Patient Satisfaction and Design

¶ … Inpatient Whiteboards

This study is a theoretical framework exploring whiteboard use preferences and recommendations for patient-centered care and communication through whiteboard use.

This study is a theoretical framework exploring whiteboard use, script-based communication, and hourly rounding to evaluate effectiveness of care associated with pain management and patient satisfaction.

The study utilizes a conceptual framework.

This article uses a conceptual framework that provides a literature review

Conceptual framework

Conceptual Framework

Conceptual Framework

A 3-week pilot involving multidisciplinary whiteboard use

The setting is Stanford University Medical Center

Sample characteristics (# of patients) Patients available for the pilot were 104 patients: 56 from inpatient units with use of whiteboards and 48 from inpatient units with no use of white boards.

internal medical residents were also surveyed.

Design: The study involved a semi-structured interview.

Setting: The interview took place in a pediatric urban academic hospital inpatient surgical service

Sample characteristics (# of patients) The number of people interviewed were 29 families.

Design: The researchers used a prospective, quasi-experimental pretest -- posttest design

Setting: Researchers used two units in a hospital situated in an academic health sciences center (southern U.S.)

Sample characteristics (# of patients) Medical personnel within the units were used for data collection.

Design: Review

Setting: Hospital

Sample characteristics (# of patients) No patients used, presentation type of article. Obstetric whiteboards implemented. This was a presentation that offered implementation, outcomes, and evaluation. No studies used.

Design: Data-collection Study using surveys

Setting: Pediatric emergency department

Sample characteristics (# of patients) Data collection came from two weeks of nursing call bell activation data. While no participants, 200 pre-and post opinion surveys served as the basis of the results of the study.

Design: Review of literature and replication and quasi-experimental study

Setting: No real setting

Sample characteristics (# of patients) N/R

Design: Evidence-based quality improvement project

design

Setting: Hospital

Sample characteristics (# of patients) 110 bed sample

Design: Systematic Review

Setting: Not Applicable

Sample characteristics (# of patients) Not Applicable

Design:

Setting: Medical Surgical Unit

Sample characteristics (# of patients) No real number of patients or patient bed determined

Design:

Setting: Lehigh Valley Health Network

Sample characteristics (# of patients) 125 non-nursing providers and 33 care givers

Design: No design as this is a presentation

Setting: Postpartum Stay

Sample characteristics (# of patients) 4 mother-baby units

Design: A microsystem assessment of two inpatient medical-surgical wards.

Setting: medical facility

Sample characteristics (# of patients) Not Applicable

Design: Action Research Design using qualitative information

Setting: Southern California Hospitals

Sample characteristics (# of patients) 11 hospitals

Design: Not Applicable

Setting: Not Applicable

Sample characteristics (# of patients) Not Applicable

The major variable was white board use and it was measured through patient satisfaction, communication, and estimated discharge date. The patients were the dependent variable and the white board use was the independent variable.

T-tests were performed along with one-way ANOVA.

The major variable was white board use and the patients were the dependent variable. While there was no control group, information from the interview was turned into quantitative data using descriptive stats.

The independent variables were whiteboard use, script-based communication, and hourly rounding. It was measured through patient satisfaction examined through effectiveness of pain management. No quantitative analysis was performed.

Researchers used the Press Ganey and the Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS) surveys. No variables discussed.

The independent variable was hourly rounding with the dependent variables being call bell activations. Vendor-collected survey results consisted of the main form of data collection with one-way ANOVA interpretation.

The independent variable in this study was hourly rounding with dependent variables being fall prevention, patient satisfaction, and call light usage.

The independent variable was pain care toolkits with dependent variables being pain management and patient satisfaction. Through SWOT analysis and Chi-Square analysis, researcher analyzed data.

Independent variable was nursing rounds and dependent variables were patient satisfaction and reduction of patient falls.

Independent variable was nursing rounds and dependent variables was reduction of patient falls. Study used Hospital Consumer Assessment of Healthcare Providers and Systems domain scores to assess effectiveness of hourly rounds.

Independent variable is white boards and dependent variables are patient satisfaction and communication. Audit implementation included: Twelve templates: Medical/Surgical, Critical Care, Transitional Skilled Unit, Pediatrics, Labor and Delivery, Labor and Delivery Triage, NICU, Emergency Department, ED-17th Street, ED-Children's, Mom/Baby, and Perinatal.

Main variable is white board use and the dependent variables are postpartum units and patients in those units. Information was collected through surveys.

Main variable is personalized whiteboard use and dependent variable is patient satisfaction. Researcher used Press-Ganey scores for statistical analysis.

