Journal of Patient Experience最新文献

"They Just Don't Want to Feel Forgotten": A Mixed-Methods Research on Patient Satisfaction With Wait Times in Emergency Departments.

IF 1.6

Journal of Patient Experience Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251333213

Aswathy Geetha Manukumar, Hensley H Mariathas, Christopher Patey, Nahid Rahimipour Anaraki, Anna Walsh, Oliver Hurley, Dorothy Senior, Holly Etchegary, Paul Norman, Shabnam Asghari

{"title":"\"They Just Don't Want to Feel Forgotten\": A Mixed-Methods Research on Patient Satisfaction With Wait Times in Emergency Departments.","authors":"Aswathy Geetha Manukumar, Hensley H Mariathas, Christopher Patey, Nahid Rahimipour Anaraki, Anna Walsh, Oliver Hurley, Dorothy Senior, Holly Etchegary, Paul Norman, Shabnam Asghari","doi":"10.1177/23743735251333213","DOIUrl":"10.1177/23743735251333213","url":null,"abstract":"Patient satisfaction, an essential care quality measure, is heavily impacted by wait times. This study examined how different factors affect patient satisfaction with ED wait times in Newfoundland and Labrador, Canada. This mixed-method study, conducted in 4 EDs, used data collected using telephone surveys and semistructured interviews. Patient satisfaction with (1) physician initial assessment and (2) length of stay were analyzed using ordinal regression and thematic analysis. Among the 766 participants, 12% were extremely dissatisfied with physician initial assessment, and 13% were extremely dissatisfied with length of stay. Patients well-informed about the delays were more likely to report higher satisfaction than those who were not informed (aOR = 2.43, 95% CI [1.48-3.99], P-value <.001). Qualitative analysis revealed 4 key themes: poor communication about wait times, lengthy wait times, resource shortages causing long ED wait times, and patients avoiding ED because of it. Our study shows that patients are better satisfied when they are well-informed about the delays. This helped patients feel \"less forgotten.\" Addressing wait time issues is critical to providing patient-centered care and optimizing the care experience.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251333213"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct Observation of Family Engagement Practice in a Cardiovascular Intensive Care Unit.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-28 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251330463

Jillian Kifell, Douglas Slobod, Krystina B Lewis, Michael Goldfarb

{"title":"Direct Observation of Family Engagement Practice in a Cardiovascular Intensive Care Unit.","authors":"Jillian Kifell, Douglas Slobod, Krystina B Lewis, Michael Goldfarb","doi":"10.1177/23743735251330463","DOIUrl":"10.1177/23743735251330463","url":null,"abstract":"The purpose of this study was to describe family engagement practices in a cardiovascular intensive care unit (CVICU) and to explore their relationship with patient outcomes. Observations were conducted on 104 patients, with most (n = 61; 58%) having family members present. On average, 1.3 ± 0.6 family members were present per observation period per patient, spending 69% of the observation time at the bedside. The most common forms of family engagement included communication (n = 61; 100%), active family presence (n = 36; 59%), and direct contribution to care (n = 35; 57%). Patients with family present were 3 times less likely to be re-admitted to the hospital within 30 days compared to those without family present (5% vs 16%; P = .05). This study offers valuable insights through direct observations of family engagement practices in a CVICU setting, offering a foundational understanding of family engagement patterns and their associations with patient outcomes. These findings establish a basis for developing targeted interventions, policies, and training programs aimed at enhancing family engagement and improving outcomes for both patients and their families in critical care settings.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251330463"},"PeriodicalIF":1.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medicaid Patient Experiences with Nurse Practitioners and Other Providers: A Big Data Analysis.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251331350

DeAnna Jan Emory, Thomas A Kippenbrock

引用次数: 0

Virtual Reality Therapeutic Art for Adult Hospitalized Patients and Caregivers: A Mixed-Methods Project.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251330467

Sophina McDaniel, Rachyl Pines, Emily M He, Faith Collins, Faaizah Arshad, Maria Menendez, Vishnunarayan Girishan Prabhu, Thomas J Caruso

