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Defining, analyzing, and using patie...

Ring, Elliott.

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Defining, analyzing, and using patient perceptions to develop standards for improving care.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Defining, analyzing, and using patient perceptions to develop standards for improving care./
作者:	Ring, Elliott.
面頁冊數:	188 p.
附註:	Source: Dissertation Abstracts International, Volume: 66-11, Section: B, page: 5884.
Contained By:	Dissertation Abstracts International66-11B.
標題:	Health Sciences, Health Care Management. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3194569
ISBN:	054239779X

Defining, analyzing, and using patient perceptions to develop standards for improving care.
Ring, Elliott.

Defining, analyzing, and using patient perceptions to develop standards for improving care. - 188 p.

Source: Dissertation Abstracts International, Volume: 66-11, Section: B, page: 5884.

Thesis (Ph.D.)--Northcentral University, 2005.

Scope of study. The purpose of this study was to develop service standards for a medical/surgical unit at a community hospital and to design a roadmap that could be used to guide this process. A qualitative research study was conducted as part of the design process, and the information was used to develop the standards. Telephone interviews were conducted with 105 patients, using a semi structured format to garner information. Five sets of semi structured questions were developed based on service deficits identified by a priority matrix supplied by Avatar International, the hospital's patient satisfaction and survey company. The questions focused on positive and negative aspects of nursing care, including explaining tests and procedures, the needs of family and visitors, explaining the daily routine, giving information to the patient's family, and the nurses' sensitivity. Data were analyzed on descriptive, interpretive, and inferential levels.

ISBN: 054239779XSubjects--Topical Terms:

1017922
Health Sciences, Health Care Management.

Defining, analyzing, and using patient perceptions to develop standards for improving care.
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245 1 0 $a Defining, analyzing, and using patient perceptions to develop standards for improving care.
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500 $a Source: Dissertation Abstracts International, Volume: 66-11, Section: B, page: 5884.
500 $a Adviser: Thomas Driver.
502 $a Thesis (Ph.D.)--Northcentral University, 2005.
520 $a Scope of study. The purpose of this study was to develop service standards for a medical/surgical unit at a community hospital and to design a roadmap that could be used to guide this process. A qualitative research study was conducted as part of the design process, and the information was used to develop the standards. Telephone interviews were conducted with 105 patients, using a semi structured format to garner information. Five sets of semi structured questions were developed based on service deficits identified by a priority matrix supplied by Avatar International, the hospital's patient satisfaction and survey company. The questions focused on positive and negative aspects of nursing care, including explaining tests and procedures, the needs of family and visitors, explaining the daily routine, giving information to the patient's family, and the nurses' sensitivity. Data were analyzed on descriptive, interpretive, and inferential levels.
520 $a Seventeen themes emerged from the data surrounding the five concept categories. Themes were supported by direct patient quotes. Consistency with previous research results was demonstrated, and the data obtained from the study were used to develop the service standards. The process steps for the roadmap evolved throughout the course of the research and standards development.
520 $a Findings and conclusion. Qualitative findings from this study suggest that patients place a great deal of importance on the interpersonal aspects of their care and that behaviors such as listening skills and the ability to deliver clear information should be incorporated into the service-standard development process. These results are consistent with previous research results. The five global categories for the standards are (a) sensitivity and interest in patients as people; (b) good explanations of their health condition, tests, procedures, medication, and daily routine ; (c) responsiveness to requests for pain medication and other immediate needs; (d) sensitivity to the needs of family and friends; and (e) create a healing environment that is neat, clean, safe, and restful. Several measurable behaviors are listed under each category. The roadmap steps are (a) identify existing and potential sources of data, (b) collect additional data and analyze, (c) have a team of leadership and frontline staff review qualitative transcripts, (d) discuss patient perceptions, (e) give input and reach consensus on content, (f) develop standards that are measurable and easy to understand, and (g) obtain final approval from unit leadership and staff. This research suggests that qualitative methods should be incorporated into the development of service standards.
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