Patient satisfaction – a measure of quality of patient care in a gynaecological ward.(An audit )
(J.K.V Madhushanka, H.D.K.Chinthana, K.Karunaratne )
Patient satisfaction – a measure of quality of patient care in a gynaecological ward.
The objective of this study was to evaluate patient satisfaction toward doctors, nursing staff, minor staff and with the ward facilities at a gynae oncology surgical unit.
A patient based self administrative questionnaire was designed to assess the level of patient satisfaction.
Questionnaire contains components to evaluate satisfaction towards doctors, nursing staff minor staff and towards ward facilities.
Ward 8 (gynecology ward)
National Cancer Institute, Maharagama.
A total of 100 surgical patients underwent the procedure over a 1 month period. Patients were asked to complete the questionnaire prior to discharge.
First four questions were based on ward doctors. Doctors listening skills, allocating enough time with patients and explaining the illness and future management were assessed.
Next part of the questionnaire was developed to assess the nursing and minor staff. Answering to questions, friendliness and helpfulness were assessed at the questions.
Final part of the questionnaire assessed the general ward facilities and privacy.
Patients were asked to anonymously complete the survey following their ward admission. Data was collated independently and analyzed with descriptive statistics using SPSS version 16.
90 % patients agreed that doctors listen to them well. 70 % patients disagreed with doctors take enough time with them. 67% of patients surveyed agreed they were able to discuss their treatment openly and able to get good advices about their illness and future management.
Patients were more satisfied about doctors than nurses. Only 55 % agreed that nurses answer their questions well and 66% believed that nurses were friendly and helpful to them.
The lowest satisfaction rates were observed in the terms of minor staff relationship with patients ( 40%).
Generally ward facilities were not in a standard to satisfy patients .Only 40% agreed that ward was clean and neat with adequately securing their privacy.
Data from this hundred cohort of patients suggest that the overall level of satisfaction was high but not to the international standards (International patient satisfaction index and patient satisfaction index) . The study findings indicated the need for evidence-based interventions in areas such as doctor patient communication duration, minor staff care, patient’s physical comfort and privacy. Efforts should focus on lengthening the doctor patient communication intervals and improving minor staff quality of care, and also improving the overall cleanliness and neat fullness of the ward.