A patient satisfaction survey and educational package to improve the care of people hospitalised with COVID-19: a quality improvement project, Liverpool, UK.

A patient satisfaction survey and educational package to improve the care of people hospitalised with COVID-19: a quality improvement project, Liverpool, UK.
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DOI:
10.12688/wellcomeopenres.17163.2
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发表时间:
2021
影响因子:
--
通讯作者:
Wingfield T
Wingfield T
中科院分区:
其他
文献类型:
--
作者:
Ahmad MS;Hicks SR;Watson R;Ahmed RA;Jones L;Vaselli M;Wu MS;Hayat F;Ratcliffe L;McKenna M;Hine P;Defres S;Wingfield T

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背景:在冠状病毒大流行期间,因COVID-19住院的人的观点和经历被低估了。在欧洲第一波冠状病毒疫情期间(2020年4月至6月),我们在英国利物浦的一所大型大学附属二级医疗中心开发并进行了一项COVID-19患者满意度调查。调查发现,护理的评价很高,包括黑人亚洲和少数民族(BAME)背景的人。然而,睡眠质量和有关药物和出院计划的沟通被确定为需要改进的领域。 研究方法:为改善入住本中心的COVID-19患者的护理,我们为在COVID-19病房工作的医护专业人员设计了一套教育教材。该计划于2020年8月实施,包括医护人员提供全面护理的培训课程及张贴“实践指引”海报。在利物浦的第二/第三波COVID-19期间(2020年9月至2021年2月),重新评估了患者满意度。 结果:在各波中,大多数(95%)受访者报告说,他们会向朋友和/或家人推荐我们的医院,并高度评价整体护理。第二/第三波受访者(n=101)与第一波受访者(n=94)的反应比较表明,在大多数护理领域,特别是那些与解决担忧和恐惧以及咨询药物及其副作用有关的领域,患者满意度有所提高。 结论:在我们利物浦的中心收治的COVID-19患者,包括来自BAME背景的患者,对他们所接受的护理给予了高度评价。一个简单的教育包改善了第一波和第二/第三波之间的答复者对护理的反馈。这些英国首创的研究结果为区域战略提供了信息,以改善以人为本的COVID-19住院患者护理。
Background: The perspectives and experiences of people hospitalised with COVID-19 have been under-reported during the coronavirus pandemic. We developed and conducted a COVID-19 patient satisfaction survey in a large university-affiliated secondary healthcare centre in Liverpool, UK, during Europe’s first coronavirus wave (April-June 2020). The survey found that care was rated highly, including among people of Black Asian and Minority Ethnic (BAME) backgrounds. However, sleep-quality and communication about medications and discharge-planning were identified as areas for improvement.   Methods: To improve care for people with COVID-19 admitted to our centre, we designed an educational package for healthcare professionals working on COVID-19 wards. The package, implemented in August 2020, included healthcare worker training sessions on providing holistic care and placement of “Practice Pointers” posters. Patient satisfaction was re-evaluated during the second/third COVID-19 waves in Liverpool (September 2020 - February 2021). Results: Across waves, most (95%) respondents reported that they would recommend our hospital to friends and/or family and rated overall care highly. Comparison of the responses of second/third-wave respondents (n=101) with first-wave respondents (n=94) suggested improved patient satisfaction across most care domains but especially those related to having worries and fears addressed and being consulted about medications and their side-effects. Conclusions: People admitted with COVID-19 to our centre in Liverpool, including those from BAME backgrounds, rated the care they received highly. A simple education package improved the feedback on care received by respondents between the first and second/third waves. These UK-first findings are informing regional strategies to improve person-centred care of hospitalised people with COVID-19.