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。     

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。     

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。     

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     

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.     

Predicting Inpatient Dissatisfaction Following Total Joint Arthroplasty: An Analysis of 3,593 Hospital Consumer Assessment of Healthcare Providers and Systems Survey Responses

Background

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, created by the Centers for Medicare and Medicaid, is directly tied to hospital reimbursement. The purpose of this study is to identify factors that are predictive HCAHPS survey responses following primary hip and knee arthroplasty.

配偶干预对男性勃起功能障碍患者的治疗作用

目的探讨配偶干预对男性勃起功能障碍患者的治疗作用。方法选取2015年6月至2017年10月就诊于我院的158例勃起功能障碍患者,随机分为对照组和观察组,对照组患者给予药物治疗并辅助相应的心理治疗,观察组患者在给予药物治疗和心理干预的同时,要求配偶根据既定的实验方案参与治疗。治疗前后分别采用IIEF勃起功能专项评分、勃起功能障碍治疗满意度量表、自尊心及性关系问卷来评价干预效果。结果治疗前,两组勃起功能专项评分、勃起功能障碍治疗满意度,自尊心、总体关系满意度与性关系满意度评分比较,差异无统计学意义(均P 0. 05);治疗后,两组各项评分均较治疗前有所提升,观察组各项指标显著优于对照组(均P 0. 01)。结论配偶干预可有效改善男性勃起功能障碍患者的治疗效果,提高患者治疗满意度,提升患者自尊心以及性关系满意度。     

The ability of ‘family friendly’ organizational resources to predict work–family conflict and job and family satisfaction

The effectiveness of organizational interventions in reducing the adverse consequences of work–family conflict has produced mixed findings. This paper examines the relationship between the use of organizational ‘family friendly’ resources (such as crèche facilities, flexible working hours, and job sharing), with levels of work–family conflict, and job and family satisfaction over time. Using structural equation modelling, these associations were tested in 398 employed men and women who each completed a self‐report questionnaire administered on two occasions. The use of organizational interventions directly predicted increased levels of concurrent (Time 1) work–family interference and increased levels of subsequent (Time 2) job satisfaction. Both organizational interventions and family interventions (i.e. support) positively predicted subsequent family satisfaction. The research demonstrates that the provision of organizational ‘family‐friendly’ practices will produce improved psychological outcomes for employees. Copyright © 2005 John Wiley & Sons, Ltd.     

Satisfaction with joint replacement in public versus private hospitals: a cohort study

Introduction: In Australia, the majority of total knee and hip replacement surgeries occur in the private sector. Outcome-based research needs to be inclusive of this sector if the findings are intended to reflect the broader picture. This study compares outcomes up to 1 year post knee and hip replacement between patients treated in the public and private sectors. Methods: A prospective, observational study was performed in four high-volume joint replacement centres: two public, two private. Experienced orthopaedic surgeons contributed via their public and private practices. Knee and hip patients were recruited preoperatively. Self-reported questionnaires were completed preoperatively and at 6 and 12 months post-operatively. The primary outcome was satisfaction with surgery. Secondary outcomes included Oxford score, and SF-36 physical and mental component summary scores. Regression modelling was performed to adjust for potential confounders. Results: Three hundred and thirty-one patients (184 public, 147 private; 215 knees, 116 hips) were recruited, with 6- and 12-month follow-up rates of 95% and 89%, respectively. Satisfaction rates were high in both public and private patients (approximately 90%) at 6 and 12 months, but private patients were less likely to be satisfied after adjusting for the strong effect of patient expectation. For both hip and knee cohorts, no between-sector differences were found in either the magnitude or rate of improvement in Oxford score or quality of life post-operatively. Discussion: Joint replacement outcomes are similar for patients treated in public and private hospitals. Surgeons should manage patient expectation prior to surgery, particularly in private patients.     

人格因素对正颌患者术后满意度的影响

目的：探讨人格因素对正颌患者术后满意度的影响，为临床治疗提供科学的理论依据。方法：采用16PF、EPQ人格问卷和正颌患者术后满意度问卷对30例正颌患者进行调查分析。结果：16PF人格问卷中，稳定性、感情与机警两因子标准得分与满意度总分之间呈正相关(r=0．375～0．462)，敏感性因子标准得分与满意度总分之间呈负相关(r=-0．379)。EPQ人格问卷中，P量表的标准得分与满意度总分之间呈负相关(r=-0．402)。结论：情绪稳定、自控倾向强的正颌患者较情绪不稳定者易于满意手术结果。     

Workaholism among Norwegian journalists: antecedents and consequences

This study examined correlates of workaholism among 211 Norwegian journalists. Three workaholism types were considered (work enthusiasts, work addicts, enthusiastic addicts) using measures developed by Spence and Robbins (1992). Correlates included a number of personal demographic and work situation characteristics, measures of positive and negative affect, burnout components and absenteeism. Although the three workaholism types were similar on personal and work situation characteristics, work enthusiasts indicated significantly more positive affect and significantly less negative affect, exhaustion and cynicism than one or both of the other workaholism types. The workaholism types did not differ on professional efficacy or absenteeism however. The three workaholism types worked similar hours per week ruling this out as a possible explanation of the findings. Copyright © 2004 John Wiley & Sons, Ltd.     

Analysis of satisfaction after breast reduction comparing vertical scar versus inverted T-shaped technique using the Breast-Q questionnaire. Is patient satisfaction influenced by the amount of tissue removed?

Background: Breast reduction is a procedure with a high rate of patient satisfaction. Many techniques can be used for this type of surgery; patient satisfaction can vary from one technique to another. The main aim of this study was to use Breast-Q for initial evaluation of patient satisfaction after breast reduction by either vertical or inverted-T technique and then determine if the quantity of breast tissue removed had any influence on patient satisfaction.

Methods: Eighty-four out of 288 patients operated on between 2000 and 2013 anonymously completed the post-operative version of Breast-Q Reduction/Mastopexy. Inverted T technique: 55 patients; vertical technique: 29 patients. Statistical significance was set at p?Results: Comparison of mean scores of all Breast-Q scales showed no significant differences between the two techniques. With regard to satisfaction and quantity of removed tissue, statistically significant differences were observed in some scales, with positive correlations in the inverted T and negative correlations in the vertical technique, as more tissue was removed. Back pain is associated with inverted T technique as more tissue was removed.

Conclusions: Both techniques were similar regarding satisfaction. In this study, patients with large resection and high BMI more often had the inverted T technique and were just as happy as those with smaller resections, who more often had the vertical techniques.     

A comparison of quality and satisfaction experiences of patients attending chiropractic and physician offices in Ontario

Introduction:

Improving the quality of healthcare is a common goal of consumers, providers, payer groups, and governments. There is evidence that patient satisfaction influences the perceptions of the quality of care received.

Methods:

This exploratory, qualitative study described and analyzed, the similarities and differences in satisfaction and dissatisfaction experiences of patients attending physicians (social justice) and chiropractors (market justice) for healthcare services in Niagara Region, Ontario. Using inductive content analysis the satisfaction and dissatisfaction experiences were themed to develop groups, categories, and sub-categories of quality judgments of care experiences.

Results:

Study participants experienced both satisfying and dissatisfying critical incidents in the areas of standards of practice, professional and practice attributes, time management, and treatment outcomes. Cost was not a marked source of satisfaction or dissatisfaction.

Conclusion:

Patients may be more capable of generating quality judgments on the technical aspects of medical and chiropractic care, particularly treatment outcomes and standards of practice, than previously thought.