Tag Archives: Patient Satisfaction

Do patients respond differently to nurses who wear uniforms on inpatient mental health units?

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“Preferences of dress and address: views of attendees and mental health professionals of the psychiatric services.” Irish journal of psychological medicine 29.1 (2012)27.

Miller, Tracy, NancyMann, and Rodney DGrim. “Clothes encounter: patient perception of nursing attire in a behavioral health unit.” Journal of the American Psychiatric Nurses Association 16.3 (2010):178-183.

Adams, John. “Nursing in a therapeutic community: the Fulbourn experience, 1955-1985.” Journal of clinical nursing 18.19 (2009):2747-2753.

Lavender, A. “The effects of nurses changing from uniforms to everyday clothes on a psychiatric rehabilitation ward.” the British journal of medical psychology 60 pt. 2 (1987):189-199.

Sterling, F E. “Net positive social approaches of young psychiatric inpatients as influenced by nurses’ attire.” Journal of consulting and clinical psychology 48.1 (1980):58-62.

Trauer, T, and A V VMoss. “Psychiatric patients’ opinions of nurses ceasing to wear uniform.” Journal of advanced nursing 5.1 (1980):47-53.

Rinn, R C. “Effects of nursing apparel upon psychiatric inpatients’ behavior.” Perceptual and motor skills 43.3 pt. 1 (1976):939 -945.

Klein, R H, et al. “Psychiatric staff: uniforms or street clothes?” Archives of general psychiatry 26.1 (1972):19-22.

Walker, V J, GVoineskos, and D L LDunleavy. “The effects of psychiatric nurses ceasing to wear uniform.” British journal of psychiatry 118.546 (1971):581-582.

Leff, H S, R V VNydegger, and MBuck. “Effect of nurses’ mode of dress on behavior of psychiatric patients differing in information-processing complexity.” Journal of consulting and clinical psychology 34.1 (1970):72-79.

Petrovich, D V, J R Bennett, and J Jackson. “Nursing apparel and psychiatric patients: a comparison of uniforms and street clothes.” Journal of psychiatric nursing and mental health services 6.6 (1968):344-348.

Hawkins, E, J L Claghorn, and W Zentay. “Nursing dress, and experimental evaluation of its effect on psychiatric patients.” Journal of psychiatric nursing 4.2 (1966):148-157.

Databases searched: PubMed and CINAHL
Keywords: dress, uniform, attire, apparel, nurse*, psychiatric, mental health

Reviewed and updated 4/8/2014 ldt

Does hourly rounding reduce the risk of accidental falls in a cardiovascular surgical unit?

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A CINAHL search for (rounds OR rounding) AND falls AND (cardiac OR coronary OR cardiovascular) did not retrieve any results.

A search for (rounds OR rounding) AND falls AND (surgical OR surgery OR postoperative) retrieved 13 references, including these studies in medical-surgical units:

Effects of rounding on patient satisfaction and patient safety on a medical-surgical unit. Woodward JL; Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 2009 Jul-Aug; 23 (4): 200-6.

Hourly Rounding: A Replication Study. Olrich, Todd; Kalman, Melanie; Nigolian, Cindy; MEDSURG Nursing, 2012 Jan-Feb; 21 (1): 23-36.

A search in PubMed found these two additional articles.

Krepper, Rebecca, et al. “Evaluation of a Standardized Hourly Rounding Process (SHaRP).” Journal for healthcare quality 36.2 (2014):62-69.
The first took place in two 32-bed cardiovascular surgery nursing units.

Ciccu Moore, Rita, et al. “Care and comfort rounds: improving standards.” Nursing management 20.9 (2014):18-23.
This study took place in an orthopaedic and surgical rehabilitation ward.

See also Does hourly or intentional rounding reduce the rate of accidental falls in acute care facilities?

See also Are inpatients with cardiac conditions or on diuretic therapy at risk for falls and is there any evidence of interventions to reduce falls in this population?
This blog entry references a couple of papers in the search  results that include patients with cardiac conditions in their populations.  You might be able to extrapolate strategies to your population.

Reviewed and updated 4/8/2014 ldt

For diabetic inpatients on insulin, how does tight control of diet compare with more liberal patient control of the diet in affecting patient satisfaction?

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A search of PubMed:  (diabetes OR diabetic) AND inpatients AND (diet OR food service) AND patient satisfaction

retrieved the following study comparing use of the two diet plans for diabetic inpatients
Curll M, et al. Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes. Qual Saf Health Care. 2010 Aug;19(4):355-9.
This is a comparative study; the abstract does not indicate whether or not patients are randomized.  Compares levels of patient satisfaction, rates of hypoglycemia, and level of clinician oversight.

Using the related articles feature in PubMed retrieved these additional papers:

Bhattacharyya A, et al. In-patient management of diabetes mellitus and patient satisfaction. Diabet Med. 2002 May;19(5):412-6. Erratum in: Diabet Med. 2002 Sep;19(9):797.

Gosmanov AR, Umpierrez GE.  Medical nutrition therapy in hospitalized patients with diabetes.  Curr Diab Rep. 2012 Feb;12(1):93-100. doi: 10.1007/s11892-011-0236-5.  Review

Swift CS, Boucher JL. Nutrition therapy for the hospitalized patient with diabetes.
Endocr Pract. 2006 Jul-Aug;12 Suppl 3:61-7.

Curll M, et al. Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes. Qual Saf Health Care. 2010 Aug;19(4):355-9. doi: 10.1136/qshc.2008.027441.

