The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996).
For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000).
Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013).
The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019).
The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
A document prepared by Dr. Mustafa Salih, the former director of the Directorate General of Health Policy, planning and research at the Federal ministry of Health in Sudan.
The issue of medical aliteracy has drawn both scholars and medical practitioners’ attention in the recent years. The negative cost of medical aliteracy has continued to constitute major threats to health related issue which has resulted in high mortality rate, high medical expenditure and medical underperformance among others. On this premise the study examined the influence of medical aliteracy among senior medical personnel. The study employed descriptive research design and Chi-Square to test the research hypotheses. A total number of 50 questionnaires were designed to collect information from the sampled population through a random sampling. From the result of the analysis it was revealed that factors such as ineffective supervision of medical personnel, low patient literacy level, lack of personnel-patients engagement could lead to medical aliteracy among senior medical personnel. Senior medical personnel have the knowledge of medical aliteracy and its implications on for medical personnel and the public. Medical aliteracy has an implication on health sector performance which includes increase in mortality rate, increase health expenditure, widening of the gap between patients – medical personnel communication among others. Perception of medical aliteracy has significant influence on medical personnel performance. The study concluded that, medical aliteracy is prevalent among medical personnel and patients and is associated with many poor medical outcomes in the health sector. It was however recommended that medical literacy training, schemes and programmes should be designed according to the needs of the different medical personnel and should therefore be included in medical professional training programs.
A document prepared by Dr. Mustafa Salih, the former director of the Directorate General of Health Policy, planning and research at the Federal ministry of Health in Sudan.
The issue of medical aliteracy has drawn both scholars and medical practitioners’ attention in the recent years. The negative cost of medical aliteracy has continued to constitute major threats to health related issue which has resulted in high mortality rate, high medical expenditure and medical underperformance among others. On this premise the study examined the influence of medical aliteracy among senior medical personnel. The study employed descriptive research design and Chi-Square to test the research hypotheses. A total number of 50 questionnaires were designed to collect information from the sampled population through a random sampling. From the result of the analysis it was revealed that factors such as ineffective supervision of medical personnel, low patient literacy level, lack of personnel-patients engagement could lead to medical aliteracy among senior medical personnel. Senior medical personnel have the knowledge of medical aliteracy and its implications on for medical personnel and the public. Medical aliteracy has an implication on health sector performance which includes increase in mortality rate, increase health expenditure, widening of the gap between patients – medical personnel communication among others. Perception of medical aliteracy has significant influence on medical personnel performance. The study concluded that, medical aliteracy is prevalent among medical personnel and patients and is associated with many poor medical outcomes in the health sector. It was however recommended that medical literacy training, schemes and programmes should be designed according to the needs of the different medical personnel and should therefore be included in medical professional training programs.
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
Background:
Heart failure is a major public health problem, and self-management is the primary approach to control the progression of heart failure. The low research participation rate among rural patients hinders the generation of new evidence for improving self-management in rural heart failure patients.
Purpose:
The purpose of this study is to identify the barriers and strategies in the recruitment and retention of rural heart failure patients in behavioral intervention programs to promote self-management adherence.
Method:
This is a descriptive study using data generated from a randomized controlled trial.
Results:
Eleven common barriers were identified such as the inability to perceive the benefits of the study, the burden of managing multiple comorbidities, and the lack of transportation to appointments. Possible gateways to improve recruitment and retention include using recruiters from the local community and promoting provider engagement with research activities. Multiple challenges inhibited rural heart failure patients from participating in and completing the behavioral intervention study.
Conclusion and implications:
Anticipation of those barriers, and identifying strategies to remove those barriers, could contribute to an improvement in the rural patients’ participation and completion rates, leading to the generation of new evidence and better generalizability of the evidence.
Evaluations of and Interventions for Non Adherence to Oral Medications as a P...NiyotiKhilare
The focus of this presentation will be medical non-adherence as a psychosocial issue in diabetes. The presentation will also focus elaborately on empowerment as an intervention amongst other interventions.
Συχνότερα χρόνια νοσήματα, καταστάσεις υγείας, συχνότερα συμπτώματα στην κοιν...Evangelos Fragkoulis
Σεμινάριο εισαγωγής στην ΠΦΥ- Εκπαιδευτικό πρόγραμμα ειδικευόμενων Γενικών Οικογενειακών Ιατρών σε συνεργασία με το Τμήμα Πολιτικών Δημόσιας Υγείας του Πανεπιστημίου Δυτικής Αττικής
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docxtoltonkendal
Running head: STRATEGIC PLAN FOR CHANGE
1
STRATEGIC PLAN FOR CHANGE
2
Strategic Plan for Change
Jennifer Zimmerman
Walden University- NURS 6201
December 29, 2017
Improving Patient Experience who are Undergoing Chemotherapy from an Outpatient setting to an Inpatient Setting
1.
Introduction and Statement of the Problem
1.1.
What is the problem?
Outpatient chemotherapy sessions are sufficient in most organizations, especially for those receiving curative intent chemotherapy (Davidoff et al. 2013). The patients who meet the set criteria end up receiving supportive care post induction chemotherapy, as well as different cycles as other outpatients. Outpatient management can be made safe and the transition to inpatient more efficient, which is considered a challenge for most healthcare organizations. The problem at hand in this section has been adequately analyzed, which involves the transition of patients receiving chemotherapy from outpatient to inpatient in healthcare facilities.
1.2.
Why is it important enough to warrant a change?
