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Katherine Karan
            St. Josephs College BUS-471, Spring 2012




What Aspects Constitute Patient
Satisfaction In An Acute Care Medical
Setting?
Statement Of the Problem:


• What aspects constitute patient
  satisfaction in an acute care medical
  setting?
Purpose Of Study


• As a hospital administrator, an
  important goal should be to run a
  reputable and competitive facility.
• By pinpointing and improving the
  aspects of care that are most important
  to the patient being treated in an acute
  care medical setting, the medical center
  can increase its revenue and expect
  higher patient turnover.
Literature Review Summary

• The Literature supports that an
  important factor for a medical institution
  to focus on is high patient satisfaction.
• There are many approaches that have
  been taken to increase patient
  satisfaction (see table below)
Institutions ways of            Medical staffs ways of
increasing patient              increasing patient
satisfaction                    satisfaction
Follow up phone call or mail Increase communication
to conduct a satisfaction    between patient, physician
survey                       and staff
Increase staffs job             Nurse/physician rounds
satisfaction
Highlighting positive patient   Monitoring patients pain
comments on hospital web
site for other perspective
clients to see
Ensuring workplace equality Increase rounding on
is practiced and met        patient
Safety standards
maintained
Methods
• Sample
• Measures
• Design
• Procedures
Sample
• Independent              • Dependant
  Variables – Patients that Variablesreceived in a
                             have already
                                          -care patients
  have received care in an acute medical setting. This care will
  care medical facility          focus on involvement of
                                   patient in care, satisfaction of
                                   the medical employees,
                                   employees willingness to help
                                   the patient, pain control and
                                   comfort measures,
                                   communication between staff
                                   and patient, and safety
                                   issues.
Population

• 18 years and older. The population must have
  functioning cognitive ability and full
  comprehension of the study. These people
  meeting the criteria must also be willing to
  participate. After the participants are willing be
  a part of research a consent form will be
  signed. The consent will outline the facts that
  the participants information will remain
  anonymous and that culture, race and
  economic status have no bearing on the study.
  No personal information including name,
  address or income is to be asked or provided.
  HIPPA compliance will be maintained
  throughout the study.
Measures
• Hypothesis- There is a correlation
 between the care received and a patient’s
 willingness to recommend the medical
 facility.

• Null Hypothesis- There is no
 correlation to the care received by a patient in a
 medical setting and the patients willingness to
 utilize or recommend the medical facility in the
 future.
Design
• The quantitative research method selected
  appropriate for this research investigation is
  the quasi-experimental method. This method is
  appropriate for this research because the
  subjects being used are from nonrandomized
  groups. The study will be longitudinal and will
  focus on observing and there will be no way in
  manipulating the care that is given to the
  patients. Under the longitudinal study a cohort
  study would be appropriate because the focus
  is on the population experiencing the same
  event, being care received in a medical facility.
Procedures
•   The sampling procedures to be used are the internal level response
    format. By using this format patients can rank their responses to
    questions asked by using a scale to shown the importance of a topic in
    their opinions. The scale will be used on a 1-5 numeric rating where 1
    would represent least satisfied and 5 will represent most satisfied. This
    is an easy way to compare answers between all surveyed. An
    unstructured response format will gain insight about patient’s personal
    experiences and suggestions to improve their satisfaction. By
    combining both survey methods together in a questionnaire, one will
    be able to formulate areas that need to be focused on to maximize
    patient satisfaction.
Analysis

• A prevalence test will be done to
  determine the satisfaction of care a
  patient received in the medical institution.
  Ex: prevalence = number of patients
  satisfied and willing to recommend the
  medical facility / number of patients
  surveyed. This will give the institution
  baselines of what percentage of the
  patients were satisfied with the care and
  how much work on improvements needs
  to be done.
Analysis

• A retrospective cohort study can be done to
  measure the strength of the associations of the
  dependant variables by the answers given by
  the independent variable. This can be set up in
  a line graph to have a visual of where a deficit
  may lie. The x axis will be the independent
  variable and the y axis will represent the
  dependent variables. By using theses analysis
  methods the researcher will be able to focus
  on if there is indeed a deficit in the care given
  to the patients directly relating to their
  satisfaction and willingness to recommend or
  utilize the facility in the future, or if no deficit is
  currently present.
Limitations/Delimitations

Limitations                                   Delimitations
•   the willingness of the individuals        •   boundaries need to be set and
    participating                                 define what will not be pertinent
•   individuals may not believe that there        for research.
    responses will be kept anonymous
                                              •   must insure that the medical staff
    therefore they might answer how they
    think the investigator would want them        in the facility or dependant
    to answer                                     variables have no preexisting
•   individual may feel that by giving            knowledge of the research
    negative information about the facility       otherwise the care they give will
    that there care could be compromised          not be true to their everyday
    in the future                                 practice therefore making the
•   Time                                          feedback inaccurate
                                              •   is how many units in the medical
                                                  setting should be studied
Significance of Study

• The results that are expected to be found are that
  by pinpointing and improving the aspects of care
  that are most important to the patient being treated
  in an acute care medical setting, the medical
  center can increase its revenue and expect higher
  patient turnover. The areas of care that are
  expected to take prevalence in this study are the
  involvement of patient in their own care,
  satisfaction of the medical employees, employees
  willingness to help the patient, pain control and
  comfort measures, communication between staff
  and patient, and safety issues. This research will
  be beneficial for administrators of all medical
  centers who have a goal of exceptional care and
  high profit.

