护士长工作满意度调查分析

目的 了解临床护士长工作满意度现状.方法 应用工作满意度量表对68名三级甲等医院护士长进行调查.结果 护士长工作满意度总分78.3±10.6,其内在满足显著高于外在满足及一般满足(均P＜0.05),护士长工作满意度与年龄、职称、工作年限、文化程度、健康状况无显著相关(均P＞0.05).结论 护士长对工作内容、工作稳定性及上级领导方式方面满意度较高,而对工作环境及人际关系的满意度低.应重视提高护士长的工作满意度,以提高临床管理质量.     

护师参与护理管理的实践

目的 探讨护师参与护理管理对护理质量的影响。方法 在护士长辅助式领导下，让护师参与护理管理。结果护理质量检查中，护理管理质量指标如护士长管理、消毒隔离、分级护理和患者满意度合格率在实施护师参与护理管理后显著高于实施前（P〈0．05），仅急救物品完好率差异无显著性意义（P〉0．05）。结论 护士长运用辅助式领导，充分利用人力资源，可有效地提高护师管理水平，提升护理质量，更好地服务于患者。     

动态血糖监测仪及胰岛素泵临床应用中的持续质量改进

目的探讨持续质量改进（CQI）对提高患者使用动态血糖监测系统（CGMS）、胰岛素泵（CSII）护理质量的作用。方法选择2007年4～12月305例糖尿病患者为对照组,按照常规方法在公司业务员指导下,讲授仪器的结构、工作原理和操作步骤。护士现场学习,护士长和骨干护士重点学习全部操作,然后在科室推广应用。以2008年4～12月308例糖尿病患者为观察组,以CQI理论为指导,制订内分泌专科分层次的培训计划,制定各种操作规范并由护士长全程监督控制。结果改进后护士理论、操作考核成绩比改进前显著提高（均P〈0．01）;观察组中使用CSII的患者对护士安装仪器、故障处理和观察巡视的满意度较对照组显著提高（P〈0．05,P〈0．01）;观察组使用CGMS者仪器电缆线折断、局部皮肤炎症发生率显著低于对照组（均P〈0．05）。结论持续质量改进有助于护士业务技能的提高,为糖尿病患者的治疗、监测提供保证,提高了护理质量。     

护士长非专业角色与工作负荷研究

目的了解护士长非护理专业角色和工作负荷情况。方法采用自行设计的问卷对65名护士长进行问卷调查。结果科护士长非护理专业兼职平均为8项，病区护士长为6项；科护士长每月非护理兼职时间为（70．0±56．3）h、痛区护士长为（44．4±31．1）h；主要兼职是物价员、药物不良反应监测员、负责科室奖金分配和计量员等；77．8％科护士长、32．1％病区护士长超负荷工作；护士长兼职数、兼职时间越多，工作负荷越重（P〈0．05，P〈0．01）。结论医院应将护士长的工作内容重新分配，减少护士长承担的非护理专业兼职工作，使护士长有更多时间专注于护理质量管理，促进护理服务质量提高。     

每日工作重点提示在护士长管理中的实践

目的探讨每日工作重点提示在护士长管理工作中的作用。方法合理制定护士长每日工作重点提示内容。实施1年后,采用自行设计的反馈量表调查58名护士长在护理管理工作中应用每日工作重点提示的情况。结果护士长对每日工作重点提示反馈量表的所有条目认同率≥75．9％;实施前后特护、一级、基础护理质量合格率,患者满意率、三基培训合格率比较,差异有统计学意义（P〈0．01,P〈0．05）。结论每日工作重点提示的应用提高了护士长的管理能力,从而提高了护理质量、满意度及护士的理论与技能水平。     

