Public perception of hospital-based nursing care: a study of the Tamale Metropolis in Ghana

Background: A key contributor for the improvement of patients’ health outcomes and their holistic well-being after hospital stay is the quality of nursing care received in hospitals of which may also be influenced by the perceptions the public precisely patients have about nursing care. This study assessed the public perception of hospital-based nursing care in the Tamale metropolis. Methods: The study was conducted at the Tamale Central Hospital in Ghana and employed a qualitative approach with an in-depth interview guide in collecting primary data from 30 participants. The interviews were transcribed and analysed using thematic analysis and the common themes identified were presented in line with the objectives of the study. Results: With respect to the experiences the patients had, it was revealed that they had both negative and positive experiences. While the positive experiences were related to the quality of care, the negative experiences on the other hand were on the attitude of nurses. The study also revealed that nurses’ attitudes, mode of service delivery and professional ethics which include respect for patient and communication were the major factors that influence patients’ satisfaction. Conclusions: The study revealed that the public have negative perception towards nursing care resulting from unmet expectations. Policies should be formulated to ensure effective communication, empathy, and respect which will help ensure patients satisfaction with healthcare delivery at the hospitals since these appear to be the best predictors of patients’ satisfaction.

Patient satisfaction towards the quality of nursing care among the patients of private hospitals of Jodhpur, India

Background: Patient satisfaction is a good indicator for measuring the quality of nursing care delivered by a nurse to a hospitalized patient. This will help the nursing administrator to identify ways of improving nursing and health care services. The study aims to assess the level of patient’s satisfaction towards quality of nursing care among the patients. Methods: A descriptive survey study was carried on 100 patients selected using non-probability purposive sampling, who were discharged from the selected private hospitals at Jodhpur, Rajasthan. A Modified form of Dr. Laschinger’s “Patient Satisfaction with Nursing Care Quality Questionnaire” (PSNCQQ) was used to measure patient satisfaction. A written permission was obtained to conduct study from the authority and an informed consent was taken from each participant. Results: The study findings indicate that majority (70%) of the sample were highly satisfied with nursing care with mean patient satisfaction score 61.38±9.692 (76.72%). Majority (66%) patients were satisfied with “Information given regarding investigations and treatments” and only (26%) were satisfied with “Coordination of care after discharge.” Patients aged 18-30 years, belonged to urban area, up to secondary educated and admitted through OPD were found more satisfied. Conclusions: The study showed that majority of the participants were highly satisfied with quality of nursing care provided in private hospital. The PSNCQQ is a useful instrument for evaluating and improving nursing care. The nurse administrator can contribute to quality service provision by evaluating patient satisfaction to develop and improve nursing care based on patients' expectations.

How consultation-relational empathy and demographics influence satisfaction with primary antenatal health care:evidence from rural Nigeria / 《全球健康杂志（英文）》

Objectives:This study aims to explore the role of consultation and relational empathy(CARE)and socio-demographic profile as predictors of patients'satisfaction among pregnant women attending antenatal care(ANC)in selected public primary health facilities in rural sub-districts of Saki,Oyo State,Nigeria.Methods:This cross-sectional study recruited a total of 582 pregnant women in four primary health centers.Expectant mothers responded to a questionnaire covering demographic characteristics,clinic visitation,CARE,and patients'satisfaction.All data was analyzed using descriptive,univariate and multivariate statistical tools.P＜0.05 level was considered statistically significance.Results:Findings revealed that the participants had a mean age of 23.15±5.23 years.The pattern of patients'satisfaction revealed that 13.40％(78/582)were highly satisfied with the health care received compared to 86.60％(504/582)with moderate to low satisfaction ratings with ANC.Highly satisfied patients placed higher value on technical quality,interpersonal relation,communication,financial aspects,time spent and accessibility convenience(P=0.001).Multiple linear regression model indicated that relational empathy(β=0.28,P＜0.001),2nd trimester of pregnancy(β=0.13,P=0.01),age categories of 30-＜40 years(β=-0.12,P=0.02),and 40-＜50 years(β=-0.11,P=0.04),religious affiliation(β=0.10,P=0.03)predicted satisfaction with ANC.Conclusion:Low patients'satisfaction with antenatal healthcare services resulting from hostile attitudes from health workers has implication for the delivery and acceptability of services offered to eradicate maternal mor-tality globally.Thus,regular training and re-training of health care personnel in frequent contact and interaction with patients will go a long way in reducing untoward work attitude and maternal mortality in rural ANC centers globally.

