Objetivo: Asociar la calidad de servicio brindada al paciente con la calidad de sueño de los estudiantes de pregrado de odontología en un centro de salud de una universidad privada de Lima, Perú. Materiales y métodos: El diseño del estudio fue observacional, analítico y transversal. Se evaluaron a 82 estudiantes y 244 pacientes de los mismos de un centro universitario de salud de Lima. Para la evaluación de la calidad de servicio se empleó el cuestionario SERVQUAL, el cual evalúa expectativas y percepciones. Asimismo, para la calidad de sueño se aplicó el Índice de calidad de sueño de Pittsburgh. Para la asociación de las variables cualitativas y el cálculo de las razones de prevalencia crudas y ajustadas, se empleó la regresión de Poisson con varianza robusta. Se trabajó con un nivel de significancia estadística de p<0.05 y un intervalo de confianza del 95%. Resultados: Se obtuvo que el 59.84% de los pacientes estuvieron satisfechos con la calidad de servicio brindada, y el 58.54% de los estudiantes tuvieron una moderada dificultad para dormir. Asimismo, no se encontró asociación estadísticamente significativa entre ambas variables principales obteniéndose una RP 1.033, IC 95% 0.417 - 2.559. Conclusiones: En el presente estudio se encontró que, la calidad de servicio no se encuentra asociada con la calidad de sueño. Además, los valores en la percepción en todas las dimensiones de la calidad de servicio superaron a las expectativas. Palabras clave: Calidad de la atención de salud; satisfacción del paciente; centros de salud; estudiantes de odontología; sueño. / Objectives: Making an association between the service quality provided to the patients and the odontology student’s sleep quality from a health center on a private university in Lima, Peru. Materials and Methods: This study was designed observational, analytical and transversally. 82 students and their 244 patients from a health university center in Lima, Peru were evaluated. To study the service quality, the SERVQUAL questionnaire was used, which evaluates expectations and perceptions. Likewise, for the sleep quality, the Pittsburgh Sleep Quality Index was applied. For the variables association and for the calculations of the crude and adjusted prevalence ratios, the Poisson regression with robust variance was used. The work was made with a statistical significance level of p<0.05 and a confidence interval of 95%. Results: The obtained results indicate that 59.84% from the patients were satisfied and the 58.54% of the students had a moderate difficulty to sleep. Moreover, a significant statistical association wasn’t found between the service quality and sleep quality; getting a PR 1.033, CI95% 0.417-2.559. Conclusions: In this study, it was found that the service quality is not related to the sleep quality. Additionally, the values and perceptions in all the service quality dimensions surpassed the expectative. / Tesis

Magister Scientiae (Nutrition Management) - MSc(NM) / Introduction: The provision of quality nutrition care services is needed to address the national burden of diseases, and to reduce under- and overnutrition in South Africa. Globally, there is a lack of information and data about the perceptions, experience of, and satisfaction with the quality of nutrition care services, both from patients and dietitians. Patients and dietitians are in the best position to provide useful information pertaining to their perception and experience of nutrition care service delivery. The aim of this study was to determine the perceptions of patients and dietitians on the quality of nutrition care service delivery in the Klipfontein/Mitchells Plain Sub-Structure (KMPSS). Methodology: This cross-sectional descriptive study design employed a mixed method approach. All patients consulted by the dietitians on the dates of data collection were conveniently sampled (n=120) across three Primary Health Care facilities in KMPSS (Hanover Park Community Health Centre (CHC), Mitchells Plain CHC and Heideveld Community Day Centre (CDC)) for participation in the quantitative component of the study. An interview-administered survey was used to gather information about patients’ perceptions and experiences of nutrition care services. For the qualitative component, an all-inclusive sample of the four dietitians’ employed in KMPSS participated in a Focus Group Discussion (FGD). The FGD included open-endAnalysis: The Statistical Package for Social Sciences (SPSS) software was used to generate descriptive statistics for the quantitative data. Thematic analysis was used for the transcriptions of the FGD audio-recordings. The themes and sub-themes was identified through summaries and key findings on the perceptions of the quality of nutrition care service delivery through views and opinions.ed questions developed by the researcher to explore the perceptions of the dietitians on the quality of nutrition care service delivery. Results: The quantitative results found that participants strongly agreed with positive statements regarding the dietitians’ interpersonal skills, manner in which they presented themselves, and communicating health information. Nearly 80% of the participants perceived dietitians as being well presented, courteous, friendly, and polite, created a comfortable environment and were always on time for their appointments. Eighty percent (80%) of the participants were also satisfied with the nutrition care services provided by the dietitians in KMPSS. The qualitative findings revealed that the dietitians’ had both negative and positive perceptions of the nutrition care service delivered within KMPSS. The dietitians’ expressed the need to improve the quality of nutrition care through management making and availability of necessary resources. This would enhance their work performance, communication and leadership skills. Conclusion: The key results and findings of this study concur with other research that has been done within the dietetics profession. There is a need to promote quality nutrition care in dietetics by utilizing perceptions and experiences of patients and dietitians. It is imperative for continuous quality improvement initiatives in nutrition care to improve patient health outcomes in South Africa.

