scholarly journals Patient‐reported experiences of consultation with an advanced nurse practitioner: Factor structure and reliability analysis of the patient enablement and satisfaction survey

2021 ◽  
Vol 77 (10) ◽  
pp. 4279-4289
Author(s):  
David O’Reilly ◽  
Anne‐Marie Brady ◽  
Denise Bryant‐Lukosius ◽  
Jarlath Varley ◽  
Louise Daly ◽  
...  
Keyword(s):  
Reliability Analysis ◽  
Factor Structure ◽  
Nurse Practitioner ◽  
Satisfaction Survey ◽  
Patient Reported ◽  
Patient Enablement

A Reliability Analysis of the Revised Competitiveness Index

2010 ◽  
Vol 106 (3) ◽  
pp. 870-874 ◽  
Author(s):  
Paul B. Harris ◽  
John M. Houston
Keyword(s):  
Reliability Analysis ◽  
Factor Structure ◽  
Dynamic State ◽  
Retest Reliability ◽  
Stable Factor ◽  
Competitiveness Index ◽  
Test Retest Reliability ◽  
High Test

This study examined the reliability of the Revised Competitiveness Index by investigating the test-retest reliability, interitem reliability, and factor structure of the measure based on a sample of 280 undergraduates (200 women, 80 men) ranging in age from 18 to 28 years ( M = 20.1, SD = 2.1). The findings indicate that the Revised Competitiveness Index has high test-retest reliability, high interitem reliability, and a stable factor structure. The results support the assertion that the Revised Competitiveness Index assesses competitiveness as a stable trait rather than a dynamic state.

Refinement and further application of the Qualities of Sore Throat Index (QuaSTI)

2020 ◽  
Vol 10 (4) ◽  
pp. 247-252
Author(s):  
Bernard Schachtel ◽  
Adam B Smith ◽  
Adrian Shephard
Keyword(s):  
Sore Throat ◽  
Factor Structure ◽  
Therapeutic Effects ◽  
Factor Analyses ◽  
Confirmatory Factor Analyses ◽  
Additional Item ◽  
Patient Reported ◽  
Confirmatory Factor ◽  
The Status ◽  
Degree Of Association

Aim: The Qualities of Sore Throat Index (QuaSTI) assesses the status of patient-reported pharyngeal pain. One study used QuaSTI in isolation; a separate study used QuaSTI plus the Sore Throat Scale (STS). Both studies also used a Sore Throat Pain Intensity Scale (STPIS). This study evaluates STS and STPIS as instruments to refine the QuaSTI. Materials & methods: Correlational analysis determined the degree of association between STPIS and STS. Confirmatory factor analyses evaluated the proposed factor structure of QuaSTI. Results: A strong correlation between STS and STPIS (r = 0.91; p < 0.01), supports the use of STS in QuaSTI. Analyses confirm a three-factor structure for the 10-item QuaSTI and validate inclusion of an additional item to create an 11-item tool for measuring pharyngeal pain. Conclusion: The QuaSTI represents a robust and validated tool for measuring therapeutic effects in patients with pharyngitis.

A feasibility exploratory study of a novel modality of using patient-reported outcomes (PROsEXPLOR) in the real world

2020 ◽  
Vol 106 (6) ◽  
pp. 464-470
Author(s):  
Federica Grosso ◽  
Stefania Crivellari ◽  
Marinella Bertolotti ◽  
Michela Lia ◽  
Antonina De Angelis ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Practice ◽  
Adverse Events ◽  
Exploratory Study ◽  
Patient Reported Outcomes ◽  
Routine Clinical Practice ◽  
Satisfaction Survey ◽  
Home Therapy ◽  
Patient Reported ◽  
Hospital Visits

Introduction: Patient-reported outcomes (PROs) can help clinicians better evaluate chemotherapy and immunotherapy toxicity based on patient perspectives. In this exploratory study, we tested a simplified PRO questionnaire (sPQ) in routine clinical practice and patient satisfaction with this tool. Methods: We included 16 items related to the main toxicities of chemotherapy and immunotherapy to be filled in by patients. A baseline sPQ was completed by patients before starting treatment and then in the interval between courses for a total of 4 sPQs. Patients communicated the results to a data manager, who alerted the referral oncologist in case of replies differing from the basal or previous sPQ. According to the severity of symptoms, the patient was then referred to the team nurse, the general practitioner, or another specialist. A satisfaction survey was also completed. Results: In a 3-month interval, 27 patients were enrolled. Fatigue and nausea were the most frequent symptoms reported as worsening during treatment. The oncologist was involved in the management of adverse events in 4 cases, home therapy variations were recommended by the dedicated nurse in 14 cases, additional visits were performed in 6 patients, and 1 patient was admitted to the oncology ward. None of the patients had unplanned visits to the emergency department or to the hospital. The sPQ was judged to be simple, useful, and satisfactory. Conclusions: Using sPQs in routine clinical practice was feasible and well-accepted by patients. PROs allowed us to recognize and promptly manage adverse events, reducing unplanned emergency department or hospital visits to zero.

scholarly journals A feasibility esplorative study of a novel modality of using patient reported outcomes for patients with rare cancers and melanoma (prosexplor).

