Patient experience journal最新文献_第10页

Improving workforce experiences at United States Federally Qualified Health Centers: Exploring the perceived impact of generational diversity on employee engagement 改善美国联邦合格卫生中心的员工体验：探索代际多样性对员工参与度的影响

Patient experience journal Pub Date : 2022-08-03 DOI: 10.35680/2372-0247.1715

Verneda Bachus, Lihua Dishman, John Fick

{"title":"Improving workforce experiences at United States Federally Qualified Health Centers: Exploring the perceived impact of generational diversity on employee engagement","authors":"Verneda Bachus, Lihua Dishman, John Fick","doi":"10.35680/2372-0247.1715","DOIUrl":"https://doi.org/10.35680/2372-0247.1715","url":null,"abstract":"This qualitative study aimed to explore a multigenerational workforce’s impact on employee engagement as perceived by Federally Qualified Health Centers’ (FQHCs) C-suite executives. It sought to answer one research question: What is the perceived impact of generational diversity on employee engagement of Federally Qualified Health Centers (FQHCs) in the United States? This cross-sectional study was national. Primary data were collected using a self-developed, two-part survey instrument: (1) eight demographic questions and (2) two open-ended, short-answer questions. Cognitive interviews, reviews by five subject matter experts, and a pilot study were completed to ensure the instrument’s validity and reliability. Demographic data were analyzed using Minitab V19, and qualitative data were analyzed using MAXQDA V2020. The final sample (n=81) represented 6% of the 1,400 U.S. FQHCs and consisted of respondents from all five U.S. geographic regions: Northeast, Southeast, Midwest, Southwest, and West. Of the 81 FQHCs, one-third had a fourgeneration workforce, and over one-half had a five-generation workforce. A multigenerational workforce was important and necessary because of enhanced work creativity, improved problem solving, and a better representation of FQHCs’ diverse patients. Conversely, a multigenerational workforce also presented challenges, including the need to address generation-specific expectations, family dynamics, rewards and recognition, technology proficiency, and learning and training opportunities. Engaging a multigenerational workforce presented benefits and challenges. The benefits included fostering a sense of learning culture, transferring knowledge and skills, and promoting more representative patient communities which FQHC employees served. The challenges included varied expectations, different communication styles, and inter-generation perceptions in healthcare workplaces.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47390669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of wearing masks in the hospital on patient-provider interaction: “They (providers) need to stay safe for their family and keep us safe.” 在医院戴口罩对医患互动的影响:“他们(医护人员)需要为家人保持安全，也要保证我们的安全。”

Patient experience journal Pub Date : 2022-08-03 DOI: 10.35680/2372-0247.1637

J. Wardian, Mikayla Peralta, Chad W. Vokoun, Sarah E Richards

{"title":"Effect of wearing masks in the hospital on patient-provider interaction: “They (providers) need to stay safe for their family and keep us safe.”","authors":"J. Wardian, Mikayla Peralta, Chad W. Vokoun, Sarah E Richards","doi":"10.35680/2372-0247.1637","DOIUrl":"https://doi.org/10.35680/2372-0247.1637","url":null,"abstract":"Since March 2020 when the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) pandemic was widespread in the U.S., masks became a primary form of protection for healthcare workers when caring for patients. While wearing masks was not a new phenomenon in the health field, there is little known on how the use of them affects the patient-provider relationship. This study explored the experience of wearing masks on the patient-provider relationship in the hospital. This qualitative study involved interviews with both providers and patients at an academic hospital in the Midwest. At the time of this study, in July 2021, hospital policy required all healthcare providers and staff to wear surgical masks with patients, but patients were not required to wear masks while in their rooms. Interviews were audio-recorded and transcribed;they were coded using MAXQDA. Nine patients and nine providers took part in interviews. There were 4 women and 5 men in each group. The primary benefit of mask-wearing identified by both groups was safety and protection from disease. Connection with patients was a major theme as well. Providers adapted to try to improve connection in four primary ways: showing the patient their face, speaking loudly and clearly, spending additional time with patients, and being more expressive. It was also reassuring that safety was one of the main themes and encouraging that masks were not a substantial barrier to communication with patients. © The Author(s), 2022.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41476026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Special Issue – July/August 2023: Emerging Frontiers in Human Experience 特刊- 2023年7月/ 8月:人类经验的新兴前沿

