| 11. |
- Jakobsson, Liselotte, 1953-, et al.
(author)
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Quality from the patient's perspective : a one-year trial
- 2012
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In: International Journal of Health Care Quality Assurance. - 0952-6862 .- 1758-6542. ; 25:3, s. 177-188
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Journal article (peer-reviewed)abstract
- Purpose - Purpose - To study how changing information routines might influence patients’ service quality perceptions. A secondary aim was to test an instrument’s everyday feasibility for healthcare quality assessment.Design/methodology/approach - Patients often show high grade satisfaction with general care although they display dissatisfaction with information they receive. A questionnaire survey is used to establish pa-tients’ satisfaction with an intervention consisting of introducing standardized guidelines for nursing performance and information provision. Patient satisfaction was assessed through a standardized questionnaire: ‘Quality from the Patient’s Perspective’ (QPP). A cross sectional interventional survey was applied to patients from gynaecological and haematological wards (n=71). A comparison group was used (n=67). Patients were given the questionnaire when their diagnosis was confirmed, after six months and 12 months. Data were collected succes-sively over 36-months.Findings - Findings - The study group showed an increased satisfaction with information from nurses (p=0.001) but not physicians. However, patients tended to put greater emphasis on socio-cultural issues than information and some kind of cooperation seemed to represent high qual-ity from the patient’s perspective.Research limitations/implications - Limitations – Successively lower response rate, mainly owing to cancer patients’ deteriorating medical conditions.Practical implications - Implications for research, practice and/or society –The study seems to verify the concor-dance model’s relative merits and that the softer side of care appears to be more important to patients than specific improvements regarding informationOriginality/value - Value - Result confirm that patients’ satisfaction with information had implications for overall quality; but social issues seemed more important and enhancing quality is best achieved through participation and cooperation.
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| 12. |
- Persson, Lena, 1951-, et al.
(author)
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A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : a pilot study
- 2014
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In: International Journal of Nursing & Clinical Practices. ; 1, s. 103-
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Journal article (peer-reviewed)abstract
- Background: Patients who repeatedly seek care directly at hospital based somatic emergencydepartments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.Methods: A mixed method convergent parallel design was used.Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.
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| 13. |
- Persson, Lena, 1951-, et al.
(author)
-
A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : a pilot study
- 2014
-
Conference paper (peer-reviewed)abstract
- Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model. A mixed method convergent parallel design was used. The development of the model began as a top-down process and later on in the process into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 55%. The inference quality description is that such a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. The freedom of being able to structure the model led to steps being taken that were beyond the project’s original limitations.
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| 14. |
- Persson, Lena, 1951-, et al.
(author)
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A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : A pilot study
- 2014
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In: International Journal of Nursing & Clinical Practices. - : Graphyonline Publications PVT, Ltd.. - 2394-4978. ; 1
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Journal article (peer-reviewed)abstract
- Background: Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.Methods: A mixed method convergent parallel design was used.Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.
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| 15. |
- Persson, Lena, 1951-, et al.
(author)
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Framväxt av en forskningsplattform
- 2013
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In: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. - 9789140685643 ; , s. 173-180
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Book chapter (pop. science, debate, etc.)
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| 16. |
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| 17. |
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