2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Antonina De Angelis ◽  
Stefania Crivellari ◽  
Marinella Bertolotti ◽  
Antonella Cassinari ◽  
Michela Lia ◽  
...  
Keyword(s):  
Clinical Practice ◽  
General Practitioner ◽  
Emergency Room ◽  
Patient Reported Outcomes ◽  
Routine Clinical Practice ◽  
Satisfaction Survey ◽  
Interval Time ◽  
Baseline Questionnaire ◽  
Rare Cancers ◽  
Patient Reported

Objectives: This study tested the feasibility of using a simplified Patient Reported Outcomes questionnaire (sPQs) in routine clinical practice. Methodology: A baseline questionnaire was completed by patients before starting treatment and in the interval time between courses (a total of 4 questionnaires). The results were communicated to a data manager who alerted the oncologist in case of replies differing from the basal/previous. The patient was referred to the nurse or general practitioner or specialist. A satisfaction survey was also done. Results: In a 3-months interval, 27 patients were enrolled. Fatigue and nausea were the most frequent symptoms reported as worsening. The oncologist managed toxicities in 4 cases, therapy variations were recommended by the nurse in 14 cases, visits was performed in 6 patients, 1 patient was hospitalized. None of patients had unplanned accesses to the emergency room or to the hospital. The questionnaire was judged simple and useful. Conclusions: The use of sPQs in the routine clinical practice was feasible and well accepted by patients. sPQs allowed to promptly recognize and manage toxicities reducing to zero unplanned accesses.

Evaluation of Long-term Outcomes Following Plantar Fasciotomy

2018 ◽  
Vol 39 (11) ◽  
pp. 1312-1319 ◽  
Author(s):  
Rebekah Gibbons ◽  
Katherine E. Mackie ◽  
Todd Beveridge ◽  
Dana Hince ◽  
Peter Ammon
Keyword(s):  
Patient Satisfaction ◽  
Plantar Fasciitis ◽  
Satisfaction Score ◽  
Satisfaction Survey ◽  
Long Term Outcomes ◽  
Short Term ◽  
Patient Reported ◽  
Plantar Fasciotomy

Background: Plantar fasciitis is a common condition prevalent in both athletic and nonathletic populations. Approximately 10% of patients do not respond to conservative treatment and suffer chronic recalcitrant plantar fasciitis. Outcomes following plantar fasciotomy vary but short-term studies have reported excellent early pain relief and return to activity, and significant improvements in symptoms. Previous study limitations include small patient cohorts, short-term duration of follow-up or lack of validated outcome measures. We therefore aimed to investigate the long-term outcomes following complete plantar fasciotomy. Methods: Patients who underwent complete plantar fasciotomy surgery from a single surgeon within the past 10 years (minimum 7 months) were invited to participate in this retrospective survey study. To evaluate patient-reported function, participants were asked to complete the Foot and Ankle Outcome Score (FAOS). To assess subjective outcome, the participants were provided a satisfaction survey. The satisfaction survey was designed to include the 3 key factors for assessing postoperative patient satisfaction, which are preoperative expectations, symptom relief, and hospital experience. A total of 74 questionnaires were returned. Results: The median global satisfaction score was 85.4 (IQR=37.5) points out of 100. Significant correlations between the global patient satisfaction score and all FAOS subscale scores were identified. Only 3 participants (4%) reported a complication following surgery; however, 32 participants (44.4%) indicated that they still experienced swelling and/or tenderness in their foot at the time of the survey (mean follow-up time 4.8 ± 2.8 years) but for the majority of patients this was improved from before surgery. Conclusion: Long-term patient satisfaction was experienced by the majority of patients following plantar fasciotomy. Although 44% of patients continue to have postoperative complaints, 73% indicated that they were satisfied with their symptoms postoperatively, and 74% would undergo a similar procedure again. Level of Evidence: Level IV, case series.

Time stamps used to measure the patient's clinic experience.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 150-150 ◽  
Author(s):  
Terry Jensen ◽  
Roy Brown ◽  
Gay Riegel ◽  
Lalan S. Wilfong ◽  
John Russell Hoverman
Keyword(s):  
Patient Satisfaction ◽  
Wait Time ◽  
Office Visit ◽  
Site Quality ◽  
Satisfaction Survey ◽  
Wait Times ◽  
Time Stamp ◽  
Patient Satisfaction Survey ◽  
Patient Reported ◽  
Time Stamps