Outpatient care especially for most patient has become a familiar concept that is driven by increased healthcare costs and more so, the increased demand for existing inpatient resources in different organizations (Joana et al. 1987). Improved supportive care in inpatient is also another reason for the need to embrace the transition, and patient wishes to spend the least amount of time, especially in waiting for service delivery in the outpatient setting. With these concepts in mind, it is important enough to warrant a change. Patient satisfaction ought not to be ignored in different healthcare organizations. There is a need to, therefore, be on the forefront in enhancing adequate care, and embracing inpatient plans for the chronically ill patients.
1.2.1.
Scholarly Reference #1
Joana, L., Mary, H., Alan, M., Andrew, B., & Steven, C., (1987). Case Mix and Changes in inpatient and outpatient chemotherapy. PubMed 8(4): 65-71.
In most healthcare settings, the therapy provided in outpatient has been associated with substantial tumors, chemotherapy involving high doses, and then followed by autologous stem cell transplantation. Outpatient administration of consolidation cycles has been reported, which emphasizes the major problem in this scholarly soured. According to the authors, the transition to inpatient to outpatient care should be considered and priority to solve the efficiency problems at hand.
1.2.2.
Scholarly Reference #2
Hayes, J. (2014). The theory and practice of change management. Palgrave Macmillan.
This source deals with theory and practice of change management. Change management is an adequate practice in the healthcare setting. There is a need for all healthcare organizations to be at the forefront to ensure that healthcare, both inpatient and outpatient are realized. The source provides and explains outpatient inefficiency for chronic patients as the worst problem in the medical profession. Th ...
Enhancing the quality of life for palliative care cancer patients in Indonesi...UniversitasGadjahMada
Palliative care in Indonesia is problematic because of cultural and socio-economic factors. Family in Indonesia is an integral part of caregiving process in inpatient and outpatient settings. However, most families are not adequately prepared to deliver basic care for their sick family member. This research is a pilot project aiming to evaluate how basic skills training (BST) given to family caregivers could enhance the quality of life (QoL) of palliative care cancer patients in Indonesia. The study is a prospective quantitative with pre and post-test design. Thirty family caregivers of cancer patients were trained in basic skills including showering, washing hair, assisting for fecal and urinary elimination and oral care, as well as feeding at bedside. Patients’ QoL were measured at baseline and 4 weeks after training using EORTC QLQ C30. Hypothesis testing was done using related samples Wilcoxon Signed Rank. A paired t-test and one-way ANOVA were used to check in which subgroups was the intervention more significant. The intervention showed a significant change in patients’ global health status/QoL, emotional and social functioning, pain, fatigue, dyspnea, insomnia, appetite loss, constipation and financial hardship of the patients. Male patient’s had a significant effect on global health status (qol) (p = 0.030); female patients had a significant effect on dyspnea (p = 0.050) and constipation (p = 0.038). Younger patients had a significant effect in global health status/ QoL (p = 0.002). Patients between 45 and 54 years old had significant effect on financial issue (p = 0.039). Caregivers between 45 and 54 years old had significant effect on patients’ dyspnea (p = 0.031). Thus, it is concluded that basic skills training for family caregivers provided some changes in some aspects of QoL of palliative cancer patients. The intervention showed promises in maintaining the QoL of cancer patients considering socioeconomic
and cultural challenges in the provision of palliative care in Indonesia.
Background:
Heart failure is a major public health problem, and self-management is the primary approach to control the progression of heart failure. The low research participation rate among rural patients hinders the generation of new evidence for improving self-management in rural heart failure patients.
Purpose:
The purpose of this study is to identify the barriers and strategies in the recruitment and retention of rural heart failure patients in behavioral intervention programs to promote self-management adherence.
Method:
This is a descriptive study using data generated from a randomized controlled trial.
Results:
Eleven common barriers were identified such as the inability to perceive the benefits of the study, the burden of managing multiple comorbidities, and the lack of transportation to appointments. Possible gateways to improve recruitment and retention include using recruiters from the local community and promoting provider engagement with research activities. Multiple challenges inhibited rural heart failure patients from participating in and completing the behavioral intervention study.
Conclusion and implications:
Anticipation of those barriers, and identifying strategies to remove those barriers, could contribute to an improvement in the rural patients’ participation and completion rates, leading to the generation of new evidence and better generalizability of the evidence.
Evaluations of and Interventions for Non Adherence to Oral Medications as a P...NiyotiKhilare
The focus of this presentation will be medical non-adherence as a psychosocial issue in diabetes. The presentation will also focus elaborately on empowerment as an intervention amongst other interventions.
Συχνότερα χρόνια νοσήματα, καταστάσεις υγείας, συχνότερα συμπτώματα στην κοιν...Evangelos Fragkoulis
Σεμινάριο εισαγωγής στην ΠΦΥ- Εκπαιδευτικό πρόγραμμα ειδικευόμενων Γενικών Οικογενειακών Ιατρών σε συνεργασία με το Τμήμα Πολιτικών Δημόσιας Υγείας του Πανεπιστημίου Δυτικής Αττικής
Running head STRATEGIC PLAN FOR CHANGE1STRATEGIC PLAN FOR.docxtoltonkendal
Running head: STRATEGIC PLAN FOR CHANGE
1
STRATEGIC PLAN FOR CHANGE
2
Strategic Plan for Change
Jennifer Zimmerman
Walden University- NURS 6201
December 29, 2017
Improving Patient Experience who are Undergoing Chemotherapy from an Outpatient setting to an Inpatient Setting
1.
Introduction and Statement of the Problem
1.1.
What is the problem?
Outpatient chemotherapy sessions are sufficient in most organizations, especially for those receiving curative intent chemotherapy (Davidoff et al. 2013). The patients who meet the set criteria end up receiving supportive care post induction chemotherapy, as well as different cycles as other outpatients. Outpatient management can be made safe and the transition to inpatient more efficient, which is considered a challenge for most healthcare organizations. The problem at hand in this section has been adequately analyzed, which involves the transition of patients receiving chemotherapy from outpatient to inpatient in healthcare facilities.
