正面强化:平衡负反馈和正反馈,实现全面提高。

IF 4.8 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of dentistry Pub Date : 2025-02-01 DOI:10.1016/j.jdent.2024.105501
E Barrow , P Mylonas , R Pattinson , L Sadaghiani
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引用次数: 0

摘要

患者反馈在医疗保健中起着至关重要的作用,提供了对护理质量的见解,并促进了专业发展。尽管强调从监管机构收集反馈,但体制政策似乎侧重于处理投诉和负面反馈,而不是正面反馈。本研究的目的是调查在整个英国和爱尔兰共和国牙科医院的病人反馈的系统记录相关的过程。以先前的当地调查为试点,进行了横断面调查研究。在ADH所属的22家医院中,有13家(59%)回复了问卷。包括频率和百分比在内的描述性统计是用来总结样本和数据的。定性数据分析使用布朗和克拉克的主题分析[1]以下归纳方法。我们发现,ADH机构认为大多数负面反馈被记录下来,而大多数正面反馈被遗漏。很明显,与负面反馈相比,积极的患者反馈被收集和记录的系统程度较低,大多数机构承认在这方面需要改进。这种差异可能源于缺乏鼓励和记录积极反馈的结构化程序。促进积极的反馈是至关重要的,因为积极和消极的反馈都能提供有价值的见解。为了加强反馈的收集和利用,研究应该扩大到包括患者和个体临床医生的观点。此外,探索一种通用反馈系统的发展可以简化和改善各机构对患者反馈的收集和使用。
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Positive reinforcement: Balancing negative and positive feedback for comprehensive improvement
Patient feedback plays a vital role in healthcare, offering insights into the quality of care and promoting professional development. Despite the emphasis on feedback collection from regulatory bodies, institutional policies appear to focus on processing complaints and negative feedback over positive feedback.
The aim of this study is to investigate the processes relevant to the systematic logging of patient feedback in the dental hospitals across the UK and the Republic of Ireland.
A cross-sectional survey study was conducted with a prior local survey serving as a pilot. Of the 22 hospitals of the ADH, 13 responded to the questionnaire (59 %). Descriptive statistics including frequencies and percentages were produced to summarise the sample and data. Qualitative data were analysed using Braun and Clark's thematic analysis [1] following an inductive approach.
We found that the institutions of the ADH perceive that most negative feedback is logged, whereas most positive feedback is missed. It is evident that positive patient feedback is collected and logged less systematically than negative feedback, and most institutions acknowledge the need for improvement in this area. This discrepancy likely stems from a lack of structured procedures for encouraging and recording positive feedback.
Promoting positive feedback is crucial, as both positive and negative feedback offer valuable insights. To enhance feedback collection and utilisation, research should expand to include the perspectives of patients and individual clinicians. Furthermore, exploring the development of a universal feedback system could simplify and improve the collection and use of patient feedback across institutions.

Clinical significance

A discrepancy is apparent in the perceived effectiveness of feedback collected for staff and students, with students receiving more comprehensive feedback. An online platform for capturing patient expressions of gratitude can be beneficial, facilitating the recording of feedback as it is received and encouraging more patients to provide their input.
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来源期刊
Journal of dentistry
Journal of dentistry 医学-牙科与口腔外科
CiteScore
7.30
自引率
11.40%
发文量
349
审稿时长
35 days
期刊介绍: The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.
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