{"title":"Virtual Reality Therapeutic Art for Adult Hospitalized Patients and Caregivers: A Mixed-Methods Project.","authors":"Sophina McDaniel, Rachyl Pines, Emily M He, Faith Collins, Faaizah Arshad, Maria Menendez, Vishnunarayan Girishan Prabhu, Thomas J Caruso","doi":"10.1177/23743735251330467","DOIUrl":"10.1177/23743735251330467","url":null,"abstract":"Increased stress, anxiety, and depression hinder recovery of hospitalized patients. Mindfulness therapies, which adopt a holistic approach to patient care, reduce anxiety, and depression. This quality improvement initiative evaluated the implementation of a virtual reality (VR) therapeutic art program at Stanford Health Care from February to June 2024, providing an innovative and scalable adjunct to traditional art and music mindfulness therapies. This mixed methods project piloted 84 cumulative hours with 105 participants. Outcomes investigated satisfaction and the impact on hospitalization experience via survey questions. Data were analyzed using descriptive statistics and thematic analysis. Results (n = 40) indicated substantial improvements in patient experience, with 85% recommending the program and 97.5% reporting positive impacts from VR engagement. Thematic analysis of open-ended survey responses identified 4 key themes: escape and distraction, therapeutic benefits, enjoyment of the interactive activity, and positive facilitator interactions. Participants also expressed interest in additional VR offerings, including virtual mindfulness, and meditation. The results suggest that VR can serve as an effective adjunct to conventional mindfulness therapies and improve the inpatient experience.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251330467"},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11938894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Culturally Sensitive Treatment of Caregiver Anxiety With Virtual Reality: A Prospective, Pragmatic, Randomized Study.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251326671

Ricardo T Jimenez, Michelle Zuniga-Hernandez, Man Yee Suen, Ruth Feng, Kassandra Pinedo, Faaizah Arshad, Faith Collins, Avani Ganesan, Christian Jackson, Ellen Y Wang, Samuel T Rodriguez, Thomas J Caruso

{"title":"Culturally Sensitive Treatment of Caregiver Anxiety With Virtual Reality: A Prospective, Pragmatic, Randomized Study.","authors":"Ricardo T Jimenez, Michelle Zuniga-Hernandez, Man Yee Suen, Ruth Feng, Kassandra Pinedo, Faaizah Arshad, Faith Collins, Avani Ganesan, Christian Jackson, Ellen Y Wang, Samuel T Rodriguez, Thomas J Caruso","doi":"10.1177/23743735251326671","DOIUrl":"10.1177/23743735251326671","url":null,"abstract":"Pediatric inpatient caregivers often experience significant anxiety. Although improving caregiver anxiety is critical for improving patient outcomes, inpatient interventions targeting patients' families are rarely implemented. This study assessed the effectiveness of a language-concordant, virtual reality (VR)-guided meditation on inpatient caregiver anxiety. Using a prospective, pragmatic, randomized study, the primary aim assessed caregiver anxiety using the Visual Analog Scale for Anxiety (VAS-A). Secondary aims explored state and trait anxiety using the State-Trait Anxiety Inventory (STAI), differences in anxiety reduction between English- and Spanish-speaking participants, and satisfaction. With 200 participants included in the final analysis, VAS-A scores in the VR group were lower compared to the standard of care (SOC) group (p = 0.0005), with a greater reduction for Spanish-speaking participants (p = 0.005). After controlling for baseline trait anxiety, the STAI found a greater reduction in state anxiety in the VR group (p ≤ 0.0001). VR-guided meditation effectively reduced caregiver anxiety in pediatric inpatient settings. VR's immersive and versatile nature offers diverse therapeutic options to improve caregiver and patient health, including marginalized populations with previously limited interventions.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251326671"},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11946280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating the Impact of an Inpatient Therapeutic Bedside Music Program on the Care Experience.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251330699

Sophina McDaniel, Rachyl Pines

引用次数: 0

Natural Language Processing of Sentiments Identified in Patient Comments Associated with Less Than Top-Rated Care.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251323677

Ali Azarpey, Jacob Thomas, David Ring, Orrin Franko

{"title":"Natural Language Processing of Sentiments Identified in Patient Comments Associated with Less Than Top-Rated Care.","authors":"Ali Azarpey, Jacob Thomas, David Ring, Orrin Franko","doi":"10.1177/23743735251323677","DOIUrl":"10.1177/23743735251323677","url":null,"abstract":"Background: Natural language processing (NLP) analysis of patient comments about their care can inform improvement initiatives. Objective: We used NLP to quantify sentiments and identify topics in patient comments associated with submaximal ratings of experience. Methods: Using a set of 1117 patient comments associated with ratings 1-4 out of 5 from a commercial source, we analyzed associated sentiments measured by Linguistic Inquiry and Word Count software and associated themes using topic modeling. Results: In the sentiment analysis, positive sentiments were associated with better numerical ratings while word count, numbers, ethnicity, and negative tones were associated with lower ratings. Topics of \"listening, concern, and collaboration\" were associated with 1-star ratings and \"logistics\" and \"pain\" with 4-star ratings. Conclusion: The finding that NLP analysis of comments from submaximal patient ratings of experience is consistent with evidence that the worst ratings are associated with relationship issues and more moderate ratings are associated with process issues affirms the ability of NLP to analyze large amounts of patient comments to identify opportunities to improve patient experience of care.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251323677"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience of the Burden of Using Multiple Medicines and the Associated Impact on Health-Related Quality of Life.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-21 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251330353