1.2.
Why is it important enough to warrant a change?
Outpatient care especially for most patient has become a familiar concept that is driven by increased healthcare costs and more so, the increased demand for existing inpatient resources in different organizations (Joana et al. 1987). Improved supportive care in inpatient is also another reason for the need to embrace the transition, and patient wishes to spend the least amount of time, especially in waiting for service delivery in the outpatient setting. With these concepts in mind, it is important enough to warrant a change. Patient satisfaction ought not to be ignored in different healthcare organizations. There is a need to, therefore, be on the forefront in enhancing adequate care, and embracing inpatient plans for the chronically ill patients.
1.2.1.
Scholarly Reference #1
Joana, L., Mary, H., Alan, M., Andrew, B., & Steven, C., (1987). Case Mix and Changes in inpatient and outpatient chemotherapy. PubMed 8(4): 65-71.
In most healthcare settings, the therapy provided in outpatient has been associated with substantial tumors, chemotherapy involving high doses, and then followed by autologous stem cell transplantation. Outpatient administration of consolidation cycles has been reported, which emphasizes the major problem in this scholarly soured. According to the authors, the transition to inpatient to outpatient care should be considered and priority to solve the efficiency problems at hand.
1.2.2.
Scholarly Reference #2
Hayes, J. (2014). The theory and practice of change management. Palgrave Macmillan.
This source deals with theory and practice of change management. Change management is an adequate practice in the healthcare setting. There is a need for all healthcare organizations to be at the forefront to ensure that healthcare, both inpatient and outpatient are realized. The source provides and explains outpatient inefficiency for chronic patients as the worst problem in the medical profession. Th ...
A study on patient satisfaction with special reference to government hospital...Tapasya123
In this study researchers analyse the satisfaction level of patients regard to facilities
available in government hospitals. A sample of 100 patients is taken from Pandit Brij
Sundar Shama Government General Hospital (GGH) at Bundi District in the state
of Rajasthan in India. Four dimensions of perceived quality were identified—Admission
Procedure, Diagnostic Services, Behaviour of the staff, Cleanliness. The developed
scale is used to evaluate perceived quality at a range of various types of facilities
for patients. Perceived quality at public facilities is only marginally favourable, leaving
much scope for improvement. Better staff and physician relations, interpersonal skills,
good diagnostic and cleanliness service can improve the level of satisfaction among
employees.
Keywords:
113DNP Prospectus Comment by Cynthia Fletcher Th.docxherminaprocter
1
13
DNP Prospectus Comment by Cynthia Fletcher: This is a good beginning Ann Marie. There are many areas that we will discuss at our meeting to improve clarity and congruence with a DNP Project.
Educating Inpatient Nurses to use Standardized Care Plans
Anne Marie Wouapet
Doctor of Nursing Practice – Nursing Informatics
A00505587
Prospectus: Educating Inpatient Nurses to use Standardized Care Plans
Problem Statement
Standardized care plans can be described as the pre-determined menu of interventions which are used for different patient situations (Monsen, Swenson & Kerr, 2016). Evidence-based care is the conscientious use of the most recent evidence to make decisions on the care of individual patients or in the delivery of health care services (Murdaugh, Parsons & Pender, 2018). The current best evidence is the most recent information which has been obtained from valid and relevant research about the effects of different types of healthcare, the accuracy of diagnostic tests, the potential for harm from exposure to different agents, or predictive power of prognostic factor (Schmidt & Brown, 2017). Standardized care plans form the main basis for the implementation of evidence-based care directly in practice and for the improvement of patient outcomes (Nussbaum et al., 2015; Yehuda & Hoge, 2016). A health care facility recently transitioned to the use of a new and better electronic health record system. The facility also purchased standardized care plans to increase efficiency in their operations. However, the compliance with using the standardized care plans was only 40 percent among the inpatient nurses. Comment by Cynthia Fletcher: ?Comment by Cynthia Fletcher: Questionable purpose.Comment by Cynthia Fletcher: Was it different for those who were not inpatient nurses?
Accordingly, the facility recently had a visit from the Joint Commission on Accreditation of Healthcare Organizations and received a negative rating because the nurses were not adding care plans based on the patients' primary problem or diagnosis in the patients' charts upon admission. This presents several specific problems in the healthcare facility. There is poor compliance from the nurses concerning the addition of standardized care plans to the charts of patients based on their diagnosis or primary problem(s). The system which the facility invested in was not being used for the improvement of patient outcomes and quality of care delivered. The focus of this project is the failure of inpatient nurses to make use of standardized care plans. The gap in nursing is the failure of delivery of evidence-based practice using the standardized care plans which result in poor patient outcomes and quality of life. One of the areas of knowledge that has not yet been explored is the cause of low rates of adoption of standardized care plans by nurses. Another gap is the lack of studies on nurses’ perception of the standardized care plans and how they affect their use in .
knowledge of health care professionals regarding medico-legal aspects and its...Anil Haripriya
knowledgeable about medical legal aspects and informed consent but when it came to actual objectives of consumer protection act and methods of filing cases their knowledge was satisfactory. So, medical health professionals need to update their understanding on consumer protection act and its amendments to be on a legally safer side.
