Improving patient care in the emergency department in a selected hospital: a study on patient centered care

Shyni Cardoza; Jyothi Seema Moras

doi:10.18203/2394-6040.ijcmph20242884

Authors

Shyni Cardoza Department of Hospital Administration, Father Muller Medical College, Kankanady, Mangalore, Karnataka, India
Jyothi Seema Moras Department of Hospital Administration, Father Muller Medical College, Kankanady, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242884

Keywords:

Emergency department, Quality health care, Patient centered care, Patients, Safe patient care

Abstract

Background: Patient-centred care is founded on the principle of active patient and family engagement at all levels of care, enabling them to take ownership of treatment decisions. As patients are best positioned to understand their unique needs and priorities, their involvement is crucial. This study seeks to evaluate the patient centered care delivered by the healthcare providers, specifically doctors and nurses in the emergency department setting.

Methods: A Questionnaire-based method was employed to collect data from a sample of 72 patients in the emergency department, assessing patient centered care in the selected tertiary care teaching hospital. The study was conducted between 1^st May 2023 to 31^st May 2023.

Results: The study revealed that patients rated their care experience as very good, achieving high ratings across various dimensions, with the following mean and standard deviation scores: “Patient preference” 4.06±1.13, “Physical comforts” 3.99±1.04, “Coordination of care” 4.03±1.06. “Information and education” 4.08 ±1.06, “Communication” 4.06±1.07, with respect to “Continuity and Transition” 4.13±1.07 and “Family and Friends” 4.24±1.08. These ratings demonstrate a high level of satisfaction with care quality.

Conclusions: Patient centered care is a healthcare approach that prioritizes patient needs and values. Its about working together with patients to provide flexible and personalized care. This study found that emergency department staff understand the importance of patient centered care and its benefit for patients and healthcare organisations.

Metrics

Metrics Loading ...

References

Wolfe A. Institute of Medicine Report: Crossing the Quality Chasm: A New Health Care System for the 21st Century. Pol Polit Nurs Pract. 2001;2(3):233-5.

Berwick DM. What 'patient-centered' should mean: confessions of an extremist. Health Aff (Millwood). 2009;28(4):w555-65.

Epstein RM, Street RL Jr. The values and value of patient-centered care. Ann Fam Med. 2011;9(2):100-3.

Nayeri ND, Aghajani M. Patients’ privacy and satisfaction in the emergency department: a descriptive analytical study. Nurs Ethi. 2010;17(2):167-77.

Vegting IL, Nanayakkara PW, Van Dongen AE, Vandewalle E, Van Galen J, Kramer MH, et al. Analysing completion times in an academic emergency department: coordination of care is the weakest link. Neth J Med. 2011;69(9):392-8.

Nasiriani K, Eslami MH, Dehghani A, Dehghani H. Patient satisfaction of communication in emergency department in hospital. Avicenna J Nurs Midwifery Care. 2007;15(2):23-33.

Gill JM, Mainous III AG, Nsereko M. The effect of continuity of care on emergency department use. Archives of family medicine. 2000 Apr 1;9(4):333.

Johnson BH, Abraham MR, Shelton TL. Patient-and family-centered care: Partnerships for quality and safety. NC Med J. 2009;70(2):125-30.

Knopp R, Rosenzweig S, Bernstein E, Totten V. Physician‐patient communication in the emergency department, part 1. Acad Emerg Medi. 1996;3(11):1065-76.

Johnson RL, Roter D, Powe NR, Cooper LA. Patient race/ethnicity and quality of patient–physician communication during medical visits. Am J Publ Heal. 2004;94(12):2084-90.

Berghout M, van Exel J, Leensvaart L, Cramm JM. Healthcare professionals’ views on patient-centered care in hospitals. BMC Heal Servi Res. 2015;15(1):385.