Application of different turnover intervals in preventing stress injury to patients in rescue room / 中国实用护理杂志

Objective@#To investigate the effect of different turnover intervals in preventing stress injury to patients in emergency room.@*Methods@#The 200 eligible patients from July 2016 to July 2017 were divided into 4 groups by random number table method, 50 patients per group, named as the conventional group, test group 1, test group 2 and test group 3. Turning frequency was used for 2.0 h in the conventional group, and 2.5 h, 3.0 h and 3.5 h in the first, second and third groups, respectively. The average body pressure of the shoulder blade, left and right lateral ankle and sacral tail between the four groups at different turning time, the incidence of stress injuries, the comprehensive satisfaction of patients with turn-over nursing were compared.@*Results@#There was no statistically significant difference in the body pressure value of the main compression site between the four groups (P>0.05), and the incidence of stress injury was 2.0% (1/50), 2.0% (1/50), 2.0% (1/50), and 4.0% (2/50), respectively (P>0.05). The comprehensive satisfaction degree of the patients in the four groups was 71.0%(71/100), 75.0%(81/108), 79.8% (83/104), and 86.6% (97/112), respectively, with statistically significant differences (χ2=8.517, P< 0.05). For each of the two groups, only the general group and the experimental group showed statistically significant differences in the comprehensive satisfaction degree of the patients in the three groups (χ2=7.824, P< 0.01).@*Conclusions@#It shows that the 3.5 h turning-over interval can effectively prevent stress injuries, improve patient satisfaction, and reduce the workload of nursing staff without affecting patient treatment, nursing, and stress injury prevention.

Patients Satisfaction with Diagnostic MRI Services in Teaching Tertiary Care Hospital in Telangana

Introduction: The health care industry is undergoing transformation to meet the demands of the patients. Hospitals are shifting from viewing patients as illiterates and with little health care choice, to that of educated consumer who has wider health care choices. Patient satisfaction is regarded as an important indicator of quality of care and survey is one of the tools for measuring consumer experiences in the hospital. Objective: To study “Patients‟ perceived satisfaction with diagnostic MRI services” in a Teaching hospital situated in Hyderabad. Materials and methods: A cross–sectional survey, conducted in 200 respondents attending hospital for MRI investigation. Pilot tested, pre-structured, self-completion questionnaire is used to collect data. The data isanalyzed using SPSS (statistical package for social sciences version 10.0.2). Results: The result showed that 79% (n=158) were males and 21% (n=42) females. Among two hundred respondents 54 (27%) were outpatients, 77 (38.5%) inpatients of same hospital, 50 (25%) subjects from private nursing homes, 9 (4.5%) patients from other hospitals and 10 persons not responded. Overall 74.5% of the patients satisfied with the waiting time, 80.5%, 77.5% and 86.5% of the patients satisfied with guidance to reach MRI facility, staff behaviour and staff communication respectively. 85.5% opined that utilization of waiting time by providing information regarding MRI is useful, and 62% of them requested to have trained personnel by their side during the procedure. Conclusion: Hospital administration shall take feedback from patients and their attendants and identify deficiencies and drawbacks in providing services and improve them to their satisfaction which in turn increases indirect publicity of the hospital.

