How nurses and midwives engage with patient experience data to inform person‐centred quality and safety improvements

Healthcare Providers’ Impact on the Patient Experience: Is Anyone listening to Improve Quality and Safety

Journal of Nursing & Care ◽

10.4172/2167-1168.1000173 ◽

2014 ◽

Vol 03 (04) ◽

Author(s):

Josephine Malfitano

Keyword(s):

Patient Experience ◽

Healthcare Providers ◽

Quality And Safety ◽

Improve Quality

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Partners at Care Transitions (PACT)—exploring older peoples’ experiences of transitioning from hospital to home in the UK: protocol for an observation and interview study of older people and their families to understand patient experience and involvement in care at transitions

BMJ Open ◽

10.1136/bmjopen-2017-018054 ◽

2017 ◽

Vol 7 (11) ◽

pp. e018054 ◽

Cited By ~ 9

Author(s):

Natasha Kate Hardicre ◽

Yvonne Birks ◽

Jenni Murray ◽

Laura Sheard ◽

Lesley Hughes ◽

...

Keyword(s):

Patient Experience ◽

Older Patients ◽

Patient Involvement ◽

Transition Period ◽

Care Quality ◽

Social Needs ◽

Hospital Inpatient ◽

Quality And Safety ◽

Care Needs ◽

Hospital To Home

IntroductionLength of hospital inpatient stays have reduced. This benefits patients, who prefer to be at home, and hospitals, which can treat more people when stays are shorter. Patients may, however, leave hospital sicker, with ongoing care needs. The transition period from hospital to home can be risky, particularly for older patients with complex health and social needs. Improving patient experience, especially through greater patient involvement, may improve outcomes for patients and is a key indicator of care quality and safety. In this research, we aim to: capture the experiences of older patients and their families during the transition from hospital to home, and identify opportunities for greater patient involvement in care, particularly where this contributes to greater individual-level and organisational-level resilience.Methods and analysisA ‘focused ethnography’ comprising observations, ‘Go-Along’ and semistructured interviews will be used to capture patient and carer experiences during different points in the care transition from admission to 90 days after discharge. We will recruit 30 patients and their carers from six hospital departments across two National Health Service (NHS) Trusts. Analysis of observations and interviews will use a framework approach to identify themes to understand the experience of transitions and generate ideas about how patients could be more actively involved in their care. This will include exploring what ‘good’ care at transitions looks like and seeking out examples of success, as well as recommendations for improvement.Ethics and disseminationEthical approval was received from the NHS Research Ethics Committee in Wales. The research findings will add to a growing body of knowledge about patient experience of transitions, in particular providing insight into the experiences of patients and carers throughout the transitions process, in ‘real time’. Importantly, the data will be used to inform the development of a patient-centred intervention to improve the quality and safety of transitions.

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Guest Editorial: New views of quality and safety offer new roles for nurses and midwives

Nursing and Health Sciences ◽

10.1111/j.1442-2018.2010.00539.x ◽

2010 ◽

Vol 12 (3) ◽

pp. 281-283 ◽

Cited By ~ 5

Author(s):

Gwen Sherwood

Keyword(s):

Guest Editorial ◽

Quality And Safety ◽

Nurses And Midwives

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‘Groundhog Day’: the Coalition government’s quality and safety reforms

Dismantling the NHS? ◽

10.1332/policypress/9781447330226.003.0016 ◽

2016 ◽

Author(s):

Martin Powell ◽

Russell Mannion

Keyword(s):

Patient Experience ◽

Comparative Perspective ◽

Coalition Government ◽

Quality And Safety ◽

Safety Effectiveness ◽

Quality In Healthcare ◽

The Impact

Quality and safety are defined and measured in different ways by academics, commentators and agencies, while the relationships between them are viewed in different ways. Raleigh and Foot write that while the definitions of quality vary in different settings, some themes – safety, effectiveness and patient experience – are common to most quality frameworks and are regarded as the three pillars of quality in healthcare. This chapter examines these three pillars, and, after a brief review of earlier periods, it focuses on reforms in England under the Coalition government. It then explores the impact of reforms on quality and safety, providing a wider comparative perspective.

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