Aastha Gurung, Edward Ogden, Won Sun Chen

{"title":"Experience of the Burden of Using Multiple Medicines and the Associated Impact on Health-Related Quality of Life.","authors":"Aastha Gurung, Edward Ogden, Won Sun Chen","doi":"10.1177/23743735251330353","DOIUrl":"10.1177/23743735251330353","url":null,"abstract":"Managing multiple medications can be challenging for many patients and negatively affect their health-related quality of life (HRQoL). This study examined the key factors that predict medication burden and HRQoL separately. The secondary aim was to investigate whether overall experience of medication burden mediates the relationship between the number of medications taken and HRQoL. A cross-sectional study was conducted with 348 participants. The average age of these participants was 31 years (SD ± 11.3 years). The average number of medications used was 3.2 (SD ± 1.6). The majority of the study participants experienced moderate (39.0%) to high (45.0%) levels of medication burden. Limited autonomy in adjusting their regimen and concerns about their medications were identified as major contributors to this burden. Hierarchical linear regression analysis indicated that overall experience of medication burden, self-rated health, and a diagnosis of diabetes mellitus significantly predicted medication burden. Similarly, self-rated health, dosing frequency, being female, and assistance with medicines were significant predictors of poor HRQoL. Mediation analysis revealed that overall experience of medication burden partially mediated the association between number of medicines used and HRQoL. These findings highlight the importance of addressing medication burden when developing interventions to avoid jeopardizing patients' HRQoL. Healthcare professionals should prioritize understanding the experiences of nonelderly patients with their medications and personalize treatment plans accordingly.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251330353"},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Experience at Discharge: A Quality Improvement Study in an Armed Forces Hospital, Saudi Arabia.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251325507

Noha Almohaisen, Alexander Woodman, Muhammad Hasan Abid, Ohood Saad AlGhazali, Noura Alnowaiser

{"title":"Patient Experience at Discharge: A Quality Improvement Study in an Armed Forces Hospital, Saudi Arabia.","authors":"Noha Almohaisen, Alexander Woodman, Muhammad Hasan Abid, Ohood Saad AlGhazali, Noura Alnowaiser","doi":"10.1177/23743735251325507","DOIUrl":"10.1177/23743735251325507","url":null,"abstract":"Over the past decade, the health sector of Saudi Arabia has been undergoing a major transformation. This pilot research aimed to improve the patient experience (PX) at discharge by at least 2 scores within 2 years at a King Abdul Aziz Armed Forces Hospital (KAAB-AFH), Dhahran, in Saudi Arabia. The project was planned, executed, monitored, and closed through five Plan-Do-Study-Act cycles from Q2 2019 to Q2 2023. Discharge planning Include, Discuss, Educate, Assess, and Listen model, Teach Back technique, and Re-Engineered Discharge model, and Patient Education Materials Assessment Tool were used. The mean PX score at discharge improved from 86.80 (SD ±1.89) to 89.72 (SD ±1.77) (P = 0.02), the discharge speed PX score by 4.36 points (P = 0.05), and the PX score for the clearness of instructions at discharge increased by 2.75 points (P = 0.01). This PX quality improvement research project resulted in a significant improvement in patients' understanding of their health status, increased adherence to discharge procedures, and a sustained improvement in the quality of care.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251325507"},"PeriodicalIF":1.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11915308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors Affecting Engagement in Screening Clinics; Exploring the Experiences of Patients with Rare Endocrine Gene Disorders.

IF 1.6

Journal of Patient Experience Pub Date : 2025-03-16 eCollection Date: 2025-01-01 DOI: 10.1177/23743735251316120

Samia Elyoussfi, Priscilla Harries, Meriel Norris, Lorraine DeSouza, William Drake

{"title":"Factors Affecting Engagement in Screening Clinics; Exploring the Experiences of Patients with Rare Endocrine Gene Disorders.","authors":"Samia Elyoussfi, Priscilla Harries, Meriel Norris, Lorraine DeSouza, William Drake","doi":"10.1177/23743735251316120","DOIUrl":"10.1177/23743735251316120","url":null,"abstract":"The aim was to explore the patient experience of those attending screening appointments for rare endocrine syndromes. Obtaining insights into the factors that potentially enhanced or detracted from attendance and engagement with the clinics could assist in developing strategies to promote patient engagement. A qualitative approach using semi-structured interviews was employed to understand individuals' perceptions and experience of the screening clinics. Twelve interviews were conducted with patients (age 10-66 years, purposive sampling). Four main themes were identified: (1) Perception at a distance, (2) Seeing my future self (3) The body and person in clinic and (4) The patient or doctor, who knows best? These highlighted several areas which could be used to inform approaches to promote enhanced patient engagement: the importance of careful management of projections of self, balancing information overload and honesty, interpersonal relationships and humanisation of care and assisting with the early navigation for the non-expert individual.","PeriodicalId":45073,"journal":{"name":"Journal of Patient Experience","volume":"12 ","pages":"23743735251316120"},"PeriodicalIF":1.6,"publicationDate":"2025-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0