How do postsurgical outcomes compare for general v. local anesthesia for implantation and testing of implantable cardioverter defibrillators (ICD)?

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A search of PubMed for “Defibrillators, Implantable”[MAJR] AND (local anesthesia OR sedation) AND (outcome OR complications OR safety OR satisfaction) identified several studies.

Studies comparing local anesthesia/sedation v. general anesthesia

Can we implant cardioverter defibrillator under minimal sedation?
Marquié C, Duchemin A, Klug D, Lamblin N, Mizon F, Cordova H, Boulo M, Lacroix D, Pol A, Kacet S.
Europace. 2007 Jul;9(7):545-50.
Measured patient-reported level of pain.

Electrophysiologist-implanted transvenous cardioverter defibrillators using local versus general anesthesia.
Manolis AS, Maounis T, Vassilikos V, Chiladakis J, Cokkinos DV.
Pacing Clin Electrophysiol. 2000 Jan;23(1):96-105.
Measured rate of post-surgical complications

Local anaesthesia versus general anaesthesia for cardioverter-defibrillator implantation.
Stix G, Anvari A, Podesser B, Pernerstorfer T, Mayer C, Laufer G, Schmidinger H.
Wien Klin Wochenschr. 1999 May 21;111(10):406-9.
Measured rate of post-surgical complications

Intravenous sedation for placement of automatic implantable cardioverter-defibrillators.
Pinosky ML, Reeves ST, Fishman RL, Alpert CC, Dorman BH, Kratz JM.
J Cardiothorac Vasc Anesth. 1996 Oct;10(6):764-6.
Measured length of stay and rate of post-surgical complications

Studies describing outcomes for procedures performed under locatl anesthetic/sedation

Safety and acceptability of implantation of internal cardioverter-defibrillators under local anesthetic and conscious sedation.
Fox DJ, Davidson NC, Royle M, Bennett DH, Clarke B, Garratt CJ, Hall MC, Zaidi AM, Patterson K, Fitzpatrick AP.
Pacing Clin Electrophysiol. 2007 Aug;30(8):992-7. Erratum in: Pacing Clin Electrophysiol. 2007 Nov;30(11):1423

Additional descriptive studies

Reviewed JKN 4/14

For patients with coronary artery disease, does patient education affect lifestyle/behavior or patient satisfaction?

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Many of the papers describe multi-faceted interventions that include patient education as one component.

Cardiac Rehabilitation: Interventions. In: Joanna Briggs JBI+Connect. Updated September 2, 2014.

Arch Gerontol Geriatr. 2008; 46 (2): 227-44
In this trial of 173 patients age ≥ 65 years and post CABG randomized to a multi-faceted intervention by a multidisciplinary team of professionals and which included education or usual care, the intervention group was more likely to engage in physical activity

Schadewaldt V, et al. Nurse-led clinics as an effective service for cardiac patients: results from a systematic review.  Int J Evid Based Healthc. 2011 Sep;9(3):199-214.
Review of seven randomized studies on nurse-led clinics, but the major intervention was patient education and behavior counseling.   Clinics were associated with limited effects on behaviors, such as smoking cessation and diet adherence.

PubMed search:  (“coronary artery disease” OR coronary artery bypass) AND (rehabilitation OR “secondary prevention”) AND patient education AND (behavior OR lifestyle OR satisfaction) AND (clinical trial OR randomized)
Other clinical trials on patient education interventions. To see quasi-experimental studies, change modify the search above replacing the terms for study type with these terms:  (comparative study OR before and after study OR pilot) or remove all terms for the study methodology from the search.

CINAHL search:  (cornoary artery disease OR corornary artery bypass) AND patient education AND (rehabilitation OR “secondary prevention”) AND (satisfaction OR lifestyle OR behavior)
Identified papers, such as Barnason S, et al. A comparison of patient teaching outcomes among postoperative coronary artery bypass graft (CABG) patients. Prog Cardiovasc Nurs. 1995; 10(4): 11-20.
While this is an older study, it does reference a tool for measuring patient satisfaction that might be useful.

Reviewed by John Nemeth 4/14

What is the best practice regarding effects of patient location, specifically patient grouping, on patient and nursing satisfaction?

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A search of CINAHL on the concepts of patient and nursing satisfaction and grouping assignment produced these results on care assignments and satisfaction of nurses and patients.

Duffield, Christine. Staffing, skill mix and the model of care. Journal of clinical nursing 2010 vol:19 iss:15-16 pg:2242 -2251

Hurst, Keith. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. International journal of nursing studies 2008 vol:45 iss:3 pg:370 -381

Adams, Ann, Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. Journal of nursing management 2003 vol:11 iss:5 pg:287 -292

Mohamed, A H, Using the job characteristics model to compare patient care assignment methods of nurses. Eastern Mediterranean health journal 2004 vol:10 iss:3 pg:389 -405

What is the evidence regarding use of yoga or aromatherapy with post-operative patients?

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Bottom line:  There are a number of experimental studies, mostly about use of aromatherapy to relieve pain.  Results from 2 RCTs indicate that aromatherapy is associated with improvement in postoperative pain and nausea.  However, other studies provide conflicting data.

Here are references from a PubMed search of the question concepts:
postoperative patients
aromatherapy
yoga
postoperative complications, postoperative pain

(postoperative care OR postoperative complications OR postoperative pain) AND (aromatherapy OR yoga) Limit: English

Here are references to the randomized trials on aromatherapy