Patient experience journal Pub Date : 2022-08-03 DOI: 10.35680/2372-0247.1745

Patient Experience Journal

引用次数: 0

Rules of engagement: The role of mistreatment from patients in the nurse, physician and advanced practice provider experience 参与规则:从病人虐待的角色在护士，医生和高级实践提供者的经验

Patient experience journal Pub Date : 2022-08-03 DOI: 10.35680/2372-0247.1719

Katherine A Meese, Alejandra Colón-López, Aoyjai P Montgomery, L. M. Boitet, David A Rogers, P. Patrician

{"title":"Rules of engagement: The role of mistreatment from patients in the nurse, physician and advanced practice provider experience","authors":"Katherine A Meese, Alejandra Colón-López, Aoyjai P Montgomery, L. M. Boitet, David A Rogers, P. Patrician","doi":"10.35680/2372-0247.1719","DOIUrl":"https://doi.org/10.35680/2372-0247.1719","url":null,"abstract":"The objective of this study is to examine the incidence of reported stress due to mistreatment by patients toward clinicians and the role of mistreatment from patients along with organizational factors in clinician distress. A survey of clinicians was conducted at a large academic medical center, resulting in a final analytic sample of 1,682 physicians, nurses, advanced practice providers and clinical support staff. Nurses reported the greatest incidence of mistreatment by patients as a major stressor (18.69%), followed by Advanced Practice Providers (11.26%), Clinical Support Staff (10.36%), and Physicians (7.69%). Logistic regression analysis was conducted to determine the relationship of individual- and organization-level characteristics with the odds of reporting mistreatment from patients as a major stressor. Overall findings indicate that nurses and those who work in the ER and ambulatory or outpatient clinics were more likely to be stressed from mistreatment by patients than other clinicians. Stress due to mistreatment by patients was also associated with higher Well-Being Index (WBI) distress scores, rapid changes in workflows or policies, ongoing care of COVID-19 patients, under-staffing, and low perceived organizational support. Gender or sexual minorities (not identifying as male or female) and younger (18-34 years of age) healthcare workers were also more likely to experience stress from mistreatment by patients. Individual resilience was not statistically significantly associated with reported stress from mistreatment by patients. Organizations must examine expectations for patient and visitor behavior in tandem with service standards for clinicians toward patients. © The Author(s), 2022.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42389013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Patient and provider experiences with virtual care during the COVID-19 pandemic: A mixed methods study COVID-19大流行期间虚拟护理的患者和提供者经验:一项混合方法研究

Patient experience journal Pub Date : 2022-08-03 DOI: 10.35680/2372-0247.1674

Mars Y. Zhao, Hisham Elshoni, Jennifer O'Brien, Erin Barbour-Tuck, M. E. Walker, Heather Dyck, Andrea Vasquez, Eric Sy, Angela Baerwald, Clara Michaels, R. Kamrul, Olivia Reis, Brenda Schuster, Barb Beaurivage, Adam Clay, Mark Lees, Jonathan Gamble

{"title":"Patient and provider experiences with virtual care during the COVID-19 pandemic: A mixed methods study","authors":"Mars Y. Zhao, Hisham Elshoni, Jennifer O'Brien, Erin Barbour-Tuck, M. E. Walker, Heather Dyck, Andrea Vasquez, Eric Sy, Angela Baerwald, Clara Michaels, R. Kamrul, Olivia Reis, Brenda Schuster, Barb Beaurivage, Adam Clay, Mark Lees, Jonathan Gamble","doi":"10.35680/2372-0247.1674","DOIUrl":"https://doi.org/10.35680/2372-0247.1674","url":null,"abstract":"The COVID-19 pandemic prompted the rapid uptake of Virtual Care (VC). Positive patient outcomes with VC are previously reported but little is known about the experiences of patients and providers using VC during the pandemic. We aimed to describe patient and primary care provider experiences, satisfaction, perceptions, and attitudes to VC during the COVID-19 pandemic that might explain adoption of VC across the continuum of care and inform sustained uptake. We conducted a sequential explanatory mixed methods study using online surveys and virtual interviews with a convenience sample of primary care providers and patients in a Canadian province (July – December 2020). Eligible participants included patients and primary care providers using VC during the COVID-19 pandemic. Survey responses and interviews were analyzed using descriptive statistics and thematic analysis, respectively. Overall satisfaction was compared using the Mann-Whitney U test. Eighty-five patients and 94 primary care providers responded to the surveys. Patients reported higher overall satisfaction with VC than primary care providers (median [interquartile range]: 4.4 [4.0-4.7] and 3.7 [3.4-3.9] p < 0.001). Ten patients and 11 primary care providers were interviewed. Both groups strongly appreciated VC’s increased access and convenience, identified the lack of compensation as a pre-pandemic barrier to providing VC, and reported willingness to continue VC post-COVID-19 pandemic. The COVID-19 pandemic provided an opportunity for patients and primary care providers to rapidly adopt VC with high satisfaction. Patients and primary care providers viewed VC positively due to its convenience and accessibility;both intend to continue using VC post-pandemic. © The Author(s), 2022.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42944957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Measuring what matters: A proposal for reframing how we evaluate and improve experience in healthcare 衡量什么是重要的:重塑我们如何评估和改善医疗保健经验的建议

