Patient Satisfaction in Postanesthesia Unit: Matched Study Participant Methodology
DOI:
https://doi.org/10.1891/WFCCN-D-20-00024Keywords:
patient satisfaction, postanesthesia unit, nurse–patient matched analysis, perioperative settingAbstract
Objectives: The aim of this study is to determine patient satisfaction compared to nurse perception of patient satisfaction in Peri-anesthesia unit.
Background: In 2014 American Society of Anesthesiology published guidelines stating standards for care for hypervigilance during perioperative patient assessments. Other policy publications focus on equipment and practices in this clinical setting. However, none of these sources provide an account of patient experience.
Methods: This is a Prospective, convenience paired matched sampling study using Three multichoice questionnaires were distributed to patients and nurses in this unit. Both nurse and patient questionnaires were distributed simultaneously and paired.
Results: 200 patients and total staff 30 nurses, 26 participated in the study-response rate 87%. Patients' perception showed highest level of satisfaction in nurses' listening. The nurses rated patients' satisfaction with communication and environmental conditions highest compared to other categories. The only significant difference between the nurses and patients' perceptions was in specific symptom communication, patients rated this lower satisfaction compared to nurses ranking this domain.
Conclusion: In conclusion, similarity was found between nurses' and patients' ratings. This knowledge is relevant in raising awareness that nurses should be more vigilant evaluating and inquiring about peri-operative patients' symptoms.
References
Akhtar, Z., Hesler, B. D., Fiffick, A. N., Mascha, E. J., Sessler, D. I., Kurz, A., Ayad, S., & Saager, L. (2016). A randomized trial of prewarming on patient satisfaction and thermal comfort in outpatient surgery. Journal of Clinical Anesthesia, 33, 376–385. https://doi.org/10.1016/j.jclinane.2016.04.041
Apfelbaum, J., Silverstein, J., Chung, F., Connis, R. T., Fillmore, R. B., Hunt, S. E., Nickinovich, D. G., Schreiner, M. S., Silverstein, J. H., Apfelbaum, J. L., Barlow, J. C., Chung, F. F., Connis, R. T., Fillmore, R. B., Hunt, S. E., Joas, T. A., Nickinovich, D. G., & Schreiner, M. S. (2013). Practice guidelines for postanesthetic care an updated report by the American society of anesthesiologist's task force on postanesthetic care. Anesthesiology: The Journal of the American Society of Anesthesiologists, 118(2), 291–307. https://doi.org/10.1097/ALN.0b013e31827773e9
Arias-Botero, J., & Padrón-Mercado, C. (2017). Portrayal of the performance of the post-anesthesia care unit, based on the perception of the professional nursing staffs. Revista Colombiana de Anestesiología, 45, 16–23. https://doi.org/10.1016/j.rcae.2017.09.008
Coluzzi, F., Bragazzi, L., Di, E., Pizza, G., & Mattia, C. (2011). Determinants of patient satisfaction in postoperative pain management following hand ambulatory day-surgery. Minerva Medical, 102(3), 177–186.
Guerzon, I., Martin, D., Vy, S., DeSilva, R., Seabra, T., Mascetta, A., Reidy, P., Buranasombati, G., & PI, J. A. (2019). Increasing patient satisfaction by decreasing turnaround time for lab results. Journal of PeriAnesthesia Nursing, 34(4), e23. https://doi.org/10.1016/j.jopan.2019.05.061
Lambert, L. H. (2018). Improved anesthesia handoff after implementation of the written handoff anesthesia tool (WHAT). AANA Journal, 86(5), 361–370.
Ministry of Health Singapore. (2015). Yearly survey. https://www.moh.gov.sg/news-highlights/details/2015-survey-of-patient-satisfaction-with-public-healthcare-institutions
Morgan, K., & Stiglianese, C. (2018). Operation: Shhh! reducing noise in the PACU. Journal of PeriAnesthesia Nursing, 33(4), e3–e4. https://doi.org/10.1016/j.jopan.2018.06.011
Royal Melbourne Children's Hospital; Australia. (2019). https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/
Segall, N., Bonifacio, A., Schroeder, R., Barbeito, A., Rogers, D., Thornlow, D. K., Emery, J., Kellum, S., Wright, M. C., Mark, J. B., & Durham, V. A. (2012). Can we make postoperative patient handovers safer? A systematic review of literature. Anesthesia & Analgesia, 115(1), 102–115. https://doi.org/10.1213/ANE.0b013e318253af4b
Suhonen, R., Papastavrou, E., Efstathiou, G., Tsangari, H., Jarosova, D., Leino-Kilpi, H., Patiraki, E., Karlou, C., Balogh, Z., & Merkouris, A. (2012). Patient satisfaction as an outcome of individualised nursing care. Scandinavian Journal of Caring Sciences, 26(2), 372–380. https://doi.org/10.1111/j.1471-6712.2011.00943.x
Suter, E., Arndt, J., Arthur, N., Parboosingh, J., Taylor, E., & Deutschlander, S. (2009). Role understanding and effective communication as core competencies for collaborative practice. Journal of Intrapersonal Care, 23(1), 41–51. www.splashcap.com/JCAHO_2006-NPSG-3D.pdf(2009)
TorresS.Impact of hand-off communication on fall reduction in an inpatient settinghttps://gradworks.umi.com/33/69/3369479.html (2009, accessed15 September 2019)
Von Elm, E., Altman, D., Egger, M., Pocock, J. S., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Annals of Internal Medicine, 147(8), 573–577. https://doi.org/10.7326/0003-4819-147-8-200710160-00010
YouM., AikenL., Sloane et al. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), 154–161.
Ziffra, D., Acousta, N., & Feniza, E. (2017). New day surgery unit: Patient centered care. Journal of PeriAnesthesia Nursing, 32(4), e13–e14. https://doi.org/10.1016/j.jopan.2017.06.063
