Determinants of patient satisfaction among patients with central nervous system damage in inpatient neurological rehabilitation setting
Ööpik-Loks, Mari-Liis (2019)
Ööpik-Loks, Mari-Liis
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019061416925
https://urn.fi/URN:NBN:fi:amk-2019061416925
Tiivistelmä
Determinants of patient satisfaction among patients with central nervous system damage in inpatient neurological rehabilitation setting
The purpose of the study was to explore the experiences of adult patients with stroke, brain trauma or spinal cord injury in Haapsalu Neurological Rehabilitation Centre (HNRC), Estonia and to identify the factors that determine patient satisfaction.
The patient experiences were studied through conducting four focus group interviews, which were analysed using the principles of inductive content analysis. Each focus group consisted of five participants and the groups were diagnose-based. Half of the participants were recruited from the Department of Neurorehabilitation and the other half from the Department of Spinal Rehabilitation.
Five intertwined themes emerged from the analysis: “Striving for independence”, “The therapist as the key partner in goal setting and patient involvement“, “Obstacles on the road”, “Daily life at the hospital” and “The past, the present, the future of HNRC”.
The independence of the patients of HNRC is limited due to their condition, and with therapists as their main partners, they strive for greater autonomy. Physiotherapists provide support in goal setting that was admitted to be challenging by the participants and are the most important partners for discussing their condition and giving feedback.
The patients value respectful and considerate communication, accessibility of the specialists and expect clear information on their condition, test results and further options.
Problems are encountered on the level of health care system, as well as service provision of HNRC, especially in terms of occupational therapy. The main suggestion for improvement by the participants was to have access to gym or other therapy room in the evenings as many reported boredom in their free time
The results are in accordance with other research in the field that show the importance of respectful communication and adequate, timely information. Additionally, there is a tendency for young-er patients to be more critical despite the general reluctance of the patients to criticise. These findings are also supported in the literature.
Some recommendations for improving the patient experience in HNRC could be made, specifically regarding educating staff in communication skills, organized free time activities, provision of occupational therapy and information exchange.
Further research is required in order to cover other patient groups of HNRC in the future.
The purpose of the study was to explore the experiences of adult patients with stroke, brain trauma or spinal cord injury in Haapsalu Neurological Rehabilitation Centre (HNRC), Estonia and to identify the factors that determine patient satisfaction.
The patient experiences were studied through conducting four focus group interviews, which were analysed using the principles of inductive content analysis. Each focus group consisted of five participants and the groups were diagnose-based. Half of the participants were recruited from the Department of Neurorehabilitation and the other half from the Department of Spinal Rehabilitation.
Five intertwined themes emerged from the analysis: “Striving for independence”, “The therapist as the key partner in goal setting and patient involvement“, “Obstacles on the road”, “Daily life at the hospital” and “The past, the present, the future of HNRC”.
The independence of the patients of HNRC is limited due to their condition, and with therapists as their main partners, they strive for greater autonomy. Physiotherapists provide support in goal setting that was admitted to be challenging by the participants and are the most important partners for discussing their condition and giving feedback.
The patients value respectful and considerate communication, accessibility of the specialists and expect clear information on their condition, test results and further options.
Problems are encountered on the level of health care system, as well as service provision of HNRC, especially in terms of occupational therapy. The main suggestion for improvement by the participants was to have access to gym or other therapy room in the evenings as many reported boredom in their free time
The results are in accordance with other research in the field that show the importance of respectful communication and adequate, timely information. Additionally, there is a tendency for young-er patients to be more critical despite the general reluctance of the patients to criticise. These findings are also supported in the literature.
Some recommendations for improving the patient experience in HNRC could be made, specifically regarding educating staff in communication skills, organized free time activities, provision of occupational therapy and information exchange.
Further research is required in order to cover other patient groups of HNRC in the future.
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