Main variable is hourly rounds and dependent variables were participants in the phone interview. Qualitative data was analyzed for themes.

No variables as this is an expert opinion article.

Using whiteboards led to patients knowing the name of their physician, objectives for admission, estimated discharge date, as well as improved satisfaction overall with hospital stay. The actual numbers were (0.0001, 0.0016, and 0.0242) respectively.

From the families interviewed, two-thirds of respondents reported the use of white board and over half were informed by staff (52%). Those that used whiteboards were six times more actively using it than those who used it as a visual reference. Other analysis pointed to 42% of that group in which parents wrote on the white board. From that 42%, 80% only had contact information.

Whiteboard use, and the other forms of communication elicited consistent and clear communication with patients' creative a positive effect in pain management and thus patient satisfaction.

No quantitative analysis was performed. Qualitative results suggest obstetric whiteboards improved communication.

Not enough quantitative analysis was performed. However, results suggest hourly rounding had no or minimal positive impact on call bell activation. Results show accidental call bell activation increased with introduction of hourly rounding.

Results suggest hourly rounding alone does not offer a decrease in call light usage, or increases patient satisfaction. It does help fall prevention, but not in a significant manner.

Pain care toolkits are beneficial to pain management and thus increased patient satisfaction. Quantitative results show P. value of

Moderate-strength evidence that hourly rounds help improve fall prevention through enhancing patient's perceptions of nursing responsiveness.

Scores suggest hourly rounding does have a positive impact on fall prevention, improving the perception of nurse readiness with patients.

In all 13 units, the auditors confirmed via assignment sheet that the collected information was correct on 125/125.

40/125 boards had all 3 components of patient pain information completed. TOHU had the best with 90% information completed

Patients liked the visual aspect of whiteboards. An overall 15.8 increase in patient satisfaction and discharge preparedness came from whiteboard implementation.

Results demonstrated improvement two months after implementation. After four months, results demonstrated a slight decrease. More significantly, surveys of nurses and patients discovered the PWs increased reports of satisfaction with interdisciplinary communication

Analysis discovered 15 major themes. Structure themes comprise use of rounding behaviors defined through a collaborative and acronym phone call. Processes include a library of tools to use incorporating both patient and staff feedback. Two common outcome themes are Patient satisfaction and perception.

Hourly rounds can help patients however, more research is needed to understand how to improve hourly rounds.

The limitations consisted of only using patients in inpatient units. The number of patients available remained small because of lack of availability and willing patient participation.

Only the families were asked to participate in interviews, not the nursing staff or physicians. Therefore, the opinion of families on whiteboard medication and usefulness lent to a more simplistic interpretation.

No interviews were conducted and main source of information was collected from the units. No direct patient feedback was collected. Clear lack of quantitative data led to results seeming more abstract than concrete.

Information taken from hospital rooms without statistical information led to abstract data interpretation and lack of concrete data.

Information collected from surveys and two-week long data without significant quantitative interpretation of data leads to an absence of concrete data.

The literature review served as the main form of data collection. Replication studies lack sufficient statistical analysis. Literature review provided limitation on acquiring primary information from surveys/interviews.

Due to time constraints, this was a feasibility study that focused on analyzing other studies to see if implementation of a pain care toolkit was effective. Lack of interviews and primary data collection also led to the study lacking any specificity.

Since this was a systematic review, not enough information was obtained to make an accurate conclusion.

Lack of primary information led to inability to create concrete conclusions and lack of statistical analysis also led to a more abstract conclusion.

Lack of participation from all intended participants led to borderline abstract results.

Lack of patient participation and comparative studies led to ineffectual conclusion.

Survey scores were not enough to provide a clear picture of positive correlation of personalized whiteboards and patient satisfaction. Lack of statistical interpretation is a limitation.

Interviews were done over the phone leading to analysis of qualitative data only. Lack of statistical analysis created limitation and availability of concrete data.

Due to lack of study components, it was constrained to the information obtained through expert opinion and research.

The study had a control group (the ones that did not use a whiteboard) making the results seem more concrete. They also analyzed the data quantitatively lending to a more concrete examination of effectiveness. The use of white boards is extremely feasible and can help patients' community more effectively with physicians and other hospital staff.

Most patients did not use whiteboards simply because they were not made aware of them. They also believed nurses used whiteboards more than physicians. Because the study offered a patient-centered perspective, it gave insight into the effectiveness of whiteboards in patient satisfaction. However, lack of other groups participating led to a less comprehensive outcome.

The study highlighted the level of communication plays a role in pain management and patient satisfaction, presenting a clear strength in the study.

The presentation provided support for use of whiteboards. However, lack of concrete information presents a problem in generating sufficient specificity.