The effect of using optimizing procedures of CT enhancement scanning and CT angiography examinations on shortens the checkup time and improves patients' satisfaction degree / 中国实用护理杂志

Objective To analyze the causes of time consumption in CT enhancement scanning (CTES) and CT angiography (CTA) examinations in order to optimize the procedures, and help to save time and medical costs for patients. Methods A total of 2328 outpatients and 1402 inpatients to take CTES and CTA examinations were randomly selected as the normal control group, and another 2085 outpatients and 793 inpatients who underwent the optimized procedures were randomly selected as the experimental group. The problems of time consumption and patients'satisfaction degree were analyzed. Results The major causes for time consumption in CTES and CTA examinations included taking wrong contrast medicine, forgetting to take contrast medicine, having no auxiliary examination results, waiting in the wrong line, and opening the cap of contrast medicine. The time spent for checkup for inpatients and outpatients in the control and experimental groups was (119.8±15.6) minutes and (31.5±8.6 ) minutes vs (55.2 ± 10.6) minutes and (8.4 ±2.1) minutes. The satisfaction degree of inpatients and outpatients in the control and experimental groups were 90.16%(1264/1402) and 88.66%(2064/2328) vs 98.49%(781/793) and 97.94%(2042/2085). The experimental group spent shorter time and had higher satisfaction degree than those in the control group, and the differences were statistical significantly, tinpatient=34.96, P<0.01, toutpatient=12.03, P<0.01;χ2inpatient=55.20, P<0.01,χ2outpatient=146.27, P<0.01. Conclusions After the procedures of CTES and CTA examinations are optimized, the checkup time is significantly shortened, and patients' satisfaction degree is remarkably improved.

Comparison of Nurses' Job Satisfaction, Patients' Satisfaction and Direct Nursing Time according to the Change in Grade of the Nursing Management Fee / 중환자간호학회지

PURPOSE: This study aimed to identify nurses' job satisfaction, patients' satisfaction, and direct nursing time according to the change in grade of nursing management fee.METHODS: Descriptive design was used in this study. Nurses (n = 200) and patients (n = 200) were recruited from one university hospital in Busan. Four aspects were measured: direct nursing time, overtime, nurses' job satisfaction, and patients' satisfaction. Data were analyzed using descriptive statistics, χ2-tests, and t-tests.RESULTS: There was a significant difference in patient satisfaction (t = -2.09, p = .038) and direct nursing time (t = -4.77, p < .001) when the nurse staffing grade was changed from the level two to the level one.CONCLUSION: The findings from this study showed that a higher nurse-to-patient ratio can provide a greater amount of direct nursing time for individual patients and increase patient satisfaction.

Patient Satisfaction with Their Esthetic after Receiving Comprehensive Care at a Dental School.

Background: Student training through the delivery of comprehensive care is the key mission of any dental school. Comprehensive care consists of complete patient evaluation and treatments in terms of, the patient’s dental needs and desires was identified and it implies that all those needs and desires will be addressed in a timely, appropriately sequenced, caring, and professionally responsible manner. Purpose: This study aimed to investigate degree of patients’ satisfaction with their esthetic after receiving comprehensive dental treatment by undergraduate dental student at Taibah University. Materials and Methods: A total of 40 patients (mean age 30±10 years) were selected from a student pool at school of dentistry, Taibah University. The patients were surveyed with a questionnaire before and after receiving a comprehensive care by undergraduate students at Taibah University. The questionnaire includes information regarding to patients' age, gender, self-reported tooth appearance, educational level, required final esthetic result needed and any previous dental treatments. A scale ranging from 1 to 5 was used to assess general satisfaction. Results: The patients’ assessments were high, and more than half of them graded their satisfaction with their esthetic as excellent. On average, all variables were assessed higher by the patients compared to the results of questionnaire applied before start of their comprehensive care. Conclusion: The patient assessment of the esthetic outcomes after receiving comprehensive care was promising. However, the few dissatisfied patients assessed no satisfaction with the results obtained.

Comparison and Analysis of the Questionnaire Evaluation of Singapore Hospitals and Shanghai Municipal Commission of Health and Family Planning / 中国医院管理

Through demonstrating the satisfaction evaluation system of Singapore hospitals,the article analyzed the differences between the satisfaction evaluation system of Singapore and the system made by Shanghai Municipal Commission of Health and Family Planning.It was concluded that the humanized evaluation methods should be highlighted,the conformity of establishment of evaluation system and policy be focused on,staff incentive mechanism be focused on and perfected,and patients' expectation indicator and perceived quality be considered as strategic tools to improve the healthcare system performance.

