¶ … diagnoses, pain is a common complaint among inpatients. In the U.S. alone, approximately 100 million patients experience chronic pain (Alaloul et al., 2015). Pain negatively affects numerous aspects of an individual's life, such as sleep, quality of life, and physical functioning. Pain is also associated with negative psychological outcomes like depression, extended hospitalization, and a huge economic burden. In the U.S., for instance, pain imposes an estimated cost of $635 billion on patients and the healthcare system as a whole (Alaloul et al., 2015). Ineffective management of pain can have a negative impact on patient satisfaction, underscoring the need for more effective interventions.
Effective pain management is particularly important in postpartum care, where the experience of pain is common (Eshkevari, Trout & Damore, 2013). However, the management of pain in postpartum care remains quite ineffective, with up to 20% of postpartum patients reporting dissatisfaction with pain management (Niemi-Murola et al., 2007; Espenshade & Hreniuk, 2017). The dissatisfaction stems from, among other factors, poor midwifery care, little or individualized care, poor communication between providers and patients, and lack of involvement in decision making (Mohammed, 2016). For mothers, such experiences may lead to negative childbirth experiences. Accordingly, it is crucial for nurses in postpartum care to use more effective pain management interventions so as to increase maternal satisfaction with pain management.
Generally, structured nurse rounding is one of the ways through which patient satisfaction in nursing practice can be improved (Mitchell et al., 2014; Brosey & March, 2015; Alaloul et al., 2015). This intervention essentially involves monitoring the patient on a regular basis. For instance, the patient can be assessed every one hour during the day and every two hours during the night. The assessment focuses on a number of patient aspects such as pain, temperature, safety hazards, positioning, and need for toileting (Brosey & March, 2015). Patient satisfaction can also be increased by improving provider-patient communication (Singh et al., 2011; Tan et al., 2013; Alaloul et al., 2015). Can these techniques improve patient satisfaction in postpartum care? Based on this premise, the following PICOT question is formulated: In postpartum, women undergoing either vaginal or caesarean delivery (P), does hourly rounding and use of whiteboard (I), compared to no rounding and no use of whiteboard (C), increase patient satisfaction with pain management (O) in a 3-month trial period (T)? The following section provides a critique of five quantitative research articles relating to the PICOT question.
Critique
Brosey, L., & March, K. (2015). Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality, 30(2), 153-159.
Research Purpose
The purpose of the study was to monitor the impact of structured hourly nurse rounding on patient falls, hospital acquired pressure ulcers (HAPU), and patient satisfaction. The nursing intervention was implemented at a 24-bed medical-surgical unit within a large community hospital.
Research Design
The study took the form of a descriptive study. The descriptive design is one of the major forms of quantitative research designs. Essentially, a descriptive study aims to describe the characteristics of a given phenomenon, meaning that the researcher does not formulate a hypothesis at the beginning of the study (Creswell, 2014). Also, a descriptive study usually does not involve randomization, blinding, or a control group. The chosen design ideally fits the nature of the study, which was aimed at examining the effectiveness of structured hourly nurse rounding on patient satisfaction. As such, the analysis of data focused on describing patient satisfaction, patient fall, and HAPU rates at the beginning and end of the study period. With respect to the time of data collection, the study was prospective in nature. A prospective study involves studying outcomes during the study period with the aim of establishing the impact of a given intervention (Maltby et al., 2015). In this case, satisfaction scores as well as fall and HAPU rates were measured before, during, and after the implementation of the nurse rounding intervention.
Though descriptive research provides information about the attributes of a given research phenomenon, it provides little or no knowledge about cause-and-effect relationships (Bryman, 2008). In this case, for instance, it may not be said with certainty that hourly nurse rounding actually increased patient satisfaction...
Patient Satisfaction in Quality of Managed Care Aspect to be compared Gender and Patient Satisfaction in Managed Care, etc. Stakeholder Perceptions of Quality in Managed Care Plans Two Steps to Enhance Managed Care Quality Author(s)/Date Emily Weisman, MS Martha Romans Jacobs Institute of Women's Health Washington, DC Carolyn M. Clancy, MD Paul L. Grimaldi, Ph.D. To determine what the differences are and what variables might affect women patients' perceptions of the quality of managed care To find out what attributes three different health care
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one
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
setting, definition Sample/Setting Conclusions (Appraisal) Level of Evidence (Flagg, 2015) Implementing patient-focused healthcare within settings burdened by the combined challenges of scarce support systems, huge patient loads and constantly-growing patient care responsibilities, especially chronically ill patients A healthcare organization with nursing staff on twelve-hour schedules Characteristics: Number of patients individual nursing professionals have to cater to, which ranges between 3 and 5. Catheter care, blood extractions, surgical schedules planned, antibiotic drugs' presence in the hospital inventory,
You have been appointed to chair a hospital-wide committee to develop and implement a plan to improve patient satisfaction in your facility. Your Chief Nursing Officer has provided you a summary report indicating a steady decline in patient satisfaction over the previous six months. You will need to identify the various resources available for tracking patient satisfaction, establish a clear bench mark and design a specific plan of action for
However, there are certain disadvantages that must be taken into consideration regarding the center's program. For example, in certain situations, the center's employees might not be allowed or able to satisfy patients' needs. This affects the program's credibility because the customer perceives this situation as the company not providing the promised services. This also affects the communication process within the program. This leads to lower perceived value. In addition to this,
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