Background: As patients with multiple sclerosis (MS) require lifelong treatment, optimization of therapy with respect to efficacy and safety is needed to limit long-term disease progression. Patients with MS also need a range of health-related services. Satisfaction with these as well as treatment is clinically relevant because satisfied patients are more likely to adhere to therapy. The aim of this study was to determine the status of patient satisfaction and of healthcare services in 70 specialized MS centres in Germany. Methods: In 2011, patients with MS responded to a questionnaire, which solicited clinical and demographic information, as well as patients’ perceptions of their overall situation and their satisfaction with treatment. Results: Of 2791 patients surveyed, 81.9% had relapsing-remitting MS with mild disability [mean (standard deviation) Expanded Disability Status Scale score: 2.6 (1.8)]. Disease activity data were collected from 2205 patients, of whom 57.6% had remained relapse-free during the preceding 12 months. However, 38.9% had experienced one or more relapses, most of whom (67.3%) while receiving immunomodulatory treatment. About one-third of the patients indicated that they were more dissatisfied with their overall situation compared with the time before diagnosis. However, many patients (58.3%) were satisfied with their existing medication. Overall, 72.8% of patients would prefer oral to injectable treatments, assuming there was no difference in their efficacy. Conclusions: A substantial proportion of patients experienced breakthrough disease on treatment and may potentially benefit from a change of therapy. Although largely satisfied with treatment, most patients with MS would choose oral over injectable treatments.

No description available.

Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a curriculum plan to educate ED nurses on CF, and a pretest/posttest to validate ED nurses knowledge about CF. The content of the project was measured by 2 master's-level prepared education experts using a dichotomous scale. The format evaluated content material using total scores of 1 for content (not met) and total scores of 2 for content (met). The average score was 2, which demonstrated the objectives for the education initiative were identified and the goals were met. The content experts also conducted content validation of each of the 14 pretest/posttest items using a 4-point Likert scale ranging from 1 (not relevant) to 4 (highly relevant) that resulted in a content validation index of 1.00, showing that the test items were covered in the curriculum. Recommendations were made for item construction improvement and omission of the Iowa model from the curriculum plan and pretest/posttest. The project promotes social change through the facilitation of patient satisfaction, quality of patient care, and prevention of CF on nursing staff.

Introduction. This thesis examines historical patients’ experiences of staying in sanatoria in Mörsil, Sweden, with a special focus on power structures within the institution. This thesis project is simultaneously a scholarly digital humanities inquiry using digitised sources as the material of study, and a hands-on digital humanities project in the form of a digital archive containing the materials examined in this study. Previous research suggests that there is a need to nuance the modern narrative about patients in sanatoria, and that studying patients’ own accounts is one way to do this. Method. Letters, brochures, programs, and newspaper articles and notices were studied in this thesis. Handwritten materials were automatically transcribed using the artificial intelligence tool Transkribus Lite. Omeka.net was used to publish the digitised collection online. A qualitative conventional content analysis was used to aid interpretation and processing of the study’s materials. Analysis. This study used Foucault’s (1995) theory of discipline to analyse patients’ own stories, and printed materials from the sanatoria, in order to examine the presence of power imbalances. Results. The results of this study show many varied signs of institutionalised discipline. They also provide insight into patients’ experiences at the sanatoria related to medical treatments and sanatoria practices. Conclusion. This study concludes that studying patients’ stories can provide unique insight into the practices, treatments, and the patient experience in sanatoria. This knowledge contributes to nuancing the modern view on sanatoria and its patients. / Introduktion. Den här uppsatsen undersöker historiska patienters upplevelser av att spendera tid på de sanatorier som fanns i Mörsil, Jämtland, med ett särskilt fokus på maktstrukturer inom institutionen. Uppsatsen består både av en akademisk digital humaniorafrågeställning med digitaliserade källor som empiriskt material, och ett praktiskt digitaliseringsprojekt. Tidigare forskning föreslår att det finns anledning att nyansera det moderna narrativet kring sanatoriepatienter, samt att studie av patienternas egna berättelser är ett bra sätt att åstadkomma detta på.  Metod. Brev, broschyrer, program samt tidskriftsartiklar och -notiser studerades i denna uppsats. Handskrivet material transkriberades automatiskt genom Transkribus Lite som är baserat på artifciell intelligens. Omeka.net användes för att publicera studiens digitaliserade material online. En kvalitativ konventionell innehållsanalys användes för att tolka och tematisera studiens material.  Analys. Den här uppsatsen använde Foucaults (1995) teori om disciplin för att analysera patienters berättelser och publicerat material från sanatorierna. Resultat. Resultaten av den här studien visar på många olika typer av institutionaliserad disciplin. Resultaten ger även inblick i andra aspekter av patienternas upplevelser, exempelvis kopplat till medicinska behandlingar och sanatoriverksamheten i stort. Slutsats. Uppsatsen visar att studien av patienters egna berättelser kan ge en unik inblick i de praktiker, behandlingar och uppplevelser som ägde rum på svenska sanatorier. Den här kunskapen bidrar till att nyansera den moderna synen på sanatorier och dess patienter.