Comparison of marginal bone loss and patient satisfaction in single and double-implant assisted mandibular overdenture by immediate loading

PURPOSE: The purpose of this study was to compare the coronal bone level and patient satisfaction in 1-implant and 2-implant assisted mandibular overdentures. MATERIALS AND METHODS: Twenty patients who had maladaptive mandibular dentures were treated in this study. Patients were randomly divided into two groups. The first group received 1 implant (Simple line II, Implantium, South Korea) in their mandibular midline and the second group received 2 implants in their B and D regions (according to Misch's category). If the primary stability of each implant was at least 60 ISQ, ball attachment was placed and denture relined with soft liner. After 6 weeks, retentive cap incorporated with hard acrylic resin. In the 6 and 12 months recalls, periapical digital radiograph were made and visual analogue scale questionnaires were used to record patient satisfaction. The Friedman test was done for comparing the presurgical and postsurgical parameters in each group and the U-Mann Whitney test (P.05). In addition, mean marginal bone loss was 0.6 +/- 0.67 mm in the first group and 0.6 +/- 0.51 mm in the second group, after 12 month. Mean marginal bone loss showed no significant differences between two groups. CONCLUSION: This preliminary one-year result indicated that mandibular overdentures anchored to a single implant can be a safe and cost-effective method as a starting step for implant-overdenture treatment.

The effects of doctor-nurse integrated care management model on fast track perioperative management of colorectal cancer patients / 中国实用护理杂志

Objective To explore effects of doctor-nurse integrated care management model on fast track (FT) perioperative management of colorectal cancer patients.Methods Between January 2014 and September 2014,112 colorectal cancer patients (innovation group) underwent doctor-nurse integrated care and FT management in West China Hospital were analyzed retrospectively;who were compared with 96 patients (control group) underwent FT management from the same period of 2011.Early postoperative rehabilitation indicators,length of hospital stay,30d readmission rates,total hospitalization costs and patients satisfaction were compared.Results Innovation group of patients for the first time of post-operative flatus,defecation,oral feeding,ambulation,gastric and drainage tubes removal time were all earlier than those in control group,P ＜0.05,while the difference of urinary catheter tube removal time between the two groups was not statistically significant,P ＞ 0.05;the length of hospital stay in innovation group(6.05±2.05) d was significantly shorter than that in control group (7.85±3.22) d,P ＜ 0.05;preoperative hospital stay in innovation group was (1.35±0.45) d,shorter than that in control group (2.56±0.63)d,P ＜ 0.05;the patients satisfaction points in innovation group was (94.t2±3.12) points,which was higher than that in control group (86.36±5.51) points,t=2.589,P ＜0.05.Conclusion Doctor-nurse integrated care management model can improve postoperative rehabilitation effects,can reduce average hospital stay,total hospitalization costs and improve patients satisfaction.

Avaliação da experiência e do grau de satisfação de pacientes tratados com próteses totais fixas sobre implantes / Assessing the degree of experience and satisfaction of patients treated with implant-supported complete dentures

Introdução: com os implantes dentários consegue-se resolver a falta de estabilidade de próteses totais convencionais, mas pouco se conhece quanto à satisfação dos pacientes tratados com próteses totais implantos suportadas. Objetivo: identificar a experiência e o grau de satisfação de pacientes tratados com próteses totais fixas sobre implantes. Métodos: sessenta e seis pacientes foram entrevistados por um único pesquisador. Questionou-se os pacientes sobre a experiência de algo desagradável durante o tratamento e a recomendação do tratamento para outras pessoas. Também foi utilizada uma Escala Visual Analógica, para medir o grau de satisfação dos pacientes em relação à estabilidade, estética, conforto, fonética, mastigação e facilidade de higienizar suas próteses. Os dados obtidos foram analisados por meio da correlação de Spearman (P < 0,05) e submetidos a uma regressão múltipla. Resultados: dos pacientes entrevistados, 22,7% relataram ter experimentado algo desconfortável ou desagradável durante o tratamento e todos afirmaram que recomendariam o tratamento. O grau de satisfação dos pacientes foi alto, alcançando uma média de 97,7%. Os itens que obtiveram significância estatística foram a estabilidade, a fonética e o conforto, juntamente com a recomendação do tratamento. Conclusão: identificou-se que o grau de satisfação dos pacientes tratados com próteses totais fixas sobre implantes é alto, devido, principalmente, à estabilidade, seguida da fonética e do conforto dessas próteses.