Running head PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJEC.docxjeanettehully
Running head: PLANNING STAGE 2-(DESIGN PHASE) OF A RESEARCH PROJECT 1
PLANNING STAGE 2- (DESIGN PHASE) OF A RESEARCH PROJECT 8
Planning Stage 2- (Design Phase) of a Research Project
Student name
Florida National University
Planning Stage 2- (Design Phase) of a Research Project
Heart failure is one of the most common types of chronic conditions among the elderly, which results into increased readmissions globally. This statistic is attributable to poor coordination and communication in the transition care settings. The various care settings include skilled nursing facilities, acute-care hospitals, long-standing care facilities and ambulatory stay (Naylor et al., 2017). This research paper is aimed at investigating the reason for poor continuity of care in transition care facilities. A detailed literature review was performed regarding the standard of care in such settings for patients with heart failure. The research methodologies used include case study methods, interviews, and administration of questionnaires. Probability and non-probability methods including stratified sampling and convenience sampling were used as the sampling methodologies. The necessary tools for data collection include questionnaires, interviews, schedules and observation techniques. In addition, an algorithm was created during this design phase. Thus, an insight into the design phase is sought and discussed herein.
Literature Review
Heart failure is a prolonged condition that has been highlighted as one of the top causes of public health complications in the world. The American Journal of Accountable care provides detailed information on heart failure as a public health problem. According to this journal, there are numerous causes of readmission of patients undergoing the transition care model (A Literature Review of Heart Failure Transitional Care Interventions, 2019). The journal highlights various issues, such as early discharge, poor management of underlying problems, poor coordination among key stakeholders and early discharge of patients as the major causes of readmission. All such issues can, however, be prevented and thus this research will discuss some of the coping methods. In addition, the US medical beneficiaries discuss the quality and safety in the transition care model (Teno et al. , 2018). Some of the beneficiaries state their experiences following being admitted into the transition care model. This article complements the previous article by adding real life case study analysis of patients who have been previously admitted to the transition care. Further, interviews of clinicians working in the transition care model are highlighted with an explanation of failure to conduct follow up visits of particular patients.
The American Journal of Public Health explores the affordability of the transition care and the quality of care that some patients can be able to afford. The article has explored the ...
Determine the Patients' Satisfaction Concerning In-hospital Information Progr...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care.
Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice
Integrative Health Care Shift Benefits and Challenges among Health Care Profe...ijtsrd
Nurses play an important role in supporting patients with any illness who often seek information regarding alternative therapy. Within their scope of practice, it is expected that nurses have sufficient knowledge about the safety and effective use of alternative therapies, and positive attitudes toward supporting patients who wish to use such therapies. An alternative therapy refers to the health treatments which go along with the medical care, and it is based on natural and traditional methods. It includes natural therapies, herbal medicines yoga, aromatherapy, batch flower medicines, spiritual therapies etc. They offer people the chance to try therapies outside of their standard medical care. These treatment methods are totally different from allopathic medical practices. An evaluative approach with one group pre test, post test design was used for this study. The study was conducted in selected rural areas of Tamilnadu. The samples comprised of 600 health professionals. Convenient sampling technique was used to select the samples. Data was collected using structured knowledge questionnaire before and after administering the structured health education program. The study proved their knowledge improved remarkably after administering the education. The findings of the study support the need for providing information to improve the knowledge of the health professionals regarding complementary therapies in the perspectives of integrating health care shift towards alternative therapies. So the findings have also proved that the information booklet was effective in terms of gain in knowledge scores. Dr. Pushpamala Ramaiah | Dr. Sahar Mohammed Aly | Dr. Afnan Abdulltif Albokhary ""Integrative Health Care Shift- Benefits and Challenges among Health Care Professionals"" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-2 , February 2020,
URL: https://www.ijtsrd.com/papers/ijtsrd30044.pdf
Paper Url : https://www.ijtsrd.com/medicine/nursing/30044/integrative-health-care-shift--benefits-and-challenges-among-health-care-professionals/dr-pushpamala-ramaiah
Similar to Patients' satisfaction towards doctors treatment (20)
Patients' satisfaction towards doctors treatmentmustafa farooqi
The mood of the care recipient to see if the impression (expectations) of service are met by the patient may be defined as patient satisfaction. The current perspective on service efficiency tends to be that patient treatment meets public standards and requirements in terms of interpersonal support as well as professional assistance. (Hardy et al. 1996). For various reasons, customer satisfactions in the healthcare industry have been investigated. First it was important to decide on the extent and the degree to which patient care seekers, the meeting of drugs criteria and the continuous use of these services have effect, satisfaction as a quality of service metric, as well as allowing doctors and health services to better appreciate and use the input of the patient. (Ong et al. 2000). Consumer satisfaction with healthcare services is a multi-panel term that refers to the core facets of treatment and suppliers, while PS medical services with the quality enhancement systems from the patient context, full control of quality and the intended outcomes of services are considered to be of primary importance (Janicijevic et al. 2013). The Pakistani health system is being changed somewhat and there are wonderful scope for applying standard of services to health care. Patients in Pakistan now have access to increased quality health care. Obviously, the staff and staff are the most important winners of a successful health care environment of every community sector framework (Bakari et al. 2019). The medical clinic of today's study is the product of a long and complicated war of civilization to quantify produce and study and to give thought to the thoughtful (Fullman et al. 2017).
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
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2. Introduction
■ The mood of the care recipient to see if the impression (expectations) of service
are met by the patient may be defined as patient satisfaction. The current
perspective on service efficiency tends to be that patient treatment meets public
standards and requirements in terms of interpersonal support as well as
professional assistance. (Hardy et al. 1996).
■ For various reasons, customer satisfactions in the healthcare industry have
been investigated. First it was important to decide on the extent and the degree
to which patient care seekers, the meeting of drugs criteria and the continuous
use of these services have effect, satisfaction as a quality of service metric, as
well as allowing doctors and health services to better appreciate and use the
input of the patient. (Ong et al. 2000).
3. ■ Consumer satisfaction with healthcare services is a multi-panel term that refers
to the core facets of treatment and suppliers, while PS medical services with the
quality enhancement systems from the patient context, full control of quality and
the intended outcomes of services are considered to be of primary importance
(Janicijevic et al. 2013).