Syftet med denna studie har varit att sammanställa tillgänglig fakta rörande patientens uppfattning, åsikt och intryck av vården med speciellt fokus på tillgänglighet, upplevt bemötande samt kvalité, genom att undersöka ”drop-in” verksamhet på en röntgenavdelning. En enkätundersökning, med en kvalitativ ansats har använts för denna studie. Enkäten erbjöds alla ”drop-in” patienter över 18 år, under en period i mars, 2006. Uppfattningen, åsikt och intryck av mötet med ”drop-in” verksamheten har analyserats hos 90 individer. Den genomgående positiv uppfattning är att kvalité, och upplevelse av ”påskyndat tillfrisknande” är en effekt av den ökade upplevda tillgängligheten, trots att återbesök till remittenten oftast inte förekom. Undersökningen påvisar hur väsentligt det är för individen att bli sedd och detta tillsammans med ökad tillgänglighet ger en uppfattning om snabbare tillfrisknande. Patienterna uppfattar i denna studie att den ökade tillgänglighet som ”drop-in” erbjuder, drastiskt förbättrar patient upplevelsen av respekt och dämpar oro samt skapar en ”goodwill” hos patientgruppen samt kan stärka ”egenvården”. Nyckelord: enkät, intryck, patienttillfredsställelse, patientupplevelse, röntgen, tillgänglighet, uppfattning, väntetid, åsikt. / Abstract: The purpose of this study was to compile available facts concerning patients´ perception, opinion and impression of the medical care, especially focusing the availability and the quality of a “drop-in” reception at a radiological department. A self-administered questionnaire with qualitative approach i.e. open-ended questions was used for this study. The questionnaire was offered to all drop-in patients over the age of 18, during a period in March, 2006. Gender, age group and number of visits were used as variables. The findings from this study are based on 90 subjects’ perceptions, opinion, and impression of the drop-in reception. The improved availability of the drop-in reception resulted in the overall perception of quality and a more speedy recovery, despite the fact that a new appointment with the referring doctor most often not was given. This study shows the importance of acknowledging the individual patient as their perception were that the increased availability “drop-in” can supply, drastically improved their perception of the respect shown towards them. By reducing their anxiety i.e. not needing to wait for their investigation, showed to create goodwill. Thus, this kind of perceptions may well strengthen the patients’ ability to self-care. Keywords: access, impression, opinion, patient satisfaction, patients´ conception, perception, questionnaire, radiology waiting time.

