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            "title": "Patient experience as an indicator of clinical quality in emergency care",
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            "abstractNote": "Purpose – There is growing focus on the importance of attending to \"patient experience\" in delivery of health services, and the design of clinical quality indicators. \"Patient experience\" (also termed \"user experience\") has been augmented by \"staff\" and \"carer\" experience in the \"service experience\" quality indicator for emergency care in England. But \"patient experience\" is a contested concept which patients, clinicians, politicians, managers and academics view differently. Design/methodology/approach – The purpose of this paper is to examine approaches to thinking about patient experience. The author describes three key approaches to conceptualising patient experience and identify their philosophical origins, then asks what aspects of patient experience ought to be treated as key to measuring the quality of emergency care. The discussion is illustrated with extracts from a patient interview describing emergency care following placental abruption.The author demonstrates that differing purposes and differing conceptions of care direct attention to different aspects of patient experience. Findings – Donabedian's insight was that conceptions of quality are inevitably related to conceptions of value and the author concurs, arguing that decisions about which aspects of patient experience to include in clinical quality indicators are ethical as well as technical judgements. Practical implications – This paper is of value to those concerned with quality improvement because it clarifies the meaning of patient experience in the context of care quality measurement, and highlights the ethical implications of experiential data. Originality/value – It is a novel synthesis of understandings of patient experience and clinical quality in emergency care.",
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            "abstractNote": "Aims and objectives To understand the experience of being a patient on an acute psychiatric inpatient ward. Background Acute psychiatric inpatient care is an integral part of the mental health system. A key driver for admission to acute wards is risk. Previous research indicates that people do not always feel safe when in an acute ward. Understanding the patient experience of safety can influence nursing practice, as well as policy and service development. Design A qualitative approach was used. Patient experience was conceptualised as represented through narrative as data. Sociolinguistic theories linking narrative structure with meaning informed the development of the analytic framework. Methods Thirteen patients with a variety of diagnoses were recruited from an acute ward. Unstructured interviews were carried out in participants' homes two and six weeks postdischarge. Holistic analysis of each individual's data set was undertaken. Themes running across these holistic analyses were then identified and developed. Results Participant narratives were focused around themes of help, safety and power. This study presents findings relating to the experience of safety. Participants expected to be safe from themselves and from others. Initially, they experienced a sense of safety from the outside world. Lack of knowledge of their fellow patients made them feel vulnerable. Participants expected the nurses to keep them safe, and felt safer when there were male nurses present. Conclusions Participants talk about safety in terms of psychological and physical safety. A key issue was the perception of threat from other patients, highlighting the need to consider patient safety as more than physical safety. Relevance to practice Nurses need to be sensitive to the possibility that patients feel unsafe in the absence of obvious threat. Institutional structures that challenge patients' sense of safety must be examined.",
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            "title": "Patient experience with bedpans in acute care: a cross-sectional study",
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                    "firstName": "Heidrun",
                    "lastName": "Gattinger"
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                    "firstName": "Birgit",
                    "lastName": "Werner"
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            "abstractNote": "Aims and objectives To describe individual experiences of patients using the bedpan in an acute care setting. Background Patients describe the use of the bedpan often as uncomfortable and painful, and nurses mention difficulties using standard-sized bedpans for obese patients or removing a bedpan without soiling the bed. Although the bedpan is still regularly used in hospitals, there are few empirical studies that confirm these experiences. Design A descriptive quantitative research design. Methods A convenience sample of 78 patients was recruited, and data were collected using a standardised questionnaire ( German version of the Bedpan Ongemak Schaal). Descriptive statistics were used to analyse frequency (scale A) and extent of inconvenient experiences (scale B). Internal consistency of the scales was tested using Cronbach's alpha. Results A major finding of the study was that most patients felt dependent on other persons and no autonomous movement was possible on the bedpan. Patients were frequently confronted with pain, inconvenient characteristics of the bedpan (e.g. coldness, hardness), uncomfortable positions and hygiene inconveniences (e.g. wet backside, fear that urination may miss the bedpan). Conclusion As the bedpan is still regularly used in acute care hospitals, innovations in bedpan models are necessary to address the problems. But there are also several courses of action nurses should consider when caring for patients who are dependent on the bedpan. Relevance for clinical practice The discomfort of the bedpan, the feeling of dependency and embarrassment could lead to undesirable patient reactions, such as avoidance of fluid intake or leaving the bed. If nurses know the reasons for this behaviour, they could meet these problems with empathetic understanding.",
            "publicationTitle": "Journal of Clinical Nursing",
            "publisher": "",
            "place": "",
            "date": "août 2013",
            "volume": "22",
            "issue": "15/16",
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            "partNumber": "",
            "partTitle": "",
            "pages": "2216-2224",
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            "seriesTitle": "",
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            "journalAbbreviation": "Journal of Clinical Nursing",
            "DOI": "10.1111/jocn.12203",
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            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0962-1067",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "Patient experience with bedpans in acute care",
            "language": "",
            "libraryCatalog": "EBSCOhost",
            "callNumber": "2012170494",
            "rights": "",
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