Overview and Summary: The Patient Experience: Capturing the Intricacies of Contributing Factors

J. Becker
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Abstract

Working as a patient experience champion is a dream come true for me as both a nurse and a leader. Looking back, my desire to provide an exceptional experience started when I was a teen working in a long term care center as a certified nursing assistant; I just didn't know that was what I was doing at the time. What I did understand was this: when I anticipated and met the patients' needs, they were happier and my day seemed more meaningful. This provided a very simple measure of satisfaction at a time when patient satisfaction data was nonexistent. We all know healthcare providers who epitomize a high performing, caring individual who each of us hope to encounter when receiving care. Some of these individuals come by it naturally, while others have refined a skill set to achieve that level of caring and compassion. Regardless, we have all experienced excellent service in some form, whether in healthcare or another industry, and we know what it feels like to receive excellent service.I "experienced" healthcare highs and lows through my own 6 month-event leading to a diagnosis of a chronic condition with unknown etiology and also through experiences of family members: two sisters diagnosed with breast cancer and a father going through open heart surgery. What became very clear to me, as my family and I moved through services in various healthcare organizations over a 15 year span, was that progress toward providing an exceptional experience every time occurred slower than one would expect, but when healthcare organizations got it right, phenomenal experience was the phrase that came to mind. As a patient experience leader, my observations over my career are much the same as those viewed through my eyes as a patient and family member. Yes, overall progress has been slow. However, as a healthcare leader, I understand the complexities that exist.The progress, though slow to date, is currently showing promise in many respects. Conferences focusing solely on the patient experience are readily available, senior leaders are listing the patient experience as one of the top organizational priorities, employee evaluations often include patient satisfaction metrics, and data transparency is improving. There are many more areas of advancement in the patient experience realm and all of them demonstrate a heightened awareness of the integral part patient experience plays in the overall health of an organization through reimbursement, loyalty and outcomes. Furthermore, movement in organizations toward tackling the obstacles limiting exceptional experiences is gathering momentum, as evidenced by the addition of new patient experience leader roles at the senior leader level and additional dedicated employee and financial resources. One would expect a quicker pace in progress with these additional resources and increased knowledge gathered and shared within the industry.At a recent conference, I heard numerous references to the human-centered experience versus the commonly used patient-centered experience terminology. I gave this phrase significant consideration over the following days. Using this phrase makes sense, as this language challenges us to remove the patient label from those we serve. This shift reminds us that we are interacting with another human being and not simply managing a patient or condition. Looking only at an individual as a patient prevents us from looking past the disease, condition, treatment, or service into the space that supports the entire human being. Improving the patient experience is a delicate balance between embracing standardization and data analysis while maintaining a laser focus on the individuality of every person receiving care or services.To that extent, the body of knowledge for the patient experience is growing immeasurably. The following authors present information to further patient experience knowledge, encourage future research, and promote dialogue about challenges to meeting patient and family needs while also supporting those providing care. …
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概述和总结:病人的经验:捕捉影响因素的复杂性
作为一名护士和领导者,成为一名患者体验冠军对我来说是一个梦想成真。回首往事,当我还是一名十几岁的青少年,在一家长期护理中心担任持证护理助理时,我就开始渴望提供一种特殊的体验;我只是不知道我当时在做什么。我真正明白的是:当我预见并满足病人的需求时,他们会更快乐,我的一天似乎更有意义。在病人满意度数据不存在的时候,这提供了一个非常简单的满意度测量方法。我们都知道,医疗服务提供者是我们每个人在接受护理时都希望遇到的高绩效、有爱心的人的缩影。有些人天生就有同情心,而另一些人则磨练了一套技能来达到这种程度的关怀和同情。无论如何,我们都经历过某种形式的优质服务,无论是在医疗保健还是其他行业,我们都知道接受优质服务是什么感觉。在我自己6个月的时间里,我“经历”了医疗保健的高潮和低谷,最终被诊断出一种病因不明的慢性疾病,也经历了家庭成员的经历:两个姐妹被诊断出患有乳腺癌,一个父亲接受了心脏手术。当我和我的家人在15年的时间里在不同的医疗机构服务时,我很清楚的是,每次提供特殊体验的进展都比人们想象的要慢,但是当医疗机构做对了,非凡的体验是我脑海中出现的短语。作为一名患者体验领导者,我在职业生涯中的观察与我作为患者和家庭成员所看到的大致相同。是的,总体进展缓慢。然而,作为医疗保健行业的领导者,我理解存在的复杂性。虽然到目前为止进展缓慢,但目前在许多方面显示出希望。专门讨论患者体验的会议随时可用,高层领导将患者体验列为组织的首要任务之一,员工评估通常包括患者满意度指标,数据透明度正在提高。在患者体验领域还有更多的进步领域,所有这些领域都表明,通过报销、忠诚度和结果,人们对患者体验在组织整体健康中所起的不可或缺的作用有了更高的认识。此外,在组织中,解决限制特殊经验障碍的运动正在积聚势头,在高级领导层面增加了新的患者体验领导角色,增加了专门的员工和财政资源。随着这些额外的资源和更多的知识在行业内的收集和共享,人们可能会期望取得更快的进展。在最近的一次会议上,我听到了许多关于“以人为中心的体验”和“以病人为中心的体验”的说法。在接下来的几天里,我认真地考虑了这句话。使用这个短语是有意义的,因为这种语言要求我们从我们所服务的人身上去掉病人的标签。这种转变提醒我们,我们是在与另一个人互动,而不仅仅是在管理病人或病情。只把个体当作病人来看待,会使我们无法越过疾病、状况、治疗或服务,而进入支持整个人类的空间。改善患者体验是在接受标准化和数据分析之间的微妙平衡,同时保持对每个接受护理或服务的人的个性的高度关注。在这种程度上,关于患者体验的知识体系正在不可估量地增长。以下作者提供的信息,以进一步了解患者的经验,鼓励未来的研究,并促进对话的挑战,以满足患者和家庭的需求,同时也支持那些提供护理。…
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来源期刊
Online Journal of Issues in Nursing
Online Journal of Issues in Nursing Nursing-Issues, Ethics and Legal Aspects
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