在职卸任护士长工作满意度与职业倦怠调查

目的调查在职卸任护士长的工作满意度和职业倦怠情况,为医院管理人员及有关部门进一步采取对策和合理配置人力资源提供依据。方法选择泰安市省级、市级和县级8所医院符合纳入标准的在职卸任护士长50名,采用一般情况调查表、工作满意度量表和职业倦怠量表（MBI）,进行面对面问卷调查。结果不同等级医院个人成就感和不同职称卸任护士长工作满意度均存在显著差异（P〈0.05,P〈0.01）;卸任护士长满意度得分最高的是同事关系、所负责患者的护理结果等,得分最低的是所提建议受重视的程度、参与临床教学的机会、工作收入等;卸任护士长个人成就感显著差于常模（P〈0.05）;情绪衰竭与人格解体呈显著正相关,个人成就感与人格解体呈显著负相关（均P〈0.01）。结论卸任护士长工作满意度不乐观,且存在职业倦怠。护理管理者应注重调动卸任护士长的工作积极性,提高其工作满意度和缓解职业倦怠。     

96名护理人员生活质量调查分析

目的：了解护理人员的生活质量状况。方法：采用生活质量综合评定问卷对96名护理人员进行测评分析。结果：心理功能对生活质量的影响最大；不同学历、职称和年龄段护理人员的生活质量差异无显著性意义；护理管理人员的生活质量总体评价，社会功能维度，物质生活维度及其住房、社区服务、生活环境、经济状况因子，心理功能维度中的正性情感，认知功能，自尊因子评定均分均高于一般护理人员；其中住房、社区服务、经济状况，人际交往，业余娱乐因子的客观状态在两组间差异无显著性意义（P＞0．05），但在主观满意度方面前者显著高于后者（P＜0．05，P＜0．01）；运动与感觉功能、正性情感、自尊因子的客观状态前者显著高于后者（P＜0．05），但在主观满意度方面差异无显著性意义（P＞0．05）。结论：一般护理人员在物质生活，社会功能和心理功能方面较护理管理人员面临着更多的问题，护理管理部门在考虑如何提高护理质量与效率时，应注意利用各种激励资源,满足不同职务护理人员的不同需求，提高其生活质量和工作积极性。     

开胸病人疼痛及情绪与护理评估差异的比较

目的：了解开胸病人疼痛程度及情绪与护理人员对病人的评估差异，以提高评估质量，减少病人痛苦，改善其情绪状态。方法：采用疼痛视觉模拟评分表（VAS）及视觉模拟评分法应用于情绪变化的评估表（DVAS），分别由110例胸部手术后病人（A组）、工作3年以内的护士（B组）及工作5年以上的护师（C组）对病人疼痛程度及情绪进行评估。结果：B、C组VAS评分均显著低于A组（P＜0．05或P＜0．01），B组评分又低于C组（均P＜0．05）；B、C组DVAS评分均显著高于A组（均P＜0．05）。结论：护理人员有低估病人疼痛程度、高估病人疼痛时情绪感受的倾向。应注重病人的个体差异，准确判断其疼痛程度和情绪变化。     

护士长院内ICU进修效果探讨

目的探讨院内综合ICU进修对提高护士长自我效能及重症监护技能、理论水平的效果。方法将全院48名护士长按计划轮流安排到综合ICU进修2个月，由ICU高年资护士进行一对一带教，进修后由护理部主任与ICU护士长对其进行理论与操作技能考核，并对护士长工作满意度进行民意测评与护士长自我效能感自评。结果实施院内综合ICU进修后，护士长的理论知识与急救技能、自我效能感、民意测评评分较进修前显著提高（均P〈0．01）。结论对护士长进行院内综合ICU培由II，可增加其自我效能感，提高综合能力及医护对护士长工作的满意度。     

临床护理路径在单病种限价中的应用

目的探讨临床护理路径（CNP）在单病种限价中的作用。方法以CNP为指导，对30例急性单纯性阑尾炎行阑尾切除患者以及30例胆囊结石行腹腔镜胆囊切除患者（CNP组）实施限价管理，并与实施限价前的上述病例各30例（对照组）进行住院时间、住院费用与患者满意度的比较。结果CNP组住院时间及住院费用显著短于和低于对照组（P〈0．05，P〈0．01），患者满意度显著高于对照组（均P〈0．01）。结论在实施单病种限价管理中应用合理的CNP，可明显减低医疗费用，提高患者满意度。     