Introduction: Dental implants can solve the issue of lack of stability of conventional dentures, but little is known about patients’ satisfaction regarding implant-supported completedenture. Objective: Identify the experience and the degree of satisfaction of patients treated with implant-supported complete denture. Material and Methods: Sixty-six patients were interviewed by one single investigator. Patients were questioned about potential unpleasant experiences during treatment and whether treatment should be recommended to others. A Visual Analogue Scale was also used to assess the degree of patients’ satisfaction in terms of stability, esthetics, comfort, speech, and ease of sanitization. Data were analyzed by Spearman correlation (P < 0.05) and submitted to multiple regression. Results: Of the patients interviewed, 22.7% reported experiencingsomething unpleasant or uncomfortable during treatment, and all of them stated that they would recommend it. The degree of patients’ satisfaction was high, reaching an average of 97.7%. Thefollowing items were statistically relevant: stability, speech and comfort, as well as treatment recommendation.Conclusion: The degree of patients’ satisfaction proves high, mainly due to stability, followed by speech and comfort provided by implant-supported complete denture.

Reliability and validity analysis of a Beijing hospital patients' satisfaction questionnaire in clinical pathway management mode / 中华医院管理杂志

Objective To probe into the reliability and validity of the questionnaire on clinical pathways and patients' satisfaction.Methods Investigating the hospital patients' satisfaction with the questionnaire designed by the former Ministry of Health and analyzing the internal consistency and constructive validity through statistical methods.Results Cronbach' s α coefficient of the adjusted questionnaire was 0.947 and those of the each subscale were 0.563,0.968 and 0.820.The split-half reliability of the questionnaire was 0.869.The number of factors is 3 as same as the designed assuming structure,and the cumulative contribution rate of 3 factors was 74.178％.The factor loading of each item was above 0.4,each item of a common factor with a higher load factor.Conclusion Although there are differences from hospital to hospital,this questionnaire is applicable to investigating patients' satisfaction of the clinical pathway management mode in view of the statistical and clinical practice.

Preferência do paciente no rastreamento do câncer colorretal: uma comparação entre colonografia por tomografia computadorizada e colonoscopia / Patient preferences toward colon cancer screening: a comparison between computed tomography colonography and conventional colonoscopy

OBJETIVO: Avaliar o grau de aceitação do paciente submetido a colonografia por tomografia computadorizada (CTC) em comparação com a colonoscopia, quando realizadas para rastreamento de doença colorretal. MATERIAIS E MÉTODOS: Cinquenta pacientes com suspeita de doença colorretal foram submetidos a CTC e colonoscopia. Questionários foram aplicados antes e após a realização da CTC e após a colonoscopia. Graduou-se o desconforto esperado e experimentado antes e após a realização da CTC e da colonoscopia, bem como a preferência do paciente por exame. RESULTADOS: Em relação à CTC, antes de iniciar o exame 18 por cento dos pacientes afirmaram esperar pouco desconforto, 78 por cento, desconforto moderado e 4 por cento, muito desconforto. Após a realização do exame, 72 por cento dos pacientes relataram pouco desconforto, 26 por cento, desconforto moderado e apenas um (2 por cento) dos pacientes referiu muito desconforto. Após a realização da colonoscopia, 86 por cento dos pacientes relataram preferência pela CTC. O grau de distensão colônica e a quantidade de fluido residual não influenciaram na preferência dos pacientes. CONCLUSÃO: Os pacientes preferiram a CTC à colonoscopia, não havendo relação estatística com o grau de distensão colônica na CTC e a eficiência do preparo intestinal.