■ The Pakistani health system is being changed somewhat and there are
wonderful scope for applying standard of services to health care. Patients in
Pakistan now have access to increased quality health care. Obviously, the staff
and staff are the most important winners of a successful health care
environment of every community sector framework (Bakari et al. 2019).
■ The medical clinic of today's study is the product of a long and complicated war
of civilization to quantify produce and study and to give thought to the thoughtful
(Fullman et al. 2017).
4. ■ When the roles and components of an emergency clinic have been thoroughly
understood, a fundamental aspect of the general public whose ability is required
to provide adequate health care and mitigation insurance for the dependent
community and whose institutional outpatient can bind the household in its
home condition. In general, the clinic can thoroughly judge the quantity of beds,
the techniques, structural innovations and equipment forms, the scale of the
financial cap, etc on a structured nonmental basis, but the true means for
auditing the patient never respond to those factual numbers. (Wells et al. 2002).
■ Patient satisfaction represents the patient's perceived need, health system
preferences and hospital experience. This multidimensional definition covers
both medical and non-medical healthcare elements. Different theories have
been written on patient satisfaction in healthcare. The following hypotheses
contain perceptions, beliefs and previous expectations surrounding treatment in
order to affect the happiness of a patient and the second is the philosophy of
quality health care, which stresses that the interpersonal healthcare process
plays an integral role in the guarantee of satisfaction of the patient. (Williams et
al. 1994).
5. ■ The literary analysis highlights many aspects which could influence the
satisfaction of patients. These determinants may be linked either to the provider
or to the patient. Such considerations pertaining to providers include the
proficiency and expertise of medical practitioners and interpersonal contact,
hospital personnel attitudes, access to critical resources and facilities. The
socio-demographic aspects of the case, the stage and patients' level of faith and
a sense of participation in the option on their own treatment are patient-related
influences. (Mumtaz, S. 2000).
■ The patient in contemporary life is more informed of, trained, accessed and
expected by the health system. Therefore, resolving concerns relating to service
provision in this sense is today more relevant than ever before. A patient with a
positive perception is more likely to produce positive effects. Where unpleasant
behavior in the patient and the unhappiness of health care leads to low
compliance and in serious situations, patients use a weak word of mouth to
deter others from accessing healthcare. Studies have shown that people have
not visited their local primary health centres in Africa except for serious disease
due to perceived inadequate standard of treatment. (Nieder et al. 2006).
6. ■ While several surveys were performed in Pakistan with respect to patient
satisfaction, this survey was conducted with the intention of researching another
primary field in medical facilities, i.e. outpatient hospital department. (OPD). This
research focused on particular fields, including emergency department, daycare
or family medicine. Therefore a Lahore tertiary level hospital with references to
the doctor-patient-interaction registration desk, waiting area and general health
facilities were chosen for this analysis with the goal of assessing the level of
patient satisfaction against OPD services. The study findings would be helpful in
instituting effective action for hospital administration and health care system
management at various levels (Memon et al. 2013).
■ Quality in healthcare is a worldwide epidemic. The primary goal of health
services is to provide patient care and enhance population health status. The
variety of health services varies considerably from country to nation. The
additional health systems are impacted by national and local health issues in
general and continually changing, their attitude of need and available funding.
History indicates that healthcare in recent years has experienced numerous
shifts in terms of societal requirements and access to services and technology.
(Smith et al. 2007).
7. Research Questions
■ Is patients are satisfied with the health care process?
■ Is patients are satisfied with the treatment of doctors?
■ Is patients are satisfied with the behavior of doctors?
■ Is patients can be satisfied with the information & communication regarding
healthcare services?
8. Objectives
■ To examine the behavior of the doctor is good and friendly.
■ To examine the basic satisfaction of the patients towards doctors treatment.
■ To examine those doctors should thoroughly explain the reasons for any medical
test.
■ To draw conclusions from this study with ultimate objective of improving the
doctors treatment towards their patients.
9. Hypothesis of the study
■ There would be a significant effect of doctor treatment on patient’s satisfaction.
■ There would be a significant effect of doctor behavior on patient satisfaction.
■ There would be a significant effect of care and cost on patient satisfaction.
10. Literature Review
■ Memon et al., (2017) In order to ensure better outcomes of the medical consultation,
respecting the patient's views on doctor's advice implementation is important. Therapy
conformity is a crucial determinant of effective therapy. The authors considered this to be
a grave lack of analysis. The research aimed to establish the degree and determinants of
failure to comply with the advice of the doctor amongst study participants. A descriptive
cross-section study of 230 subjects suffering from different diseases was carried out in the
present population. Patients were recorded by way of a comfort study. On pre-structured
Performa the data have been stored. The details contain concerns about the conformity of
patients with doctoral consultations, which may be preventive, prime and therapeutic. The
average interviewees were 36.6 ± 7.4 years. In 31,2% of the subjects, the average
adherence of doctors was shown. The care advice enforcement was 35.8 percent; 29.5
percent for primitive wellness advice and 28.4 percent for preventive illness advice. In
contrast to consultants, there were 70% of total compliance, which is 26.4 percent. There
was a significant association between compliance and older age (p= 0.02), non-infective
illness (p=0.04), disease severity (p=0.01), oral route of administration (p=0.00) and a
shorter duration of illness (p=0.00). However the effects of gender compliance were
statistically marginal. This research found that the inability to cooperate with doctor
therapy is a significant health concern and should be viewed as a latent disease risk
factor. In non-communicable diseases, compliance with physician guidance was more
popular compared with communicable diseases. Moreover, fear of adverse outcomes and
high care costs were two primary factors for non-compliance with medication.