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Research seminar

  • 1. Katherine Karan St. Josephs College BUS-471, Spring 2012 What Aspects Constitute Patient Satisfaction In An Acute Care Medical Setting?
  • 2. Statement Of the Problem: • What aspects constitute patient satisfaction in an acute care medical setting?
  • 3. Purpose Of Study • As a hospital administrator, an important goal should be to run a reputable and competitive facility. • By pinpointing and improving the aspects of care that are most important to the patient being treated in an acute care medical setting, the medical center can increase its revenue and expect higher patient turnover.
  • 4. Literature Review Summary • The Literature supports that an important factor for a medical institution to focus on is high patient satisfaction. • There are many approaches that have been taken to increase patient satisfaction (see table below)
  • 5. Institutions ways of Medical staffs ways of increasing patient increasing patient satisfaction satisfaction Follow up phone call or mail Increase communication to conduct a satisfaction between patient, physician survey and staff Increase staffs job Nurse/physician rounds satisfaction Highlighting positive patient Monitoring patients pain comments on hospital web site for other perspective clients to see Ensuring workplace equality Increase rounding on is practiced and met patient Safety standards maintained
  • 6. Methods • Sample • Measures • Design • Procedures
  • 7. Sample • Independent • Dependant Variables – Patients that Variablesreceived in a have already -care patients have received care in an acute medical setting. This care will care medical facility focus on involvement of patient in care, satisfaction of the medical employees, employees willingness to help the patient, pain control and comfort measures, communication between staff and patient, and safety issues.
  • 8. Population • 18 years and older. The population must have functioning cognitive ability and full comprehension of the study. These people meeting the criteria must also be willing to participate. After the participants are willing be a part of research a consent form will be signed. The consent will outline the facts that the participants information will remain anonymous and that culture, race and economic status have no bearing on the study. No personal information including name, address or income is to be asked or provided. HIPPA compliance will be maintained throughout the study.
  • 9. Measures • Hypothesis- There is a correlation between the care received and a patient’s willingness to recommend the medical facility. • Null Hypothesis- There is no correlation to the care received by a patient in a medical setting and the patients willingness to utilize or recommend the medical facility in the future.
  • 10. Design • The quantitative research method selected appropriate for this research investigation is the quasi-experimental method. This method is appropriate for this research because the subjects being used are from nonrandomized groups. The study will be longitudinal and will focus on observing and there will be no way in manipulating the care that is given to the patients. Under the longitudinal study a cohort study would be appropriate because the focus is on the population experiencing the same event, being care received in a medical facility.
  • 11. Procedures • The sampling procedures to be used are the internal level response format. By using this format patients can rank their responses to questions asked by using a scale to shown the importance of a topic in their opinions. The scale will be used on a 1-5 numeric rating where 1 would represent least satisfied and 5 will represent most satisfied. This is an easy way to compare answers between all surveyed. An unstructured response format will gain insight about patient’s personal experiences and suggestions to improve their satisfaction. By combining both survey methods together in a questionnaire, one will be able to formulate areas that need to be focused on to maximize patient satisfaction.
  • 12. Analysis • A prevalence test will be done to determine the satisfaction of care a patient received in the medical institution. Ex: prevalence = number of patients satisfied and willing to recommend the medical facility / number of patients surveyed. This will give the institution baselines of what percentage of the patients were satisfied with the care and how much work on improvements needs to be done.
  • 13. Analysis • A retrospective cohort study can be done to measure the strength of the associations of the dependant variables by the answers given by the independent variable. This can be set up in a line graph to have a visual of where a deficit may lie. The x axis will be the independent variable and the y axis will represent the dependent variables. By using theses analysis methods the researcher will be able to focus on if there is indeed a deficit in the care given to the patients directly relating to their satisfaction and willingness to recommend or utilize the facility in the future, or if no deficit is currently present.
  • 14. Limitations/Delimitations Limitations Delimitations • the willingness of the individuals • boundaries need to be set and participating define what will not be pertinent • individuals may not believe that there for research. responses will be kept anonymous • must insure that the medical staff therefore they might answer how they think the investigator would want them in the facility or dependant to answer variables have no preexisting • individual may feel that by giving knowledge of the research negative information about the facility otherwise the care they give will that there care could be compromised not be true to their everyday in the future practice therefore making the • Time feedback inaccurate • is how many units in the medical setting should be studied
  • 15. Significance of Study • The results that are expected to be found are that by pinpointing and improving the aspects of care that are most important to the patient being treated in an acute care medical setting, the medical center can increase its revenue and expect higher patient turnover. The areas of care that are expected to take prevalence in this study are the involvement of patient in their own care, satisfaction of the medical employees, employees willingness to help the patient, pain control and comfort measures, communication between staff and patient, and safety issues. This research will be beneficial for administrators of all medical centers who have a goal of exceptional care and high profit.