1. What Is So Great about Inpatient Rehabilitation from the Patient Experience Perspective: Qualitative Content Analysis of an Appreciative Inquiry during a Bedside Experience Rounding.
- Author
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Jesus, Tiago S., Buschbacher, Julia, Struhar, Jan, Walters, Taylor, Lopez, Courtney, Fernandez, Andrea, Gracz, Kristen, and Colby, Karen
- Subjects
PATIENTS ,QUALITATIVE research ,SECONDARY analysis ,MEDICAL quality control ,SELF-efficacy ,RESEARCH funding ,CONTENT analysis ,QUESTIONNAIRES ,MEDICAL care ,HOSPITAL patients ,PATIENT care ,EMOTIONS ,DESCRIPTIVE statistics ,EXPERIENCE ,HOSPITAL rounds ,PATIENT-centered care ,LEISURE ,REHABILITATION centers ,MEDICAL rehabilitation ,ROOMS ,QUALITY of life ,INTERPERSONAL relations ,QUALITY assurance ,COMPARATIVE studies ,PATIENTS' attitudes - Abstract
Background: Positive person-centered attributes of inpatient rehabilitation need to be identified from the patient's perspective to be further developed and sustained. Purpose: To identify which attributes patients openly evoke as being great care experiences, using an open appreciative inquiry during the inpatient rehabilitation stay. Methods: Qualitative secondary analysis of appreciative patient comments during a bedside patient experience rounding facilitated by a neutral party was performed. Two independent analysts employed an inductive, summative form of content analysis. Results: Among 150 patients rounded, 122 provided categorizable appreciative accounts. Over two-thirds of the patients (67.2%) focused on "staff attributes" in their great-experience accounts. Those attributes were mostly interpersonal such as being "attentive & caring—beyond clinical duty" and being "encouraging (but not too hard) & reassuring". These interpersonal staff attributes were reported with words showing deep levels of personal significance or patient appreciation. Beyond staff attributes, the perceived quality of "patient care" (31.1%) and opportunities for "leisure and social activities" (9.0%) were also frequently evoked. Amenities like food or customer service were the least evoked, rarely so as an exclusive attribute (0.8% for each). Conclusions: The human(e) factor, especially the interpersonal qualities of staff, emerged as greatly appreciated from the patient experience perspective during inpatient rehabilitation. These experiences help identify which person-centered attributes of care might be further developed and sustained. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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