Patient satisfaction with anaesthesia services and associated factors at the University of Gondar Hospital, 2013: a cross-sectional study (original) (raw)
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Background: Patient satisfaction is the degree of fulfilling patients' anticipation which is an important component and quality indicator in anaesthesia service. It can be affected by anaesthetist patient interaction, perioperative anaesthetic management and postoperative follow up. No previous study conducted in our setup. The aim was to assess patient satisfaction with anaesthesia services and associated factors. Methods: Institutional based cross sectional study was conducted from April 15–30, 2013 at the University of Gondar referral and teaching hospital. All patients who were operated upon both under general and regional anaesthesia during the study period were included. Standardized questionnaire used for postoperative patient interview. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) window version 20. Chi Square test used to assess the association between each factor and the overall satisfaction of patients. The proportion of patients who said they were satisfied with anaesthesia services was presented in percentage. Results: A total of 200 patients were operated upon under anaesthesia during the study period. Of these, a total of 156 patients were included in this study with a response rate of 78 %. The overall proportion of patients who said they were satisfied with anaesthesia services was 90.4 %. Factors that affected patient satisfaction negatively (dissatisfaction level and p value) were general anaesthesia (12.6 %, P = 0.046), intraoperative awareness (50 %, P = <0.001), pain during operation (61.1 %, P = <0.001), and pain immediately after operation (25 %, P = <0.001) respectively. Conclusion and recommendation: Patient satisfaction with anaesthesia services was low in our setup compared with many previous studies. Factors that affected patient satisfaction negatively may be preventable or better treated. Awareness creation about the current problem and training need to be given for anaesthetists.
Best Practice & Research Clinical Anaesthesiology, 2006
Patient satisfaction is a part of outcome quality. Many theories of satisfaction include patients' expectation. One definition of satisfaction is therefore the degree of congruence between expectation and accomplishment. The involvement of patients as well as experts is therefore an important step in the development of an instrument to measure patient satisfaction. Results of single-item ratings or overall satisfaction surveys are over-optimistic and do not represent the true indication of care. The construction of highly standardized (psychometric) questionnaires should include elements of content validity, criterion and construct validity, reliability and practicability. Based on the few available studies in anaesthesia, patient satisfaction is primarily determined by information and communication. There is great potential for improvement in this area. However, we do not know the best way to continuously improve patient satisfaction with anaesthesia care, or to what extent decisions should be shared between the anaesthetist and the patient.
Factors Predictive of Patient Satisfaction with Anesthesia
Anesthesia & Analgesia, 2007
BACKGROUND: In this multicenter prospective study, we identified factors associated with satisfaction with anesthesia in patients staying in hospital at least 24 h after surgery. METHODS: The study was performed in six centers. Inpatients aged more than 18 yr, who underwent a wide range of common surgical procedures, were asked to answer a 10-item instrument to measure patient satisfaction with anesthesia (mean score range, 0-10) and some specific questions, and to rate their perceived health (score, 0-10). Anesthesia staff members were invited to self-compile a Maslach Burnout Inventory. RESULTS: The satisfaction evaluation questionnaire was returned by 1290 patients (mean age, 61 Ϯ 16 yr; males, 54.4%). The mean global satisfaction score was 8.7 (95% CI: 8.7-8.8), being Ͻ9 in 632 (49%) and Ն9 in 658 (51%) patients. The Maslach Burnout Inventory was returned by 55 anesthesiologists and 68 nurses. Multivariate regression identified five variables as significant predictors of a mean global satisfaction of Ն9: 1) having been treated in a service with perioperative nurses specifically dedicated only to anesthesia; 2) having been treated where anesthesia information leaflets were provided preoperatively; 3) having received more than two anesthesiologist visits after surgery; 4) having a perceived health score Ͼ8.5; and 5) being older that 70 yr. No relationship was found between staff burnout and patient satisfaction. CONCLUSIONS: Inpatient satisfaction can be improved by an organization in which surgical suite nurses are dedicated only to anesthesia, a written anesthesia information leaflet is given during the preoperative visit and postoperative visits are enhanced.
