7 results on '"Patient journey"'
Search Results
2. Redesigning Rural Acute Stroke Care: A Person-Centered Approach.
- Author
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Prior SJ, Mather CA, and Campbell SJ
- Subjects
- Humans, Delivery of Health Care, Australia, Communication, Evidence-Based Practice, Qualitative Research, Stroke therapy, Rural Health Services
- Abstract
Stroke service delivery in rural areas in Australia lacks evidence-based, best practice care protocols as a result of limited resources and opportunity. Healthcare redesign is an approach to improving health services by understanding barriers and enablers to service provision and work with users to develop solutions for improvement. This research aimed to qualitatively evaluate stroke care in rural Tasmania using a person-centered approach, as part of a larger healthcare redesign initiative to improve acute stroke care. Semi-structured interviews, aimed at gaining insight into experiences of healthcare staff and users, were conducted. Thematic analysis revealed three global themes (communication, holistic care, and resourcing) that demonstrated some consistency between healthcare staff and user experience, highlighting that some needs and expectations were not being met. Results of this experiential study provide important perspectives for delivering needs-based improvements in service provision for acute stroke care. Overall, this study showed that systems of stroke care in rural areas could be improved by utilizing a redesign approach including healthcare staff and users in the development of solutions for health service improvement.
- Published
- 2023
- Full Text
- View/download PDF
3. An empirical test of accreditation patient journey surveys: randomized trial.
- Author
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Greenfield, David, Hinchcliff, Reece, Westbrook, Mary, Jones, Deborah, Low, Lena, Johnston, Brian, Banks, Margaret, Pawsey, Marjorie, Moldovan, Max, Westbrook, Johanna, and Braithwaite, Jeffrey
- Subjects
- *
MEDICAL care , *HOSPITAL accreditation , *EMPIRICAL research , *SURVEYS , *PATIENTS , *RANDOMIZED controlled trials - Abstract
Objective To evaluate the effectiveness of utilizing the patient journey survey (PJS) method in healthcare accreditation processes. Design Randomized trial of the PJS method in parallel with the current accreditation survey (CAS) method of the Australian Council on Healthcare Standards (ACHS). Setting Acute healthcare organizations in Australia. Participants Seventeen organizations, 28 organizational staff, nine surveyors and 38 patients. Main Outcome Measures The results of each surveying method were compared. Participants provided feedback, via 18 interviews and 40 questionnaire surveys, about the benefits and disadvantages of a PJS compared to a CAS. Results The PJS method is not as comprehensive as the CAS method for accreditation assessment. In matched assessments the majority of items were rated lower by the PJS method than by the CAS. PJSs were shown to be appropriate for assessing mandatory clinical criteria, but were less effective for assessing corporate and support criteria. The two methods diverged in their final assessments of which organizations met the accreditation threshold. Participants endorsed the use of PJSs within accreditation processes. Conclusions The PJS methodology complements but is not a substitute for existing accreditation methods. There is significant stakeholder support for the inclusion of the PJS method within the current accreditation programme. [ABSTRACT FROM AUTHOR]
- Published
- 2012
- Full Text
- View/download PDF
4. Knowledge for practice: Challenges in culturally safe nursing practice.
- Subjects
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ABORIGINAL Australians , *NURSES , *RACISM , *CULTURAL awareness , *HOSPITAL patients - Abstract
Aboriginal people currently remain the most vulnerable and sickest population within Australian society and therefore are frequent users of the Australian health system. In this paper I will discussthe importance of the role of Aboriginal and non-Aboriginal nurses in diminishing the negativeramifications of perceived racism that can be felt by patients. This exemplar will explore an example of perceived racism through the eyes of an Aboriginal nurse. Intrinsic to this exemplar is the role Aboriginal nurses can play as experienced, culturally safe clinicians and educators to their peers; and facilitators of the patient's ability to adequately access and consent to care. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
5. When Patients Tell Their Own Stories: A Meta-Narrative Study of Web-Based Personalized Texts of 214 Melanoma Patients' Journeys in Four Countries.
- Author
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Lamprell K and Braithwaite J
- Subjects
- Australia, Female, Help-Seeking Behavior, Humans, Internet, Male, Melanoma diagnosis, Melanoma surgery, Narration, Neoplasm Metastasis, New Zealand, Patient Acceptance of Health Care, Recurrence, Social Support, United Kingdom, United States, Health Knowledge, Attitudes, Practice, Melanoma psychology, Patients psychology
- Abstract
Malignant melanoma is an aggressive, recalcitrant disease. Its impact on people can be compounded by the physical and psychosocial consequences of medical management. Providing melanoma patients with patient-centered care that is effective, safe, and supportive throughout their journey requires knowledge of patients' progressive experiences and evolving perspectives. With ethical approval, we undertook a meta-narrative study of 214 experiential accounts of melanoma collected from the personal story sections of melanoma and cancer support websites. Using a narrative approach, we qualitatively examined the care experiences represented in these accounts and identified needs for supportive care in a framework reflective of the personal patient journey. We differentiate these across three key periods: lead-up to diagnosis; diagnosis, treatment, and recovery; and posttreatment and recurrence, and provide a visual representation of the patient journey. This article contributes to the growing body of work that utilizes Internet content as sources of qualitative, experiential health care data.