11. ■ Lim et al., (2016) This analysis is based on prior studies focused on the relationship
among doctors and patients with elderly cancer; the research is also focused on the
derogatory attitudes and oppressive actions of doctors to the elderly, so that we can
recommend ways to decrease ageism. Sequent use was made of a qualitative
approach and a quantitative method. In this report, we interviewed 8 doctors in detail
and subsequently performed 274 surveys. The questions from the in-depth interview
were clustered according to meaningful facts and in the explanation statistical
analyses and t-testing combined using PASW statistics 18 the survey results were
analysed. The following is found by in-depth interviews: Doctors hardly alert elderly
patients with cancer directly; patients' relatives do not do so; doctors even display
differing attitudes or derogatory behaviour towards the elderly. Based on the
comprehensive findings of the interviews, questions were created and conducted in
the form of a survey about diagnostics notification and how to describe the procedure.
Just 8.4% of doctors reported notifying the Elderly cancer patient specifically through
the study, and reported giving less detail to elderly people about care, side effects,
prediction and medical expenses than mid-aged patients. This study has not only
established prejudice against patients with elderly cancer, but has also demonstrated
the reasons behind it. To overcome the phenomenon, doctors should understand the
variations and heterogeneity in physiological processes independently and should be
mindful of the psychological transition to interact with them after the cancer diagnosis
better. The mentality of the social family that over-protects the aged still needs to be
improved.
12. ■ Samra et al., (2015) While studies in government and charitable organisations claim that
negative staff attitudes towards the elderly which lead to unequal treatment for the elderly
relative to younger patients (those under 65 years old), these attitudes have not been
identified in depth in the research paper. Twenty-five semi-structured medical and hospital
doctor interviews took place in the United Kingdom's acute education hospital. In line with
the psychological literature on the meanings of attitudes (affective, cognitive and
behavioural information) participants were asked about their values, feelings, and
behavioural tendencies towards older people. There was a thematic review of the details.
Attitudes about and the treatment of older patients may be conceptualised in: I the belief
on the elderly; (ii) the special needs of elderly patients and the expertise available to care
for them. In comparison to older people generally, our results established prevalent
attitudes and assumptions unique to older patients. Elderly patients had special treatment
needs. Usually, the participants identified negative feelings about the care of older
patients, but the causes of frustration contribute primarily to the operational environment
and framework from which these patients undergo medication. This project was one of the
first in-depth efforts to investigate perceptions in the healthcare community of older
patients in the UK.
13. ■ Butow et al., (2015) for both conventional cancer therapies and new cancer treatments
in a clinical sample, informed consent is required. It is difficult to achieve efficient and
responsive contact between the practitioner and the patient about the informed consent.
Our mission was to educate doctors in a clearly aware, collaborative and ethical
communication and to assess the effect of education on the attitude, tension and
happiness of doctors. 21 oncologists from 10 centres in Australia/ New Zealand were
present, and 41 oncologists from 10 centres in Switzerland/ Germany/Austria (SGA).
Oncologists have been randomized to attend a workshop for 1-day or not. Before and
during school, patients were hired. Doctors have been required to consult 1–2
audiotapes before and during school. Physicians have completed outcomes tests before
and after completing the cohort recruiting post-training. The audiotape was composed of
ninety-five consultation interactions. The teaching was assisted actively by physicians.
The ANZ intervention doctors found that collaborative cooperation was greatly improved
(P = 0.03). Training has little effect on other habits of the doctor. Trained physicians did
not exhibit decreased burnout and stress. There is presentation of medical results
elsewhere. Any facets of the informed consent protocol can be enhanced by
preparation. Training approaches are needed to improve the effect which can require
longer training and more intensive follow-up.
14. ■ Pattison et al., (2013) Examine end-of-life support for families, family members,
oncologists, palliative care professionals, critical care advisors and nurses who are
seriously ill with cancer. End-of-life treatment is quite elusive for chronically ill patients,
almost 20% of which will die in intensive care (Truog et al. 2008). End-of-life treatment
is an existing cancer domain; however, research on the dying and seriously ill cancer
patients' experiences has not historically been carried out. There were high-quality
detailed phenomenological interviews. Experience of 27 individuals was analyzed by
phenomenology: high risk patients that survived, relatives who were afflicted,
oncologists, palliative and critical care specialists and nurses. Critical care unit
objective sampling was done by the UK. Deep interviews were taped using the
phenomenological research method of Van Manen. A phenomenological view is
provided of mortality of serious cancer diagnosis and its effects on end-of-life treatment
opportunities. Three primary subjects included: dual forecasting; the importance of
decision-making; and end-of- life treatment procedures. End-of-life care for all
participants was an intimate experience; key values of successful end-of-life care
included convenience, technology less apparent, anonymity and integrity. These
effects are discussed in terms of end-of-life diagnosis, cancer and major diseases. The
pace at which critical disease dies is sometimes uncertain and thus has an effect on
end-of-life treatment potential. Caring was not limited to nurses, and the cost of end-of-
life treatment was high.
15. Theoretical Framework
■ The mechanism will help or maintain a research analysis theory is a theoretical
construct. The analytical context outlines the hypothesis and discusses why the
research problem is studied.
