Patients' Evaluation of the Quality of Emergency Care Services in Jordan: Integration of Patient Centeredness Model.

IF 0.8 4区 医学 Q4 NURSING Research and Theory for Nursing Practice Pub Date : 2021-11-30 DOI:10.1891/RTNP-D-21-00037
Mahmoud Al-Kalaldeh, Esraa Al-Bdour, Ghada Abu Shosha
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Abstract

Background and purpose: Accreditation is viewed to enhance the total quality of healthcare. The present study aims at assessing patients' perspectives toward the quality of emergency healthcare services at different hospitals with different characteristics in Jordan. The elements of patients' perception were aligned with the conceptual framework of Patient Centeredness Model.

Methods: This descriptive cross-sectional study was carried out in four emergency departments from different healthcare sectors and accreditation statuses in Jordan. Less urgent/nonurgent, alert, and cooperative patients were identified directly after the completion of emergency treatment. The perspectives of patients about the quality of emergency services were evaluated by 10 domains articulated in a validated accident and emergency questionnaire.

Results: A total of 276 patients were enrolled in the study. Private sector scored higher in all assessment domains in both accredited and nonaccredited hospitals in comparison with the government sector. Accredited government hospitals scored higher in patients' evaluation for "doctor and nurse," "investigations," "pain," and "overall respect of medical staff" domains than nonaccredited government hospitals. The overall experience was significantly different between accredited and nonaccredited government hospitals.

Implications for practice: Quality of emergency care services should be assessed through various dimensions related to patients' perspectives. Patients' perception toward the quality of emergency health services is evidently enhanced by accreditation especially in the government sector.

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约旦患者对急诊服务质量的评价:以患者为中心模式的整合。
背景和目的:认证被认为能提高医疗保健的整体质量。本研究旨在评估约旦不同特色医院的患者对急诊医疗服务质量的看法。患者感知的要素与 "以患者为中心模型 "的概念框架相一致:这项描述性横断面研究在约旦不同医疗行业和认证地位的四家急诊科进行。在完成急诊治疗后,直接识别了不太紧急/非急诊、警觉和合作的患者。患者对急诊服务质量的看法由一份经过验证的事故和急诊问卷中的 10 个领域进行评估:共有 276 名患者参与了研究。与政府部门相比,私立医院在所有评估领域中的得分都要高于通过评审和未通过评审的医院。在 "医生和护士"、"调查"、"疼痛 "和 "医务人员的整体尊重 "方面,通过评审的政府医院在患者评价中的得分高于未通过评审的政府医院。通过评审的政府医院与未通过评审的政府医院在总体体验方面存在明显差异:对实践的启示:急诊护理服务的质量应通过与患者视角相关的多个维度进行评估。患者对急诊医疗服务质量的感知显然会通过评审得到提升,尤其是在政府部门。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
32
审稿时长
>12 weeks
期刊介绍: Research and Theory for Nursing Practice focuses on issues relevant to improving nursing practice, education, and patient care. The articles strive to discuss knowledge development in its broadest sense, reflect research using a variety of methodological approaches, and combine several methods and strategies in a single study. Because of the journal''s international emphasis, article contributors address the implications of their studies for an international audience.
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