Table 2 Analysis of the association between individual patient reported experience measures and overall patient-reported satisfaction, and multivariate linear regression of significant variables. Patient-reported satisfaction data are mean overall satisfaction score out of 10
From: Patient experience and overall satisfaction after emergency abdominal surgery
Patient-reported satisfaction | ||||||
|---|---|---|---|---|---|---|
Univariable analysis | Multivariable linear regression | |||||
Experienced at all time (±SD) | Sometimes or never experienced (±SD) | p-value | β-estimate | 95% CI | p-value | |
Admission | ||||||
Sufficient information in ED | 8.46 (1.21) | 7.35 (2.41) | 0.220 | |||
Sufficient privacy in the ED | 8.22 (1.61) | 6.33 (3.06) | 0.220 | |||
Sufficient information in the Hot Clinic | 7.91 (1.56) | 8.66 (1.21) | 0.440 | |||
Did not experience a long wait for bed in ward | 8.26 (1.49) | 8.04 (1.75) | 0.370 | |||
Ward Environment | ||||||
No night-time noise from other patients | 8.29 (1.52) | 8.00 (1.85) | 0.670 | |||
No night-time noise from staff | 8.54 (1.40) | 6.50 (1.73) | <0.001 | 1.35 | 0.56–2.14 | 0.001 |
High levels of ward cleanliness | 8.48 (1.61) | 7.45 (1.54) | 0.005 | |||
No threatening behaviour from other patients or visitors | 8.22 (1.64) | 6.50 (0.71) | 0.080 | |||
High satisfaction with the food | 8.23 (1.59) | 8.27 (1.40) | 0.980 | |||
Sufficient help at mealtimes | 8.71 (1.11) | 7.50 (2.12) | 0.450 | |||
Enough nurses on the ward | 8.32 (1.34) | 7.92 (2.10) | 0.710 | |||
Sufficient privacy for clinical discussions | 8.55 (1.22) | 6.42 (2.23) | 0.001 | 0.09 | −1.04-1.21 | 0.870 |
Sufficient privacy for examination and treatment | 8.40 (1.35) | 5.40 (2.61) | 0.010 | |||
Patient-staff interaction | ||||||
Confidence and trust in doctors responsible for care | 8.33 (1.58) | 6.20 (1.30) | 0.006 | |||
Did not experience doctors talking in front of patients as if they were not present | 8.44 (1.40) | 7.14 (2.14) | 0.020 | |||
Confidence and trust in nurses | 8.41 (1.42) | 6.14 (2.19) | 0.008 | 1.51 | 0.54–2.49 | 0.003 |
Did not experience nurses talking in front of patients as if they were not present | 8.21 (1.65) | 7.80 (1.79) | 0.520 | |||
Staff to talk to about worries and fears | 8.32 (1.51) | 7.40 (2.03) | 0.100 | |||
Sufficient emotional support from staff | 8.65 (1.17) | 5.73 (1.84) | <0.001 | |||
No pain | 8.16 (1.80) | 8.29 (1.64) | 0.780 | |||
Sufficient pain control from staff | 8.42 (1.49) | 6.67 (1.80) | 0.004 | |||
Information and involvement in treatment | ||||||
Important questions answered by doctors | 8.47 (1.30) | 5.88 (2.30) | 0.002 | 0.83 | 0.18–1.84 | 0.100 |
Important questions answered by nurses | 8.35 (1.47) | 6.33 (2.34) | 0.030 | |||
Involvement in decisions about treatment | 8.53 (1.30) | 6.36 (2.11) | <0.001 | 0.72 | −0.32-1.77 | 0.170 |
Confidence in decisions made about treatment | 8.38 (1.60) | 6.63 (1.19) | 0.001 | |||
Sufficient information given about treatment | 8.51 (1.35) | 6.45 (2.02) | <0.001 | 0.86 | 0.01–1.70 | 0.047 |
Sufficient explanation of risks and benefits of surgery | 8.46(1.40) | 6.70 (2.21) | 0.006 | 1.26 | 0.18–2.34 | 0.020 |
Sufficient explanation of operation details | 8.44 (1.45) | 6.80 (2.10) | 0.006 | |||
Questions answered about surgery | 8.36 (1.44) | 6.33 (3.06) | 0.160 | |||
Sufficient pre-op explanation of what to expect post-op | 8.52 (1.33) | 7.35 (2.03) | 0.020 | |||
Sufficient explanation from anaesthetists | 8.20 (1.67) | 7.50 (0.71) | 0.290 | |||
Sufficient post-op explanation of operation findings | 8.53 (1.39) | 7.26 (1.94) | 0.007 | |||
Discharge Process | ||||||
Involvement in discharge decision-making | 8.56 (1.22) | 6.71 (2.23) | 0.002 | |||
Sufficient notice prior to discharge | 8.49 (1.50) | 7.24 (1.75) | 0.004 | |||
Discharge not delayed | 8.27 (1.96) | 7.95 (1.52) | 0.670 | |||
Provision of written information | 8.71 (1.17) | 7.31 (1.93) | 0.001 | −0.20 | −0.86- 0.44 | 0.520 |
Explanation of purpose of discharge medication | 8.42 (1.35) | 5.60 (2.51) | 0.008 | |||
Explanation how to take discharge medication | 8.34 (1.50) | 6.25 (2.36) | 0.040 | |||
Warning of danger signals to look out for at home | 8.54 (1.47) | 7.63 (1.78) | 0.010 | |||
Consideration of family situation in planning discharge | 8.77 (1.00) | 6.77 (2.24) | 0.001 | |||
Sufficient information given to family | 8.82 (1.00) | 7.04 (1.99) | <0.001 | 0.39 | −0.27-1.05 | 0.240 |
Information given for who to contact if concerned | 8.52 (1.36) | 6.83 (2.04) | 0.003 | |||
Discharged with required equipment/ home adaptations | 8.77 (1.48) | 6.00 (2.65) | 0.050 | |||
Discharged with all required community/ social care | 8.33 (1.65) | 6.20 (2.17) | 0.040 | |||
Overall Experience | ||||||
Treated with dignity | 8.59 (1.28) | 5.80 (1.55) | <0.001 | |||
Felt well-looked after in hospital | 8.64 (1.30) | 6.23 (1.59) | <0.001 | |||