OBJECTIVE: To assess the degree of acceptance of patients undergoing computed tomography colonography (CTC) in comparison with colonoscopy in the screening of colorectal disease. MATERIALS AND METHODS: Fifty patients with suspected colorectal disease underwent CTC and colonoscopy. Questionnaires were administered before and after the performance of the CTC and after the colonoscopy. The discomfort expected and experienced before and after the performance of both procedures as well as the patients' preference for each method were evaluated. RESULTS: As regards CTC, before the procedure, 18 percent of the patients reported expecting little discomfort, 78 percent, mild discomfort, and 4 percent, a lot of discomfort. After the procedure, 72 percent of the patients reported little discomfort, 26 percent, mild discomfort, and only one (2 percent) of the patients reported a lot of discomfort. Upon completion of the colonoscopy, 86 percent of the patients reported their preference for CTC. The degree of colonic distention and residual amount of fluid had no influence on the patients' preference. CONCLUSION: CTC was preferred to colonoscopy, with no statistical relationship with the degree of colonic distention at CTC and efficiency of bowel preparation.

Problems existing in basic nursing in maternity wards and nursing countermeasures / 中国实用护理杂志

ObjectiveTo analyze the current status of basic nursing in maternity wards ot primary hospitals,and establish reasonable measures to improve the quality of basic care. MethodsA retrospective analysis of 98 patients in our hospital from June 2008 to August 2010 was carried out in maternity wards to investigate the problems existing in basic nursing and put forward nursing countermeasures.Another 100 patients were selected after application of nursing countermeasures to investigate the effect of these measures. ResultsProblems existing in basic nursing in maternity wards included dim consciousness of basic nursing,insufficient allocation of nursing staff,unidentified work-reward of basic nursing and low loyalty for nursing work.After implementing nursing countermeasures,an average of 94.90％ pass rate was gained in basic nursing,patients' satisfaction degree reached 96.94％,while before implementing nursing countermeasures,they were only 73.00％ and 72.00％,the difference was statistically significant. ConclusionsStrengthening the management of basic care quality is an important measure to make close nurse-patient relationship under the system of market economy.

Satisfação dos pacientes com a implantação do conceito dor o quinto sinal vital, no controle da dor pós-operatória / Patients' satisfaction with the implementation of the concept of pain as the fifth vital sign to control postoperative pain

JUSTIFICATIVA E OBJETIVOS: Há uma preocupação crescente das instituições de saúde com a satisfação dopaciente no seu atendimento. O objetivo deste estudo foi avaliar a satisfação dos pacientes em pós-operatório, em hospital de médio porte quanto ao controle da dor, após implantar o conceito dor como quinto sinal vital, vista a importância do tema e a escassez de estudos prospectivos sobre o assunto.MÉTODO: Ensaio clínico aleatório aberto. Os pacientes em pós-operatório foram divididos em dois grupos. No grupo com intervenção, as escalas de dor foram disponibilizadas para a equipe assistencial e informadas verbalmente no momento da aplicação. Já no grupo sem intervenção,as escalas de dor não estiveram disponíveis.Foram então avaliadas as medidas de satisfação uma vez ao dia até, no máximo, o quinto dia de pós-operatório.RESULTADOS: Ocorreu predomínio do sexo feminino (83,5%) e a média de idade da amostra foi de 36,7 anos. A maioria das cirurgias foi cesariana (57,1%). Os pacientes referiram dor em 75,6% das medições e a consideraram de moderada a intensa em 23% das medições. Quanto ao grau de satisfação, a maioria (54%) considerou ótimo o controle álgico. Comparando os grupos, não houve diferença significativa quanto ao grau de satisfação. CONCLUSÃO: Observou-se que não houve diferença na satisfação dos pacientes quando colocada em prática a dor como quinto sinal vital. O estudo sugere que vários componentes contribuem para a satisfação do paciente, embora tenha sido avaliado apenas o aspecto fisiológico da dor.

