Patient experience and overall satisfaction after emergency abdominal surgery

Abstract Background There is a growing recognition of the importance of patient experience in healthcare, however little is known in the context of emergency abdominal surgery. This study sought to quantify the association between patient experience and overall satisfaction. Methods Patient demograp...

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Main Authors: C. H. Jones, S. O’Neill, K. A. McLean, S. J. Wigmore, E. M. Harrison
Format: Article
Language:English
Published: BMC 2017-07-01
Series:BMC Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12893-017-0271-5
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author C. H. Jones
S. O’Neill
K. A. McLean
S. J. Wigmore
E. M. Harrison
author_facet C. H. Jones
S. O’Neill
K. A. McLean
S. J. Wigmore
E. M. Harrison
author_sort C. H. Jones
collection DOAJ
description Abstract Background There is a growing recognition of the importance of patient experience in healthcare, however little is known in the context of emergency abdominal surgery. This study sought to quantify the association between patient experience and overall satisfaction. Methods Patient demographics, operation details and 30-day clinical outcome data of consecutive patients undergoing emergency abdominal surgery were collected. Data was collected using validated Patient Reported Experience Measures (PREMs) questionnaires. Categorical data were tested using Mann Whitney U test. Multivariable regression was used to determine independent factors associated with satisfaction. Results In a well-fitting multivariable analysis (R2 = 0.71), variables significantly associated with a higher global satisfaction score were “sufficient information given about treatment” (β = 0.86, 95% CI 0.01–1.70, p = 0.047), "sufficient explanation of risks and benefits of surgery" (β = 1.26, 95% CI 0.18–2.34, p = 0.020), “absence of night-time noise” (β = 1.35, 95% CI 0.56–2.14, p = 0.001) and “confidence and trust in nurses” (β = 1.51, 95% CI 0.54–2.49, p = 0.003). Conclusions Overall patient satisfaction was strongly associated with perceptions of good communication and transfer of information. Confidence and trust in the clinical team is an important determinant of patient experience. Improving the ward environment by reducing noise at night may also improve the overall experience and satisfaction in emergency surgery.
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spelling doaj.art-31f22b22a8db444bacba5c3fad6c52992022-12-21T18:30:47ZengBMCBMC Surgery1471-24822017-07-011711810.1186/s12893-017-0271-5Patient experience and overall satisfaction after emergency abdominal surgeryC. H. Jones0S. O’Neill1K. A. McLean2S. J. Wigmore3E. M. Harrison4Clinical Surgery, University of Edinburgh, Royal Infirmary of EdinburghClinical Surgery, University of Edinburgh, Royal Infirmary of EdinburghClinical Surgery, University of Edinburgh, Royal Infirmary of EdinburghClinical Surgery, University of Edinburgh, Royal Infirmary of EdinburghClinical Surgery, University of Edinburgh, Royal Infirmary of EdinburghAbstract Background There is a growing recognition of the importance of patient experience in healthcare, however little is known in the context of emergency abdominal surgery. This study sought to quantify the association between patient experience and overall satisfaction. Methods Patient demographics, operation details and 30-day clinical outcome data of consecutive patients undergoing emergency abdominal surgery were collected. Data was collected using validated Patient Reported Experience Measures (PREMs) questionnaires. Categorical data were tested using Mann Whitney U test. Multivariable regression was used to determine independent factors associated with satisfaction. Results In a well-fitting multivariable analysis (R2 = 0.71), variables significantly associated with a higher global satisfaction score were “sufficient information given about treatment” (β = 0.86, 95% CI 0.01–1.70, p = 0.047), "sufficient explanation of risks and benefits of surgery" (β = 1.26, 95% CI 0.18–2.34, p = 0.020), “absence of night-time noise” (β = 1.35, 95% CI 0.56–2.14, p = 0.001) and “confidence and trust in nurses” (β = 1.51, 95% CI 0.54–2.49, p = 0.003). Conclusions Overall patient satisfaction was strongly associated with perceptions of good communication and transfer of information. Confidence and trust in the clinical team is an important determinant of patient experience. Improving the ward environment by reducing noise at night may also improve the overall experience and satisfaction in emergency surgery.http://link.springer.com/article/10.1186/s12893-017-0271-5Patient experienceEmergency surgeryPatient satisfaction
spellingShingle C. H. Jones
S. O’Neill
K. A. McLean
S. J. Wigmore
E. M. Harrison
Patient experience and overall satisfaction after emergency abdominal surgery
BMC Surgery
Patient experience
Emergency surgery
Patient satisfaction
title Patient experience and overall satisfaction after emergency abdominal surgery
title_full Patient experience and overall satisfaction after emergency abdominal surgery
title_fullStr Patient experience and overall satisfaction after emergency abdominal surgery
title_full_unstemmed Patient experience and overall satisfaction after emergency abdominal surgery
title_short Patient experience and overall satisfaction after emergency abdominal surgery
title_sort patient experience and overall satisfaction after emergency abdominal surgery
topic Patient experience
Emergency surgery
Patient satisfaction
url http://link.springer.com/article/10.1186/s12893-017-0271-5
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AT sjwigmore patientexperienceandoverallsatisfactionafteremergencyabdominalsurgery
AT emharrison patientexperienceandoverallsatisfactionafteremergencyabdominalsurgery