150 Background: In 2013, a patient reported satisfaction survey indicated 19% of patients waited 20-40 minutes, 8% 40-60 minutes and 4% over 1 hour. We initiated a project to objectively quantify the components of wait times to investigate opportunities for improvement. Methods: Utilizing existing technology in the practice management system, clinic staff use the Day List feature to capture time stamps as patients move through the clinic. We focused on provider appointments but these visits could also include business office, labs, infusion and diagnostics. It was important to define where the wait(s) occurred. The Time Stamp durations measured are as follows: Arrival to Depart – duration of each appointment; Arrival to site to Exam Start – duration of activity until ready to be seen by the provider, includes rooming, labs and business office activity. Used to compare to the patient satisfaction survey responses; Exam Start to Depart – the provider portion of the office visit, includes patient wait plus exam time. Three reports are generated: Time Stamp Error Report indicating the completeness of data collection; Average Wait Times Report with appointment counts by physician by site and average durations; Provider Wait Times Report with office visit counts, Wait Time Category counts ( < 10 min, 10-20, 20-40, 40-60, and > 1 hour ) and average durations. Results: There was a correlation calculation to the patient satisfaction survey of .779, with long wait times more likely to be underreported by patients. Site and physician data were available for review at site Quality Committees. The data can be used by the site to improve processes, such as lab and infusion room scheduling. Time stamps are used to communicate patient readiness for next steps in the office visit. The time stamps provide objective data to discuss patient complaints with staff. Conclusions: Patient wait times are a valued measure of patient satisfaction and quality. Full utilization of the Day List and supporting technology allows us to objectively monitor and improve this aspect of patient care. Table 1: Sample Provider Report [Table: see text]

scholarly journals Emergency nurse practitioners’ use of a modified Edinburgh red eye diagnostic algorithm: Prospective observational study

2019 ◽  
pp. 102490791988256
Author(s):  
Lee-Kwan Chuk ◽  
Josephine Yuen-Man Chung ◽  
Henry Hing-Wai Lau ◽  
Ling Yan Leung ◽  
Kevin KC Hung ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hong Kong ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Symptom Severity ◽  
Diagnostic Algorithm ◽  
Analysis Of Covariance ◽  
Convenience Sample ◽  
Red Eye ◽  
Patient Reported

Background: Emergency nurse practitioners have traditionally been reluctant to treat acute red eyes in Hong Kong emergency departments. The Edinburgh Red Eye Diagnostic Algorithm is the only validated tool to assist non-ophthalmologists to make diagnoses. Objectives: This study investigates the utility of a modified version used by emergency nurse practitioners. Methods: This is a prospective single-centre cohort study in a university hospital emergency department in Hong Kong, comparing red eye patients seen by emergency nurse practitioners with the aid of the algorithm to patients seen by emergency doctors. Data on patient-reported symptom severity were obtained on the day of consultation and information on resolution of symptoms at 1 week following emergency department attendance via telephone interviews. Results: A convenience sample of 50 patients was recruited to the emergency nurse practitioner group and 130 patients were recruited to the doctors’ group over 9 weeks. Reductions in symptom severity were seen in both groups (>70% in both groups reported moderate to very severe discomfort on day 0; ~90% in both groups reported none or mild discomfort on day 7). There was no difference between the two groups ( p = 0.55, analysis of covariance). Symptom resolution was reported in 96% in the emergency nurse practitioner group and 98.5% in the doctor’s group, which was not statistically significant ( p = 0.31, χ2 test). Conclusion: Emergency nurse practitioners using the Edinburgh Red Eye Algorithm to manage red eye patients in a Hong Kong emergency department achieve similar patient-reported outcomes compared to emergency department doctor consultations.

Developing the foundations of a cognition-based human reliability analysis model via mapping task types and performance-influencing factors: Application to radiotherapy

2017 ◽  
Vol 232 (1) ◽  
pp. 3-37 ◽  
Author(s):  
Dhruv Pandya ◽  
Luca Podofillini ◽  
Frank Emert ◽  
Antony J Lomax ◽  
Vinh N Dang
Keyword(s):  
Reliability Analysis ◽  
Influencing Factors ◽  
Factor Structure ◽  
Influencing Factor ◽  
Task Type ◽  
Analysis Method ◽  
Human Reliability ◽  
Human Reliability Analysis ◽  
And Performance ◽  
Paul Scherrer

Most human reliability analysis methods have been developed for nuclear power plant applications; this challenges the application of the available techniques to other domains. Indeed, for application to a specific domain, a human reliability analysis method should address the relevant tasks and performance conditions. The aim of this article is to propose a methodology to develop a generic task type–performance-influencing factor structure, specific for application to a domain of interest and directly linked to an underlying cognitive framework of literature. The structure provides the foundation of a human reliability analysis method built on the generic task type concept; it identifies the sector-specific performance-influencing factor effects on the failure probability that the method needs to represent and quantify for each generic task type. The methodology is intended to support a systematic and traceable process to develop the generic task type–performance-influencing factor structure, to ease the review of the process and of its results and, in case, identify and implement changes to the structure. The proposed methodology is applied to the radiotherapy domain allowing the development of sector-specific taxonomies of representative critical tasks, their failure modes, underlying cognitive failure mechanism, and influencing performance-influencing factors. This is part of a broader activity carried out by the Risk and Human Reliability Group at the Paul Scherrer Institute of Switzerland to develop a human reliability analysis method, specific for the radiotherapy domain. The activity is conducted in close cooperation with Paul Scherrer Institute’s Center for Proton Therapy, where a first application of the method is foreseen.

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