Patient experience journal Pub Date : 2022-04-27 DOI: 10.35680/2372-0247.1696

A. Vyas, Lisa Allen, Anne Brown, J. Carron, Cassandra Crowe-Jackson, Rick Evans, Kevin Gwin, J. Wolf

{"title":"Measuring what matters: A proposal for reframing how we evaluate and improve experience in healthcare","authors":"A. Vyas, Lisa Allen, Anne Brown, J. Carron, Cassandra Crowe-Jackson, Rick Evans, Kevin Gwin, J. Wolf","doi":"10.35680/2372-0247.1696","DOIUrl":"https://doi.org/10.35680/2372-0247.1696","url":null,"abstract":"The conversation on measuring experience has been a long and thoughtful one. It has reflected a dynamic tension between measures used as a lever for action in some health systems and as a mechanism to determine reimbursable dollars in others. Yet underlying all the conversation, the question of what we measure, to what end we measure and what truly matters to those who experience care remains. Through a series of conversations over the last two years senior experience leaders across healthcare organizations determined it is time to assess the current landscape of patient experience measurement, to acknowledge what the existing system of measurement has inspired in effort and outcomes and to look forward to what could really make a difference in providing actionable insight and sustainable improvement in the future. While there are policy requirements for what organizations measure and report along with financial implications, this need not be the universal means by which patient feedback is captured and issues are addressed. This is paralleled by a global call for a clear, simple, comparable and actionable system of measurement to both understand and improve experience efforts in healthcare. This article reflects those conversations and frames the opportunity we have. It acknowledges all that the current system of measurement has helped us do, offers a new view on what measurement can be and presents a call to action to convene a diverse range of voices to shape experience measurement for the future.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42772825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Virtual cardiac rehabilitation: A rapid shift in care delivery in response to the COVID-19 Pandemic 虚拟心脏康复：应对新冠肺炎大流行的护理服务快速转变

Patient experience journal Pub Date : 2022-04-27 DOI: 10.35680/2372-0247.1592

C. Koning, Brigitte Friesen, Justin J. Daigle, Anita Ytsma

{"title":"Virtual cardiac rehabilitation: A rapid shift in care delivery in response to the COVID-19 Pandemic","authors":"C. Koning, Brigitte Friesen, Justin J. Daigle, Anita Ytsma","doi":"10.35680/2372-0247.1592","DOIUrl":"https://doi.org/10.35680/2372-0247.1592","url":null,"abstract":"Cardiac rehabilitation is an integral part of recovery from a critical cardiac life event. This preventative strategy involves exercise rehabilitation, education, lifestyle modification, and self-management coaching – preparing patients for lifelong changes. Prior to the COVID-19 pandemic, these activities were supervised by clinicians in-person, on hospital grounds, and in large groups. However, due to pandemic regulations in Canada imposed in March 2020, all in-person group activities were restricted. Within the first two months of the pandemic, almost half of cardiac rehabilitation services in Canada closed and half of their employees were deployed to other areas. To continue to provide patient care and ensure high-quality patient experience and recovery, cardiac rehabilitation services in Fraser Health, British Columbia rapidly transitioned to exclusively virtual methods of care delivery. Two years later, we are still providing this virtual model of care. This case study reflects on the experience of virtual care delivery of cardiac rehabilitation by participants and health providers. It outlines the process, the challenges, and the outcomes experienced with shifting to a new standard of care. The virtual participation rates showed a slight increase, with a significant reduction in time to access care, and increased adherence to the rehabilitation program. Overall patient satisfaction and provider experience continue to be positive. The consensus is that cardiac rehabilitation should not be optional, even during a global crisis. © The Author(s), 2022.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42925080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