- Published
- 2018
- Full Text
- View/download PDF
6. The relationship between in-hospital location and outcomes of care in patients diagnosed with dementia and/or delirium diagnoses: analysis of patient journey.
- Author
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Perimal-Lewis L, Bradley C, Hakendorf PH, Whitehead C, Heuzenroeder L, and Crotty M
- Subjects
- Aged, Australia epidemiology, Female, Humans, Length of Stay statistics & numerical data, Male, Outcome and Process Assessment, Health Care, Retrospective Studies, Risk Factors, Delirium diagnosis, Delirium epidemiology, Delirium psychology, Delivery of Health Care methods, Delivery of Health Care organization & administration, Dementia diagnosis, Dementia epidemiology, Dementia psychology, Health Facility Environment, Hospital Units, Inpatients psychology
- Abstract
Background: The discrepancy between the number of admissions and the allocation of hospital beds means that many patients admitted to hospital can be placed in units or wards other than that which specialise in the patient's primary health issue (home-ward). These patients are called 'outlier' patients. Risk factors and health system outcomes of hospital care for 'outlier' patients diagnosed with dementia and/or delirium are unknown. Therefore, the aim of this research was to examine patient journeys of people with dementia and/or delirium diagnoses, to identify risk factors for 'inlier' or 'outlier' status and patient or health system outcomes (consequences) of this status., Methods: A retrospective, descriptive study compared patients who had dementia and/or delirium according to the proportion of time spent on the home ward i.e. 'inliers' or 'outliers'. Data from the patient journey database at Flinders Medical Centre (FMC), a public hospital in South Australia from 2007 and 2014 were extracted and analysed. The analysis was carried out on the patient journeys of people with a dementia and/or delirium diagnosis., Results: When 6367 inpatient journeys with dementia and/or delirium within FMC were examined, the Emergency Department (ED) Length of Stay (LOS) after being admitted as inpatient was prolonged for 'outlier' patients compared to 'inlier' patients (OR: 1.068, 95% CI: 1.057-1.079, p = 0.000). However, the inpatient LOS for'outlier' patients was only marginally shorter than that of the 'inlier' patients (OR: 0.998, 95% CI: 0.998-0.998, p = 0.000). The chances of dying within 48 h of admission increased for 'outlier' patients (OR: 1.973, 95% CI: 1.158-3.359, p = 0.012) and their Charlson co-morbidity Index was higher (OR: 1.059, 95% CI: 1.021-1.10, p = 0.002). Completion of discharge summaries within 2 days post-discharge for 'outlier' patients was compromised (OR: 1.754, 95% CI: 1.492-2.061, p = 0.000).Additionally, 'outlier' patients were more likely to be discharged to another hospital for other care types not offered at FMC (OR: 1.931, 95% CI: 1.559-2.391, p = 0.000)., Conclusion: An examination of the patient journeys at FMC has determined that the health system outcomes for patients with dementia and/or delirium who are admitted outside of their home-ward are affected by in-hospital location despite the homogenous nature of the study population.
- Published
- 2016
- Full Text
- View/download PDF
7. Developing an evaluation framework for clinical redesign programs: lessons learnt.
- Author
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Samaranayake P, Dadich A, Fitzgerald A, and Zeitz K
- Subjects
- Australia, Benchmarking, Continuity of Patient Care standards, Interviews as Topic, Organizational Innovation, Patient Discharge standards, Quality Improvement, Health Services Research methods, Hospital Administration standards, Learning
- Abstract
Purpose The purpose of this paper is to present lessons learnt through the development of an evaluation framework for a clinical redesign programme - the aim of which was to improve the patient journey through improved discharge practices within an Australian public hospital. Design/methodology/approach The development of the evaluation framework involved three stages - namely, the analysis of secondary data relating to the discharge planning pathway; the analysis of primary data including field-notes and interview transcripts on hospital processes; and the triangulation of these data sets to devise the framework. The evaluation framework ensured that resource use, process management, patient satisfaction, and staff well-being and productivity were each connected with measures, targets, and the aim of clinical redesign programme. Findings The application of business process management and a balanced scorecard enabled a different way of framing the evaluation, ensuring measurable outcomes were connected to inputs and outputs. Lessons learnt include: first, the importance of mixed-methods research to devise the framework and evaluate the redesigned processes; second, the need for appropriate tools and resources to adequately capture change across the different domains of the redesign programme; and third, the value of developing and applying an evaluative framework progressively. Research limitations/implications The evaluation framework is limited by its retrospective application to a clinical process redesign programme. Originality/value This research supports benchmarking with national and international practices in relation to best practice healthcare redesign processes. Additionally, it provides a theoretical contribution on evaluating health services improvement and redesign initiatives.
- Published
- 2016
- Full Text
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