods

We conducted a literature review of original research publications. The database platforms Pubmed, Web of Science, China National Knowledge Infrastructure (CNKI) and Wanfang were searched from inception until end of August 2015. After screening retrieved articles, 40 sources (articles and organizational websites) were selected for analysis for the connotation, development and application of patient experience in nursing quality researches.

Results

Our study identified several concepts about patient experience, roughly sorted out the development path of patient experience in worldwide and the application of patient experience in nursing quality improvement. It points out four precautions when applying patient experience in nursing quality improvement, which are differentiating patient satisfaction and patient experience, choosing appropriate data collection method and appropriate feedback time, and the last but the most important, applying theories to actual clinical practice.

Conclusions

Professional indexes are important to maintain the care quality, but it cannot fully reflect quality of nursing care, which needs patient experience as the supplement. Nursing staffs need to make more efforts to enhance patient's nursing care experience, and apply the research results to clinical practice, and finally make patient-centered care come true. For future study, the evaluation system and management strategies about patient experience need to be developed to guide nursing quality improvement.

病人经验在提高护理质量中的应用进展
提高和维持护理质量是一项棘手而持久的挑战。患者的护理体验可以从不同的角度看待护理质量,帮助临床护理人员指导护理质量的提高。试图辨析什么是患者体验、患者体验与护理的关系以及患者体验在护理质量改进实践中的应用,以期为护理质量标准和质量改进策略的构建提供建议。方法对文献资料进行回顾性分析。数据库平台Pubmed, Web of Science,中国知网(CNKI)和万方从成立到2015年8月底进行了检索。对检索到的文章进行筛选后,选取40个来源(文章及组织网站)对患者体验在护理质量研究中的内涵、发展及应用进行分析。结果本研究明确了患者体验的几个概念,大致梳理了患者体验在国际上的发展路径以及患者体验在护理质量提升中的应用。提出了将患者体验应用于护理质量提高的四个注意事项,即区分患者满意度和患者体验,选择合适的数据收集方法和反馈时间,最后也是最重要的,将理论应用于临床实际。结论专业指标对维持护理质量有重要作用,但不能完全反映护理质量,需要患者经验作为补充。护理人员需要在提高患者护理体验方面做出更多的努力,并将研究成果应用于临床实践,最终实现以患者为中心的护理。在未来的研究中,需要建立患者体验的评价体系和管理策略,以指导护理质量的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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