BACKGROUND AND OBJECTIVES: There is an increasing concern of health institutions with patients' satisfaction. This study aimed at evaluating patients' satisfactionin the postoperative period of a medium-size hospital in terms of controlling pain and implementing the concept of pain as the fifth vital sign, faced to the importanceof the theme and the lack of prospective studies on the subject.METHOD: Open randomized clinical trial. Postoperative patients were divided in two groups. In the group with intervention, pain scales were made available to the assisting team and verbally informed when applied. For thegroup with no intervention, there were no pain scales. Satisfaction measurements were evaluated once a day until,at the utmost, the fifth postoperative day.RESULTS: There has been predominance of females (83.5%) and mean sample age was 36.7 years. Most surgeries were C-sections (57.1%). Patients referred pain in 75.6% of measurements and considered it from moderate to severe in 23% of measurements. As to satisfaction,most (54%) have considered pain control excellent. In comparing groups there has been no significant differencein the level of satisfaction.CONCLUSION: There has been no difference in patients' satisfaction when pain as the fi fth vital sign was implemented. The study suggests that several components contribute to patients' satisfaction, although we have just evaluated the physiological aspect of pain.

Application of risk factor management in nursing of the fever outpatient / 中国实用护理杂志

ObjectiveTo investigate the feasibility of apphcation of risk factors management in nursing of the fever outpatient.Methods145 patients from May to December 2009 admitted to fever clinic was defined as the control group, 157 patients from January to May 2010 admitted to fever clinic were set as the observation group. The control group was given routine nursing, while the observation group adopted risk factor management measures. The management indices of the two groups were compared.ResultsThe patients' recognition score of risk factors of fever clinic was (85.4 ± 2.7)in the observation group, higher than(73.2 ± 3.9)in the control group. Patients' satisfaction degree was 84.7％ in the observation group, higher than 67.6％ in the control group. Rate of risk event of the observation group was 1.3％, lower than 6.2％ in the control group, the incidence of nursing errors was 0.6％ in the observation group, lower than 4.1％ in the control group, rate of patients' complaints of nurses was 1.3％ in the observation group, lower than 5.5％ in the control group.ConclusionsThe implementation of risk factors management in fever clinics can reduce medical accidents, improve nursing quality, so this clinical management mode deserves promotion and application.

Dor e satisfação durante o trabalho de parto em primigestas: visão da parturiente e do obstetra / Pain and satisfaction during primiparous labor: parturient and obstetrician view

JUSTIFICATIVA E OBJETIVOS: A dor no parto historicamente é descrita como insuportável e muito dolorosa fisicamente. Assim, a maioria das mulheres, principalmente jovens primigestas esperam que o parto venha acompanhado de muita dor, mas também de um alívio posterior associado ao prazer do nascimento de um filho. O objetivo deste estudo foi correlacionar a dor sentida pela parturiente e sua satisfação quanto ao trabalho de parto, ambas correlacionadas com a visão do obstetra.MÉTODO: Estudo transversal, utilizando questionário e a escala analógica visual da dor, com 60 puérperas primigestas, após 24 horas do parto normal, e seus respectivos obstetras no serviço de Obstetrícia da Universidade de Taubaté. RESULTADOS: O estudo mostrou que 70% das pacientes apresentaram dor máxima, enquanto apenas 31,66% dos obstetras compartilharam dessa opinião. Em relação à satisfação com o transcorrer do trabalho de parto, aproximadamente 95% das mulheres ficaram muito satisfeitas. Não obstante, pela avaliação do obstetra, apenas 71,6% acreditavam que elas estavam satisfeitas e 28,3% as avaliaram como insatisfeitas. CONCLUSÃO: A correlação dos resultados obtidos mostrou que os obstetras ainda subestimam a dor real da paciente. Entretanto, quando avaliada a satisfação geral com o trabalho de parto, as puérperas relataram maior satisfação que a estimada pelos obstetras.