Background: Patient Satisfaction-refers to a state of pleasure or happiness with an action or service especially one that was earlier desired. Patient satisfaction is progressively appreciated measure of outcome for health care procedures and it was a measure of success in this hospitals. It was affected by anesthetist's patient interaction, in the preoperative anesthetic evaluation. No prior study conducted in our setup. Objective: The purpose of this study was to evaluate inpatients' satisfaction with preoperative anesthetic evaluation and associated factors at Menelik II Referral Hospital Addis Ababa Ethiopia. Methods-Institutional based cross sectional study was conducted at Menelik II Referral Hospital from Jan 6 to Feb 6, 2016, All patients who remained for elective surgery were included in the study period and interview 24 hours after operation. Data were collected using pretested standard questionnaires. All items in the structured questionnaire were scored on five point Likert scale. Data was entered and analyzed using Statistical Package for Social Sciences (SPSS) version 20. Binary logistic regression was used to measure statistical significance between dependent and each independent variable. P-value 0.05 and 95% CI was used as cut off point. Results: Two hundred and seventy-five patients were operated upon under anesthesia during the study period. Of these, a total of 224 patients were included in this study with a response rate of 81.5 %, with the overall proportion of patients who said they were satisfied with anesthesia services was 72.3 %.the major factors that take patient dissatisfaction were 68.1% of patient explain anesthetist were not introduce him or herself to the patient, information on postoperative analgesia were 99.1% and postoperative nausea vomiting management were accounts 84.8%. Conclusion and recommendation: Patient satisfaction with anesthesia services was low 72.3 % in our setup compared with many previous studies, and females more dissatisfied 42.4 % than males 57.6 %. Factors that affected patient satisfaction negatively may be preventable or enhanced. Further study should be done and patient satisfaction give an emphasis. Background Patient satisfaction is a subjective feeling about gratification of wishes or the degree of similarity between expectations and achievement. Patient satisfaction is the degree of gratifying patients' anticipation, which is an important component and quality indicator in the preoperative anesthetic evaluation. Patient satisfaction commonly refers to how well the patient's expectations about the service of medical care have been met.1 when applied to medical care; patient satisfaction can be considered in the context of patient's judgment of their desires and expectations of health care.2 Patient satisfaction is thus, a multidimensional concept and a subjective phenomenon that is linked to perceived needs, expectations and experience of care.3 Patient satisfaction is a highly desirable outcome of clinical care in the hospital and may even be an element of health status itself. A patient's expression of satisfaction or dissatisfaction is a judgment on the quality of hospital care in all of its aspects whatever its strengths and weakness. Patient satisfaction is a suggestion that should be crucial to the assessment of the quality of care in hospitals.4 Measuring satisfaction has become an ongoing health care challenge. Individual patient attitude, expectations, and demographics clearly influence patient satisfaction levels. Given the same quality of care, two individuals may have radically different perceptions and, different satisfaction levels. Patients' perception of medical care is increasing importance to educators, researchers and clinicians. The emphasis on patient satisfaction is reliable with the trend towards holding health professionals accountable to their patient.5 the effectiveness in health care is determined to some degree by patient satisfaction with services provided. The evaluation of patient satisfaction is a core aspect of the continuous quality improvement in anesthesia service that can be affected by the preoperative anesthetist visit. This visit enables the anesthetist to know about the patient's general health status and the nature of surgery, to choose the type of anesthesia, and to discuss perioperative complications and their management with the patient.6 Preoperative anesthetist visits and preparation is important parts of anesthetic provision. It is useful to know about the patient's general status and nature of surgery and to choose the type of anesthesia. This creates a chance for the patients to get to know the anesthetist, to learn about 2 anesthesia options, and to discuss
Patient satisfaction as one of the indicators for quality of health care provision is the degree of meeting patients' anticipation and an important component and quality indicator in anesthesia services. Patients' satisfaction can be affected by anesthetistpatient interaction, Perioperative anesthetic management and postoperative follow up. Hence, this study examined the determinants of satisfaction with anesthesia among post operative patients in UNIOSUN Teaching Hospital, Osogbo, Osun State. The study adopted descriptive research survey design. The sample consisted of 183 post-operative patients using convenient sampling technique. A self-developed, structured questionnaire was used to collect data with reliability index of 0.79 at 0.05 level of significance. Data were collected and analysed using descriptive statistics of frequencies and percentages and inferential statistics of chi-square, regression and correlation coefficient at 0.05 level of significance. The result from the study revealed that more than half 103(56.3%) of the respondents had major surgery with regional anesthesia 99(54.1%), 78,(42.6%) had ASA III status, 66(36.1%) had 1-2 hours duration of surgery and 101(55.2%) had 3-4 hours before recovery from Anesthesia. The result from the study also revealed 53.8% level of satisfaction of patients with anesthesia and average knowledge (51.4%) of anesthesia among the respondents. Determinants of patients' satisfaction observed from the study include clinical variables like type of surgery, types of anesthesia, ASA status duration of surgery, duration of recovery from anesthesia. Moreso, there is a significant relationship between socio-demographic characteristics of the respondents, knowledge of anesthesia and level of satisfaction with p-value less than 0.05 level of significance. This study concluded that level of satisfaction with anesthesia and knowledge of the respondents about anesthesia was moderate. Socio-demographic characteristics of the respondents, Knowledge of anesthesia, ASA status, duration of surgery, duration of recovery from anesthesia are determinants of patients' satisfaction with anesthesia. Thus, it is recommended that anesthetist need to establish a good anesthetic review with their patient pre operatively and treat post operative anesthesia related complications adequately to improve patients' satisfactions.