A systematic review of life satisfaction and related factors among burns patients

This systematic review aimed to examine the life satisfaction and related factors among burns patients. A comprehensive systematic search was conducted at the international electronic databases such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as ‘Burns’, ‘Life satisfaction’, ‘Personal satisfaction’, and ‘Patient satisfaction’ from the earliest to the 1 October 2022. The quality of the studies included in this review was evaluated using the appraisal tool for cross-sectional studies (AXIS tool). A total of 3352 burn patients in the nine cross-sectional studies were included in this systematic review. 70.52% of burn patients were male. The mean age of burn patients was 37.47 (SD = 14.73). The mean score of life satisfaction in burn patients based on SWLS was 23.02 (SD = 7.86) out of 35, based on LSI-A was 12.67 (SD = 4.99) out of 20, and based on the life satisfaction questionnaire was 4.81 (SD = 1.67) out of 7. Factors including time since burn, religion, and constant had a positive and significant relationship with life satisfaction in burn patients. Whereas, factors such as single marital status, age at injury, length of hospital stay, presence of pain, larger total body surface area burn, head and neck burn, functional impairment, family satisfaction, satisfaction with appearance, and previous psychiatric treatment had a negative and significant relationship with life satisfaction in burn patients. In sum, this systematic review showed that burn patients were slightly satisfied with their life. Therefore, health managers and policymakers can improve the quality of life of burn victims by planning psychological counselling and behavioural therapy, and consequently increase their life satisfaction.     

Predictors of patient and surgeon satisfaction after orthopaedic trauma

Introduction

Patient satisfaction has only recently gained attention as an outcome measure in orthopaedics, where it has been reported for joint replacement surgery. Little has been published regarding predictors of patient satisfaction in orthopaedic trauma. This study aims to explore the predictors of patient satisfaction, and of surgeon satisfaction, after orthopaedic trauma.

Materials and methods

Adult patients admitted to hospital with fractures after motor vehicle trauma were surveyed on admission, and at six months. Demographic, injury, socio-economic and compensation-related factors were measured. The two outcomes were satisfaction with progress of the injury, and satisfaction with recovery. The treating surgeons were also surveyed at six months to determine surgeon satisfaction with progress, and recovery (using the same questions), and the presence or absence of fracture union and any complications. Multivariate analysis was used to determine significant predictors of satisfaction for both groups, and satisfaction rates were compared between surgeons and patients.

Results

Of 306 patients recruited, 232 (75.8%) returned completed questionnaires, but only 141 (46.1%) surgeons responded. Patients rated their satisfaction with progress and recovery as 74.6% and 44.4%, respectively, whereas surgeon-rated satisfaction with progress and recovery was significantly higher, at 88.0% and 66.7%, respectively (p < 0.0001).Significant predictors of patient dissatisfaction were: blaming others for the injury, being female, and using a lawyer. Patient-rated satisfaction was not significantly associated with objective injury or treatment factors. The only significant predictor of surgeon dissatisfaction was fracture non-union.

Conclusions

Orthopaedic surgeons overestimated the progress of the injury and the level of recovery compared to patients’ own ratings. Surgeons’ ratings were influenced by objective, treatment-related factors, whereas patients’ ratings were not. Measures of outcome commonly used by orthopaedic surgeons, such as fracture union, do not predict patient satisfaction.

Level of evidence

Level II evidence (prognostic, prospective study).     