BACKGROUND AND OBJECTIVES: Labor pain is historically described as unbearable and physically very painful. So, most women, especially young primiparous, expect that delivery will come with severe pain, but also with a posterior relief associated to the pleasure of having a child. This study aimed at correlating pain felt by parturients and their satisfaction with labor, both correlated to the obstetrician view.METHOD: Transversal study using questionnaire and the pain visual analog scale with 60 primiparous patients and their respective obstetricians, 24 hours after vaginal delivery, in the Obstetrics service of the University of Taubaté.RESULTS: The study has shown that 70% of patients referred maximum pain while only 31.66% of obstetricians have shared such opinion. With regard to satisfaction during labor, approximately 95% of patients were highly satisfied. However, according to obstetricians' evaluation, only 71.6% believed that they were satisfied and 28.3% evaluated them as unsatisfied. CONCLUSION: The correlation between results has shown that obstetricians still underestimate actual patients' pain. However, when general satisfaction with labor is evaluated, patients have referred higher satisfaction than that estimated by obstetricians

Satisfação de usuários de próteses auditivas, com perda auditiva de graus severo e profundo / Satisfaction of hearing aids users with hearing loss of severe and deep degree

Introdução: É necessário analisar a eficácia da protetização, considerando a necessidade de amplificação e dificuldade na comunicação. Objetivo: Analisar a satisfação de adultos e idosos, usuários de próteses auditivas, com perda auditiva de graus severo e profundo, usando um questionário e pesquisar fatores que possam dificultar a adaptação. Método: Estudo retrospectivo de 56 pacientes, com idades entre 18 e 86 anos, perda auditiva de graus severo e profundo e protetizados por um programa de concessão de próteses auditivas, submetidos ao questionário [i]Satisfaction with Amplification in Daily Life[/i]. Foram calculadas as médias global, por subescala e por questão e deu-se ênfase às questões que resultaram em melhores e piores médias. Resultados: 58,9% mulheres e 41,1% homens, cerca de 55% dos pacientes apresentaram perda auditiva de grau severo e 45% profundo. 87,5% referiu uso maior que 8 horas diárias. Os usuários acreditam que a aquisição da prótese auditiva foi a melhor opção e que esta auxilia muito no entendimento da fala. Sentem-se mais confiantes e capazes com a amplificação sonora e referem bom atendimento pelos profissionais do serviço. O desempenho ao telefone foi o problema encontrado. Conclusão: Foi demonstrado elevado grau de satisfação na população estudada. O grau da perda auditiva, assim como a incompatibilidade de sistemas entre telefone e bobina telefônica e a dificuldade no posicionamento do telefone são fatores que dificultam o bom desempenho ao telefone. A acentuada perda auditiva colabora para que a prótese auditiva seja parte integrante do dia-a-dia e essencial no auxílio à comunicação.ACTRN12610000424000.

Introduction: It is necessary to analyze the efficiency of the hearing aids use, considering the necessity of enlargement and communication difficulty. Objective: To analyze the satisfaction of adults and elders, users of hearing aids with hearing loss of severe and deep degree, using a questionnaire and searching factors that can difficult the adaptation. Method: A retrospective study of 56 patients, with age group between 18 and 86 years old, hearing loss of severe and deep degree and users of HA by a program of concession of hearing aids, submitted to the questionnaire: "Satisfaction with Amplification in Daily Life". The global average was calculated by sub scale and by question and it was given emphasis to the questions that resulted in best and worse averages. Results: 58,9% were women and 41,1% men, about of 55% of the patients presented hearing loss of severe degree and 45% deep degree. 87,5% referred use major than 8 hours daily. The users believe that the acquisition of the hearing aid was the best option and this aid very much in the speech understanding. They feel themselves trustful and able with the sounding amplification and refer a good service by professionals of the service. The performance to the telephone was the problem found. Conclusion: It was demonstrated high degree of satisfaction in the studied population. The hearing loss degree, as well as the incompatibility of systems between telephone and telecoils and the difficulty in the placement of telephone ate factors that difficult the good performance to the telephone. The accentuated hearing loss collaborate for the hearing aid be an integral part of the daily life and essential in the aid to the communication.ACTRN12610000424000.

Impact of patients' trust on quality of care / 中华医院管理杂志

This paper systematically analyzed the concept of patients'trust based on a study of the literatures and compared patients'trust with patients'satisfaction. The conclusion is that patients'trust plays a key role on the quality improvements of medical services.