[Patient satisfaction with anesthesia care in a general hospital]
Acta médica portuguesa
The satisfaction level with health care reflects the quality of care from the patient's perspective. The aim of this study is to assess patient satisfaction with anesthesia care in a Portuguese general hospital by using the "The Heidelberg Peri-anaesthetic…
Patient satisfaction in anesthesia: A modified Iowa Satisfaction in Anesthesia Scale
Anesthesia: Essays and Researches, 2010
Objectives: To set up and validate a patient satisfaction questionnaire based on Iowa Satisfaction in Anesthesia Scale (ISAS) for evaluating the degree of patient satisfaction in anesthesia. Materials and Methods: We established and validated a survey questionnaire of 13 questions measuring the following dimensions adequacy of patient information; participation in decision making, nurse patient relation, accessibility of communication with the anesthesiologist, patient fear and anxiety and the post anesthesia care management. The process passed through three steps: instrument validation, survey conduction and data analysis. Cronbach's alpha was used to measure the reliability and standard psychometric techniques were used to measure instrument validity. Results: Our modified instrument shows good reliability which is obvious with a Cronbach's alpha value of 0.72 and all the perspectives of validity (face, content and construct). Also, 173 (21.54%) patients achieved an overall satisfaction score of less than 85% female patients are were less satisfied than male patients. Educated patients were less satisfied, and those belonging to ASA group I and II were significantly less satisfied. Dimensions pinpointed are related to information and decision making, adverse events in recovery room, fear and anxiety contributed to patient dissatisfaction. Conclusion: The instrument used for the evaluation of patient satisfaction in anesthesia is a valid tool for the Arabic speaking patients. There is room for improvement in the anesthesia care, mainly in the dimension of information, decision making and postoperative anesthesia care.
Patient satisfaction with anesthesia services
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 2001
GENERAL ANESTHESIA 153 Purpose: The evaluation of services by patients is an essential component of continuous quality improvement in anesthesiology. Little is known, however, about how to achieve this objective. Our goal was to conduct a systematic review of all available studies on patient satisfaction with anesthesia services, thereby ascertaining the present level of knowledge in this field and suggesting ways of improving current measurement methodologies.
assessment of patient satisfaction with the preoperative anesthetic evaluation
The evaluation of patient satisfaction is a core aspect of the continuous quality improvement in anesthesia service that can be affected by the preoperative anesthetist visit. This visit enables the anesthetist to know about the patient's general health status and the nature of surgery, to choose the type of anesthesia, and to discuss perioperative complications and their management with the patient. Patients have sometimes complained about the information given during the preoperative anesthetic evaluation in the University of Gondar teaching and referral hospital. The aim of this study was to determine the level of patient satisfaction with the preoperative anesthetist visit. Methods: A cross-sectional study was conducted from February 15 to April 15, 2013. All consecutive elective patients who were operated upon under anesthesia during the study period were interviewed 24 hours after operation. A pretested questionnaire and checklists, which were developed based on the hospital's anesthetic evaluation sheet, were used for data collection. Results: A total of 116 elective patients were operated upon under anesthesia during the study period. Of these, 102 patients were included in our study, with a response rate of 87.9%. Anesthetists introduced themselves to ∼24% patients; provided information about anesthesia to ∼32%, postoperative complications to ∼21%, postoperative analgesia to ∼18, and postoperative nausea and vomiting to ∼21%; and spent adequate time with ∼74%. Patients' questions were answered by the anesthetist in ∼65% of cases, and ∼65% of patients had reduced anxiety after the anesthetist visit. The patients' overall satisfaction with the preoperative anesthetist visit was ∼65%. Conclusion and recommendation: Patient satisfaction with the preoperative anesthetic evaluation was low compared with the Royal College of Anaesthetists standards. Preoperative anesthetic evaluation should be emphasized.
Patient Satisfaction with the Facilities of Pre-Operative Anesthesia Evaluations Clinics
Advance Research Journal of Multidisciplinary Discoveries, 2019
Objective: The aim of the study was to measure the satisfaction of patients with the facilities of pre-operative anesthesia evaluations clinics by using questionnaire. Methodology: This study is a descriptive analytical study carried among 300 healthy volunteers, selected by simple organized random sampling and the data was collected by using questionnaire (Likert's scale five-point). 95% level of confidence was used for data analysis, the P value was (<0.05). The questionnaire was given to participants 24 hours after anesthesia and surgery, the data were analyzed by a statistical package of social science. Frequency is presented, cross-tabulation and P-value was obtained among variables, excel program was used for figures and some data was presented in tables. The results: The results explore a decrease in patient satisfaction and 20% is the total average of satisfaction with facilities of preoperative anesthesia evaluation. There were differences between males and females. Conclusion: Patient satisfaction with facilities of preoperative anesthesia evaluation is significantly and low the study is suggesting future studies to find out the causes of declining satisfaction with preoperative anesthesia evaluation and its relationship to many variables.