16. Conceptual frame work
Background variables Independent variable Dependent variable
Student
Age
Gender
Literacy
Marital Status
Place of
Residence
Social Media
User
Monthly Family
Income
1. Towards Doctor Treatment
Sociological Perspectives on
Satisfaction
Professional standards and their
assessment
Type of treatment
Lack of attention
Outcomes of health care
Social relations
Social capital
Human capital
Legal duty
Effectiveness in achieving and
satisfaction
The doctor–patient relationship
Health and illness behavior levels
Patient participation in the planning
Rehabilitation of the patient’s health
Good communication time
Patient’s complaints awareness
Need to study
Strategies for managed care plans
Specter of health services
Direct relationship
Patient’s
satisfacti0n
Good doctor
Therapeutic
treatment
Persist of
proper care
Measure of
care
efficiency
Lack of
valid and
reliable
Level of
Education
Patient’s
disease and
better
health care
The quality
of hospital
care services
Informed by
the provided
services
Fig. 2.6 Propose Conceptual Model
17. Patient satisfaction and social
identity theory
■ Linder-pelz (1982) assumed a paradigm of value-expectancy in the formulation of
satisfaction and described patient satisfaction as an optimistic attitude. A
constructive appraisal of a different component of healthcare, such as a particular
hospital visit, the entire treatment process, particularly in the sense of preventive
care or a strategy or general conduct of the health system by Fishbein and Azjen
(1975) as the "common judgment or sense of favorability against the object
concerned." Based on this theory of social identity, attitudes are moderated by
environmental, human, physical, psychological or sociological variables” in her later
study, Jessie L. Trucker (2002) Patient satisfaction theory was taken as an attitude
and its findings indicate that patient perceptions of patient access, connectivity,
results and efficiency were important predictors of satisfaction. The theory of patient
satisfaction was empirically validated. The theory of social identity suggests that
demographic, situational, and psychological influences altered and effected
behaviors, and its empirical outcomes showed that patients' individual
characteristics clarify their happiness considerably.
18. Satisfaction Theory
■ Despite several decades of studies on patient or consumer satisfaction and the
creation of several standardized instruments and various ad hoc steps, the
validity and reliability have been varying but typically poor (Sitzia, 1999), The
majority of applications for analysis and software assessment have been
practical and problem-oriented and thus (Linder-Pelz, 1982; Locker & Dunt,
1978; Sitzia & Wood, 1997; Williams et al., 1998). A limited but increasingly the
number of disciplines and methods have sought, however to explain both
satisfaction and expectations constructions and steps and describe the personal
and service variables deciding expectations and satisfaction. Much analytical
work has been undertaken in the field of healthcare and the subsequent
analysis will draw on this literature.
19. Satisfaction and Elements of
Care
■ Patient satisfaction, in most research, is defined as the measurement or appraisal of
medical intervention on a particular issue or problem of health (Sitzia & Wood, 1997;
Williams, 1994). A broader variety of patient satisfaction surveys have resulted in
arrangement for patients to measure theoretically appropriate satisfaction
dimensions, more appropriately named health components or healthcare features
(Sitzia & Wood, 1997). Table 1 sums up three of the most comprehensively
analyzed patient satisfaction metrics from varying time spans and reveals the
myriad features. As the table shows, the basic health-care elements that can be
taken into account in patient satisfaction analysis differ considerably. Although
variability is criticise for the various components of the care produced and used in
various studies, this could vary depending on the specific context in which
satisfaction is measured, as well as by the individual and subpopulations measuring
it (Avis, Bond, & Arthur, 1995; Like & Zyzanski, 1987; Sitzia & Wood, 1997).
Although, as can be seen from the table, the elements of treatment often overlap
considerably when they are clustered in large categories.
20. Points
■ Good doctor
■ Patient's disease and better health care
■ Legal duty
■ Lack of attention
■ Professional standards and their assessment
■ Effectiveness in achieving and satisfaction
■ The doctor–patient relationship
■ Rehabilitation of the patient’s health
■ Doctor’s Attention
21. ■ Measure of care efficiency
■ Informed by the provided services
■ The quality of hospital care services
■ Persist of proper care
■ Patient participation in the planning
■ Goal of health care
■ Therapeutic treatment
■ Direct relationship
■ Health and illness behavior levels
■ Environmental factor
■ Patient’s complaints awareness
■ Outcomes of health care
22. ■ Sociological Perspectives on Satisfaction
■ Lack of valid and reliable
■ Specter of health services
■ Need to study
■ Strategies for managed care plans
■ Good communication time
23. Methodology
■ This thesis has been planned to review "Patient Satisfaction with Doctor's
Therapy" (Multan State Based Hospital)." The principal goal of this chapter is to
describe different instruments and techniques used to capture, examine and
interpret data. This chapter explains in brief the method and the methodology of
study, along with mathematical tests and operational descriptions of the
principles used. Study uses a form of quantitation. Many tools to assess patient
satisfaction are possible. The analysis technique is the means by which data is
obtained, interpreted and evaluated correctly to determine the relation between
the variables. These are the quantitative methods. A guide to research
methodology involves principles, schedules and procedures that define the
nature of the analysis, methods for gathering studio-related data, capturing data
in the proper manner, and the description of their data analyses in order to
determine the relationship between study variables. A methodology is an
essential part of any research study and provides guidance for future research
to evaluate any studies to verify its outcome (Martin, 1989).The quantitative data
collection was concurrent; Data was collected from the state base hospitals
Multan Pakistan.
24. Research Setting
■ The investigator prefers the city of Multan because in this city are the largest
number of public hospitals. As a universe, the researcher preferred Multan State
Basic Hospital.
Age
■ In these clinics, the investigator chose stakeholders, the age of the patient
above 15 and over 40 years, and the researcher selected them above.
Sex
■ In comparison to the female patients, both men and women were chosen in the
researchers. Male patients were more frequent. In addition, the investigator
interviewed both men and women, but males were more frequent than females.
25. Literacy Level
■ Education rate in six levels. Education standard. Literacy skills of persons of
level 1 or lower are regarded as very weak, while level 3 is regarded as the
lowest literacy level required to manage their daily lives. This was important to
know patients' experience to understand doctors' behavior dependent on care,
knowledge of best hospitals, medication, and so on.