基于SBAR沟通模式的标准化床边交接班满意度评价

目的评价患者及护士对标准化床边交接班的满意度。方法选取5个外科护理单元,依据SBAR标准沟通模式实施标准化床边交接班。分别在实施前和实施6个月后调查患者、护士对床边交接班的满意度。结果实施后患者及护士对交班满意度部分条目显著高于实施前(P<0.05,P<0.01)。结论标准化床边交接班的实施,有利于提高患者满意度,保证患者安全。在床边交接班取得积极效果的基础上,护理管理者应关注患者及交接班护士的主观感知,从根本上提高床边交接班质量。     

Comparison of patient satisfaction after redo and primary fundoplications

Background: Although much has been written about the results and patient satisfaction with fundoplication for the treatment of gastroesophageal reflux disease, the reports have focused primarily on surgical successes. With the growing number of fundoplications being performed, more patients are requiring reoperation because of recurrent symptoms or side effects. Reports of success rates for reoperation are available, but information regarding patient satisfaction is limited. Methods: All the patients undergoing fundoplication at our institution were sent short-form health surveys (SF-12), Gastroesophageal reflux disease–specific quality-of-life questionnaires (QOLRAD), and queries regarding long-term satisfaction. Results: Between November 1992 and July 2000, 221 patients (198 primary and 23 redo) underwent fundoplication. There were 19 open cases (3 primary and 16 redo). In the primary group, 173 patients underwent Nissen, 23 underwent Toupet, and 2 underwent Collis fundoplications. In the redo group, 12 patients underwent Nissen, 9 underwent Toupet, 1 underwent Collis, and l underwent Belsey fundoplications. Follow-up surveys were completed for 130 patients (112 primary and 18 redo) at a mean of 32.6 months (range, 0.8–98 months). In the primary group, 87% of the patients were satisfied with their operation, as compared with 75% in the redo group. There was a trend toward higher SF-12 mental scores (46 ± 12 vs 40 ± 14; p = 0.07) and QOLRAD scores (6.2 ± 1.3 vs 5.2 ± 2.0; p = 0.07) in the primary fundoplication group. There was a significant difference in the SF-12 physical scores between the groups (32 ± 13 for the primary group vs 18.5 ± 11 for the redo group; p = 0.0002). Additionally, 61% of the patients in the redo group were again using antireflux medications, whereas only 24% of the patients in the primary group were using medications again. Conclusion: Gastroesophageal reflux disease symptom scores and quality-of-life scores for patients undergoing redo fundoplication are lower than the scores of patients having primary fundoplication. Quality of life is similar between primary and redo fundoplication patients in the mental component. However, redo patients do not do as well physically more than 2 years after surgery. Presented at the Society of America Gastrointestinal Endoscopic Surgeons (SAGES), New York, New York, USA, 13–16 March 2002     

急诊就诊流程满意度调查分析

目的调查患者对急诊就诊流程的满意度,分析该流程的不足,优化急诊就诊流程。方法应用自行设计的急诊就诊流程满意度调查表对急诊就诊的1 425例患者或家属进行调查。结果导诊台、建卡挂号处、分诊台、候诊区、抽血处、输液室设施标识满意率均在70.00%以上;导诊、建卡挂号、分诊等流程等候时间满意率均在70.00%以上;而候诊及使用平车等候时间满意率仅56.56%和57.60%;80.00%以上患者在导诊、建卡挂号、分诊、抽血、输液流程等候时间5min,而27.68%患者候诊时间10min。就诊最不便的流程包括候诊、平车使用、抽血及输液4方面。结论急诊科亟需改善抽血处、候诊区、输液室的设施标识,缩短候诊及平车使用流程的等候时间,大力改进急诊就诊流程不便之处,持续优化急诊就诊流程,以改善人民群众就医体验,提高患者满意度。     

Patient satisfaction with lower gastrointestinal endoscopy: doctors,nurse and nonmedical endoscopists