SAMMANFATTNING Bakgrund  Upplevelsen av hälsa och välbefinnande är beroende av hur miljön vi befinner oss i är utformad. Ett av sjuksköterskans ansvarsområden är att se efter att vårdmiljön uppfyller patientens behov. Vårdmiljön kan utformas av flera olika aspekter såsom ljud, ljus och natur vilka alla har förmågan att kunna skapa en känsla av trygghet. Sjukvårdsreformatorn F. Nightingale menade att den fysiska miljön var lika viktig som den psykiska och sociala omgivningen för att återfinna hälsa samt förebygga sjukdomar.  Syfte  Syftet med denna litteraturöversikt var att beskriva aspekter i vårdmiljön som främjar patientens välbefinnande.  Metod  Metoden som valdes för denna studie var en icke-systematisk litteraturöversikt. Databassökningar gjordes i PubMed, CINAHL, Academic Search Elite samt manuella sökningar. Ett urval av 17 vetenskapliga artiklar gjordes efter noggrann granskning. Artiklarna som användes var både kvalitativa och kvantitativa, dessa har kvalitetsgranskats med hjälp av Sophiahemmets Högskolas bedömningsunderlag. Integrerad dataanalys användes som metod.  Resultat  En hälsofrämjande vårdmiljö påverkar patientens välbefinnande och autonomi under tiden de vårdas på sjukhus. Det första intrycket vid besök på sjukhus är det som utgörs av den fysiska miljön. Vidare framkom att enkelrum ledde till minskat buller, bättre sömn samt stärkt socialt stöd och personlig integritet. Fönster och utsikt över naturen skapade en känsla av fridfullhet då naturen kunde hjälpa till att stärka patientens inre kraft genom distraktion. Naturligt ljus ökade välmåendet och förbättrade sömnen. En välkomnande vårdmiljö med ”mysighetsfaktor” och avskildhet ökade känslan av hemtrevlighet vilket förbättrar välbefinnandet hos patienterna och ökade dessutom närvaron av anhöriga vilka utgjorde ett stort stöd för patienterna.  Slutsats  Genom en ökad kunskap om vårdmiljöns betydelse för patientens välbefinnande, kan åtgärder vidtas för hur allmänna utrymmen utformas. Vårdmiljön kan antingen stödja eller hindra patientens återhämtningsprocess och har kapaciteten att främja patientens livskvalitet. Denna studie ger en inblick i vårdmiljöns betydelse och bidrar med lärdomar som vidare kan tillämpas i vårt framtida kliniska arbete inom professionen.  Nyckelord: Patienters nöjdhet, patientens acceptans av vård, patienter, miljödesign, vårdmiljö. / ABSTRACT Background  The design of the environment affects our experience of health and well-being. One of the nurse's responsibilities is to ensure that the care environment meets the patient's needs. The care environment can be designed by several different factors such as sound, light and nature. All with a capacity to provide a feeling of security. According to healthcare reformer F. Nightingale, the physical environment was equally important to the psychological and social environment in order to regain health and prevent disease.  Aim  The purpose of this literature review was to describe aspects of the care environment that promote the patient’s well-being.  Method  The method used was non-systematic literature review. Database searches were performed in PubMed, CINAHL, Academic Search Elite as well as manual searches. A selection of 17 scientific articles was made after careful review. The articles were of both quantitative and qualitative research methods, these have been quality checked with the help of Sophiahemmet University’s assessment data. They were analysed based on the integrated data analysis method.  Results  A health-promoting care environment affects the patient's well-being and autonomy while they are being cared for in hospital. The first impression when visiting a hospital is that of the physical environment. Furthermore, it turned out that single rooms led to reduced noise, better sleep and strengthened social support and personal integrity. Windows and views of nature created a feeling of peace as nature could help strengthen the patient's inner power through distraction. Natural light as well as artificial light increased the well- being and improved sleep. A welcoming care environment with a “cosiness factor” and privacy increased the feeling of homeliness, which improves the well-being of the patients and also increased the presence of relatives who constituted a great support for the patients.  Conclusion  Through increased knowledge on the importance of the care environment for the well- being of the patient, measures can be taken focusing on the design of public spaces in this environment. The care environment can either support or hinder the patient's recovery process and has the ability to promote the patient’s quality of life. This study provides an insight into the importance of the care environment and contributes with lessons that can be further applied in our future clinical work within the profession.  Keywords: Patient satisfaction, patient acceptance of health care, patients, environment design, health facility environment.

This review aimed to evaluate orthotic treatments for children and adolescents with pectus carinatum, primarily focusing on patient satisfaction with the treatment. Secondary outcomes of interest were adherence and psychological and social factors following the treatment period. A literature search was performed in the databases CINHAL, Medline, Web of Science and Scopus. Following predetermined eligibility criteria, articles were included and excluded. Next, criticala ppraisal was performed for the included articles. Following this, relevant data were extracted, analysed, and presented to aid in answering the research questions. Six articles with 402 patients were included in the final review. Patient satisfaction was good or improved following the treatment period, and the combined non-adherence rate for the included orthosis was 37.7 %. Patients adhering to the treatment protocol showed increased self-esteem and decreased interference with social activity following orthotic correction. Moreover, they displayed significantly higher patient satisfaction than patient's non-adherent to the treatment protocol. The findings were displayed and discussed in the Bio-Psycho-Social model. Due to their connection, patient satisfaction and adherence were placed together in the middle and surrounded bypsychological and social factors. The model displayed that a combination of many aspects determines patient satisfaction and adherence, demonstrating that treatment is complex and challenging. In conclusion, adherence was deemed one of the most important aspects to achieve high patient satisfaction. Moreover, due to psychological and social factors, a patient-centred approach with professional collaboration is necessary to achieve successful outcomes. To make reliable conclusions, research of higher quality with long follow-up periods including standardised patient satisfaction and adherence measures is needed.

No description available.