What are the sources of patient experience feedback in the UK prison setting, and what do patients and healthcare staff think about giving and receiving feedback in prison? A qualitative study 在英国监狱环境中，患者体验反馈的来源是什么？患者和医护人员对在监狱中给予和接受反馈有何看法？定性研究

Patient experience journal Pub Date : 2022-04-27 DOI: 10.35680/2372-0247.1603

F. Hankins, George Charlesworth, P. Hearty, N. Wright, L. Sheard

{"title":"What are the sources of patient experience feedback in the UK prison setting, and what do patients and healthcare staff think about giving and receiving feedback in prison? A qualitative study","authors":"F. Hankins, George Charlesworth, P. Hearty, N. Wright, L. Sheard","doi":"10.35680/2372-0247.1603","DOIUrl":"https://doi.org/10.35680/2372-0247.1603","url":null,"abstract":"Background: The collection of patient experience feedback (PEF) has seen a marked global increase in the past decade. Research about PEF has concentrated mainly on hospital settings albeit a recent interest in primary care. There has been minimal research about PEF in the prison healthcare setting. The aim of this study was to explore the role of prison PEF, the different forms it might take and the perceptions of healthcare staff and people in prison. Methods: Qualitative face to face interview study involving 24 participants across two prisons (male and female) in the North of England, involving 12 healthcare staff and 12 patients. Framework analysis was undertaken. Results: PEF sources were variable, from informal and verbal through to formal and written. The willingness of people in prison to give PEF related to whether they felt sufficiently comfortable to raise concerns, with some feeling too frightened and having apprehension about anonymity. It was viewed as disheartening to give PEF but not be informed of any outcome. Healthcare staff opinions about PEF were divergent but they found PEF unhelpful when it was about prison regime issues rather than healthcare. Suggestions for improving the PEF process were put forward and included accessibility, anonymity and digitalisation. Conclusions: This is the first study to report findings about prison PEF. There are broad similarities between our findings and research examining hospital-based PEF. Prison healthcare services seem to be listening to patients but the ways in which PEF is collected, considered and used could be improved.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42934099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From liability to asset: A large health system’s approach to transforming hospital food 从负债到资产:大型卫生系统改造医院食品的方法

Patient experience journal Pub Date : 2022-04-27 DOI: 10.35680/2372-0247.1556

Sven Gierlinger, Bruno Tison, Nicole Giammarinaro

引用次数: 0

Resource utilization among informal caregiver of lung cancer patients undergoing treatment 肺癌患者接受治疗的非正式照护者资源利用情况

Patient experience journal Pub Date : 2022-04-27 DOI: 10.35680/2372-0247.1555

Charlotte T. Lee, Clarelle L. Gonsalves, Jenny Gao-Kang, Wyatt G. Pickrell, Ruth F. Barker

{"title":"Resource utilization among informal caregiver of lung cancer patients undergoing treatment","authors":"Charlotte T. Lee, Clarelle L. Gonsalves, Jenny Gao-Kang, Wyatt G. Pickrell, Ruth F. Barker","doi":"10.35680/2372-0247.1555","DOIUrl":"https://doi.org/10.35680/2372-0247.1555","url":null,"abstract":"The objective of this study is to explore patient and caregiver factors that shape the use of available resources to support caregiving for lung cancer patients undergoing treatment. A mixed-method study was conducted at one regional cancer centre within the Province of Ontario, Canada, using concurrent triangulation design. Adult patients with lung cancer (n=46) and their caregivers (n=42) (37 patient-caregiver dyads) were invited to complete a one-time study survey. Informal caregivers (n=20) also participated in a one-time semi-structured interview. Descriptive statistics and Pearson’s correlation were used to examine patterns of resource utilization and associations among study variables. Content analysis was conducted to analyse data from interviews. Informal caregivers demonstrated low overall resource utilization. Education materials and homecare support were the most frequently used but perceived as minimally helpful. Homecare support was associated with negative overall experience. Least used resources included paid help, caregiver support groups and volunteer drivers but volunteer drivers were associated with less caregiver burden. Qualitative analysis revealed three themes (1) emotional labour of caregiving and respite from known contacts, (2) perception of formal resources as inappropriate for non-medical needs and (3) financial needs and role conflicts remain to be overcome. Informal caregivers are most likely to turn to known existing social networks for support as a result of accessibility and convenience, which are central to addressing most caregiver needs except for financial needs and role conflict. Future research should aim to remove barriers to resource utilization and strengthen existing support and resources.","PeriodicalId":91785,"journal":{"name":"Patient experience journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45850269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0