26. Marital status
■ Marital status is the legally defined marital state. There are several types of
marital status: single, married, widowed, divorced. This term used in
questionnaire just for categorized the patients.
27. First stage
■ By using basic random sampling methods the researcher picked 1 division in
southern Punjab out of 3 divisions. In the initial stage of the sampling process,
the Multan Division was chosen by the investigators from three districts, namely
Bahawalpur, Multan Division and DG Khan of southern Punjab.
28. Second stage
■ Then 490 of 211 hospitals were chosen by the researcher. In the second stage
of the sampling process the researcher selected simple random sampling
techniques.
29. Tool for Data collection
■ The data are obtained through the interview secugel after illustration of the
sample and design of the applicable testing technique. In the interview software
the investigator concentrated on query and attempts to escape the partiality and
mistakes in the form of the questionnaire. The mistakes are referred to as
reaction results. The researcher just has questions that are closed.
30. Field Experience
■ Since Covid 19 and all the hospital were explicitly prohibited from accessing the
hospital for any solid excuse, the researcher had faced several problems in
gathering data. Patients are also fearful that they will exchange knowledge
because of COVID-19.
31. Pre –Testing
■ Pre-testing was carried out to ensure the authenticity and consistency of
questions. The pretest curriculum for 20 patients was finished. After the
researcher had completed the pre-test the questioner found that a lot of
questions were not acceptable and hurdled in the response from the
respondent. After pre-testing, the researcher had to adjust any issue. Given this,
several questions were updated by the researcher. Some questions have had
the same importance, and that's why the researcher excludes this from the
questionnaire. While the researchers placed a few additional questions about
the basic measures used for pretesting the researchers helped to bring good
amendments to the study goals.
32. Coding/Decoding
■ The coding process was performed for computational purposes. Mathematical
numbers have coded responses/categories to statistically verify the relation
between variables, indifferent d data can be understood easily.
33. Data Entry and Data Analysis
■ For feeding into the machine, the data was organized and organized. The
findings were analyzed and interpreted using the computer. After data coding,
data processing has been entered and then analyzed using programme "SPSS."
In order to allow a simple explanation of data that allowed statistical
interpretation for study the researcher had combined detailed information in a
set of categories. The data was entered into the PC and analyzed using Minitab
software after completion of data collection and analysis.
34. Results
■ H1: There would be a significant effect of doctor treatment on patient’s
satisfaction
■ a. Dependent Variable: patient situation
Model Unstandardized Coefficients Standardized Coefficients t Sig.
B Std. Error Beta
(Constant) 3.215 .108 29.895 .000
Dr. Treatment .176 .029 .266 6.151 .000
35. H2: There would be a significant
effect of doctor behavior on
patient satisfaction.
Model Unstandardized Coefficients Standardized Coefficients t Sig.
B Std. Error Beta
(Constant) 3.404 .121 28.037 .000
Dr. Behavior .127 .033 .172 3.880 .000
a. Dependent Variable: patient Satiation
36. H3: There would be a significant
effect of care and cost on patient
satisfaction.
■ a. Dependent Variable: Patient Satiation
Model Unstandardized Coefficients Standardized Coefficients t Sig.
B Std. Error Beta
(Constant) 2.676 .150 17.787 .000
Hospital Care Cost .318 .040 .337 7.981 .000
37. Key Findings
■ Majority indicates of the respondents (254) 51.0% which belonged to the age of 31-45.
■ Majority indicates of the respondents (278) 55.8% which belonged to female gender.
■ Majority indicates of the respondents (150) 30.1% which belonged to up to matric level.
■ Majority indicates of the respondents (283) 56.8% which belonged to married marital status.
■ Majority indicates of the respondents (287) 57.6% which belonged to the pre-urban place of
residence.
■ Majority indicates of the respondents (312) 62.7% which belonged to the social media user.
■ Much of respondents (307) show that they should be admitted without a problem 61.6 percent
who firmly accepted that they seek medical care.
■ Most of them (221) suggest that 44.4% of those who belonged to tp agreed with doctors have
to treat me more thoroughly.
38. ■ Most of them (221) suggest that 44.4% of those who belonged to tp agreed with
doctors have to treat me more thoroughly.
■ Most (283) state that I am very pleased with the medical attention I get from
respondents (56.8 percent) who were in connection.
■ Ten. Much of the respondents (193) show that 38.8 percent agreed that I'm
concerned about large-scale diagnostic studies.
■ Much of the respondents (215) state that 43.2% who were firmly in favour of it is
easy for me to get an emergency medical.
■ Fifteen. The majority showed that 40,2 percent of respondents (200) who
agreed with the doctors would clarify why the diagnostic experiments were
done.
■ Most of respondents (219) suggested that I was 44.0% who acknowledged that,
when I was on a doctor's office, I generally waited for a long time.
■ Much of the respondents (200) suggest that they (40.2%) believed that I believe
that my doctor's office has something to do with the whole healthcare system.
■ Majority shows that 40.4 percent of respondents (201) who have closely helped
me should display more regard for doctors who care me .
39. Conclusion
■ Indeed, customer satisfaction is a function of the patients' aspirations and
perceptions. Satisfaction is typically generally strong for existing visits to those
services. Nonetheless, details on the reasons for the unhappiness still proves to
be invaluable for discovery of inefficiencies and loopholes and final programs
action that is expected to be taken by the government. Restricted resources
against recipient's expectations the population, the manpower limitations and
the time to dealing with huge workloads eventually leads to high workloads
unhappiness at both ends of the distribution system. To build on our current
parameters. Unavoidably, it's a need in this era of recognition and rapid growth
in the field of medicine to implement changes for innovations that meet
consumers’ changing requirements and wants.