Aim Assessment of patient satisfaction with lower gastrointestinal endoscopy (LGE) comprising colonoscopy and flexible sigmoidoscopy is gaining increasing importance. We have now trained non healthcare professionals such as nonmedical endoscopists (NMEs) to perform LGE to overcome shortage of trained endoscopists. The aim of this study was to prospectively determine patient satisfaction, factors affecting satisfaction with LGE and to compare with nurses, NME and medical endoscopists, in terms of patient satisfaction. Method Consecutive patients undergoing LGE answered specially developed patient satisfaction questionnaire at discharge and 24 h thereafter. This questionnaire was a modification of m‐Group Health Association of America questionnaire. Construct and face validity of questionnaire were tested by an expert group. Demographic and clinical data was prospectively collected. Multivariate regression analysis was performed to determine factors influencing patient satisfaction. Results Some 503 patients were surveyed after LGE. Examinations were performed by nurse (n = 105), doctor (n = 191), or NMEs (n = 155). There were no differences between three groups in terms of completion rates/complications. No differences were detected between endoscopists in patient rating for overall satisfaction (P = 0.6), technical skills (P = 0.58), communication skills (P = 0.61) or interpersonal skills (0.59). Multivariate regression analysis showed that higher preprocedure anxiety, history of pelvic operations/hysterectomy and higher pain scores were associated with adverse patient satisfaction and preprocedure anxiety, history of hysterectomy and female gender were associated with higher pain scores. Conclusion This study has shown that there are no differences in patient satisfaction with LGE performed by nurse, doctor or NME. The most important factor affecting patient satisfaction is degree of discomfort/pain experienced by patient.     

Postoperative Satisfaction and the Patient’s Body Image,Life Satisfaction,and Self-Esteem: A Retrospective Study Comparing Adolescent Girls and Boys After Cosmetic Surgery

Background Cosmetic surgery procedures are more complex for adolescents than for adults because there are more factors affecting patient satisfaction, especially psychological factors. This study was designed to find answers to four main questions: (1) whether postoperative satisfaction rates differ statistically between males and females, (2) whether postoperative satisfaction correlates significantly with the self-esteem, body image, life satisfaction trilogy, (3) what the postoperative patient satisfaction and cosmetic procedure rates are among adolescents by years, and (4) whether a statistically significant relationship exists between postoperative satisfaction and a willingness of adolescents to undergo another cosmetic surgery. Methods The study enrolled 86 of 165 patients who underwent surgery between January 2001 and June 2005. A simple poll consisting of 12 simple questions was used to collect data. Results No statistically significant difference was found in postoperative satisfaction rates between males and females. The findings show that postoperative satisfaction is significantly related to self-esteem, body image, and life satisfaction. The patient satisfaction rate was 93.83%, and there was no increase in adolescent cosmetic surgery rates over the years. Conclusion Adolescents are good candidates for cosmetic surgery, but patients must be evaluated carefully. Any suspicion about a patient’s psychological status must result in a psychiatric consultation.     

Patient satisfaction of hand therapy services

Study DesignThis study utilized a cross-sectional cohort design that used survey techniques for data collection.IntroductionPatient satisfaction is becoming increasingly important in the health care field; however, it is typically evaluated with the use a single question. Patient satisfaction encompasses numerous aspects that should be considered on evaluation.Purpose of the StudyThe purpose of this study was to determine if the Patient Satisfaction Questionnaire Short Form (PSQ-18) is an appropriate outcome measure to determine patient satisfaction for people receiving hand therapy services and to determine mean satisfaction scores of participants.MethodsParticipants (n = 123) who received hand therapy services from an outpatient hand therapy center and a health care institute were obtained via a convenience sample. The PSQ-18, adapted for hand therapy, was used to assess patient satisfaction.ResultsThe mean satisfaction score was 1.81 (SD = 1.26). The following patient satisfaction subscales were also evaluated: general satisfaction, communication, technical quality, interpersonal manner, time spent with therapists, accessibility and convenience, and financial aspects.DiscussionEighty percent of participants were satisfied with the therapy services they received. Patient satisfaction is complex, involving a multitude of components and thus must be evaluated in a manner that considers its multidimensional aspects.ConclusionThe findings of this study suggest that the PSQ-18 adapted for hand therapy is an appropriate outcome measure to determine patient satisfaction for people receiving hand therapy as it evaluates multiple subscales of the phenomena.