Using patient experience in optimizing the total knee arthroplasty patient journey

Information was used to improve the patient journey and to achieve patient-centered care. Patients (>18 years, purposive sampling) were interviewed once at one point of their total knee arthrosis journey within the hospital setting. Patients were accompanied and observed during their hospital vis...

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Autores principales:	Nienke Wolterbeek, Dieuwertje Hiemstra, Fiona van der Hoeven, Kiem Auw Yang
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2019
Materias:	patient-centered care feedback quality of care patient journey patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/eddd1d2482154c8bae3857df358cfd90
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spelling	oai:doaj.org-article:eddd1d2482154c8bae3857df358cfd902021-11-15T04:28:53ZUsing patient experience in optimizing the total knee arthroplasty patient journey2372-0247https://doaj.org/article/eddd1d2482154c8bae3857df358cfd902019-11-01T00:00:00Zhttps://pxjournal.org/journal/vol6/iss3/8https://doaj.org/toc/2372-0247Information was used to improve the patient journey and to achieve patient-centered care. Patients (>18 years, purposive sampling) were interviewed once at one point of their total knee arthrosis journey within the hospital setting. Patients were accompanied and observed during their hospital visit by one of the 19 healthcare professionals which were trained as interviewers. A qualitative research approach with in-depth and semi-structured interviews using a standardized interview guide were used to gather an in-depth understanding of the perceptions of patients. Interviews were written out with the emphasis on positive and negative feedback, quotes and observations that were made. The audio recordings were verbatim transcribed and coded using selective and open coding. Thirty-five semi-structured interviews were conducted. Five different themes were identified: overall experience, waiting, communication, information and facilities. Several easy fixes were dealt with immediately to improve service quality, productivity and the organization of the healthcare service. Other improvements were discussed with the stakeholders and were resolved directly or were planned for the long-term. Involving patients and let them collaborate with healthcare professionals is essential in optimizing patient-centered care. Most feedback was related to clarification and comprehensibility of the patient journey, to improve autonomy and to remove uncertainty of the patients. Continuity of care with medical personnel, personal attention and recognition of the problem are fundamental during the knee arthrosis patient journey. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>Nienke WolterbeekDieuwertje HiemstraFiona van der HoevenKiem Auw YangThe Beryl Institutearticlepatient-centered carefeedbackquality of carepatient journeypatient experienceMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient-centered care feedback quality of care patient journey patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient-centered care feedback quality of care patient journey patient experience Medicine (General) R5-920 Public aspects of medicine RA1-1270 Nienke Wolterbeek Dieuwertje Hiemstra Fiona van der Hoeven Kiem Auw Yang Using patient experience in optimizing the total knee arthroplasty patient journey
description	Information was used to improve the patient journey and to achieve patient-centered care. Patients (>18 years, purposive sampling) were interviewed once at one point of their total knee arthrosis journey within the hospital setting. Patients were accompanied and observed during their hospital visit by one of the 19 healthcare professionals which were trained as interviewers. A qualitative research approach with in-depth and semi-structured interviews using a standardized interview guide were used to gather an in-depth understanding of the perceptions of patients. Interviews were written out with the emphasis on positive and negative feedback, quotes and observations that were made. The audio recordings were verbatim transcribed and coded using selective and open coding. Thirty-five semi-structured interviews were conducted. Five different themes were identified: overall experience, waiting, communication, information and facilities. Several easy fixes were dealt with immediately to improve service quality, productivity and the organization of the healthcare service. Other improvements were discussed with the stakeholders and were resolved directly or were planned for the long-term. Involving patients and let them collaborate with healthcare professionals is essential in optimizing patient-centered care. Most feedback was related to clarification and comprehensibility of the patient journey, to improve autonomy and to remove uncertainty of the patients. Continuity of care with medical personnel, personal attention and recognition of the problem are fundamental during the knee arthrosis patient journey. <strong>Experience Framework</strong> This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework. (<a href="http://bit.ly/ExperienceFramework">http://bit.ly/ExperienceFramework</a>) <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Quality%20%26%20Clinical%20Excellence%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-QualityClinicalExcellence">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Nienke Wolterbeek Dieuwertje Hiemstra Fiona van der Hoeven Kiem Auw Yang
author_facet	Nienke Wolterbeek Dieuwertje Hiemstra Fiona van der Hoeven Kiem Auw Yang
author_sort	Nienke Wolterbeek
title	Using patient experience in optimizing the total knee arthroplasty patient journey
title_short	Using patient experience in optimizing the total knee arthroplasty patient journey
title_full	Using patient experience in optimizing the total knee arthroplasty patient journey
title_fullStr	Using patient experience in optimizing the total knee arthroplasty patient journey
title_full_unstemmed	Using patient experience in optimizing the total knee arthroplasty patient journey
title_sort	using patient experience in optimizing the total knee arthroplasty patient journey
publisher	The Beryl Institute
publishDate	2019
url	https://doaj.org/article/eddd1d2482154c8bae3857df358cfd90
work_keys_str_mv	AT nienkewolterbeek usingpatientexperienceinoptimizingthetotalkneearthroplastypatientjourney AT dieuwertjehiemstra usingpatientexperienceinoptimizingthetotalkneearthroplastypatientjourney AT fionavanderhoeven usingpatientexperienceinoptimizingthetotalkneearthroplastypatientjourney AT kiemauwyang usingpatientexperienceinoptimizingthetotalkneearthroplastypatientjourney
_version_	1718428841410560000

Using patient experience in optimizing the total knee arthroplasty patient journey

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