Patient satisfaction with personal patient care (PPC) in the inpatient treatment of endometriosis

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This retrospective study evaluated personal patient care in endometriosis treatment, finding a low complication rate (10.96%) and identifying conflicting information as the most frequent patient dissatisfaction issue.

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This retrospective cohort study evaluated patient satisfaction and perioperative surgical complications after implementing personal patient care (PPC) in a certified gynecologic endometriosis centre. The investigators analyzed records from 219 symptomatic endometriosis patients treated surgically between November 2018 and April 2019, using the Clavien–Dindo classification for complications and the Picker Patient Experience Questionnaire (PPE-15) for patient experience. Overall complications were 10.96%, with 1.83% major complications (Clavien–Dindo grade III), and among 155 respondents (70.78% return rate) dissatisfaction was most commonly associated with staff giving conflicting information. The authors note the retrospective design and limited PPE-15 response rate as key caveats, and nursing staff communication needs particular attention. This paper is centrally about endometriosis — it assesses the impact of PPC on satisfaction and complication rates in inpatient surgical treatment of endometriosis patients.

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Abstract

PurposeThe aim of this retrospective cohort study was to validate patient's satisfaction and surgical complication rate in patients treated at a certified endometriosis centre with personal patient care (PPC).MethodsThe implementation of PPC at a gynaecologic treatment centre was retrospectively evaluated by analysing perioperative complications using the Clavien Dindo (CD) classification and patient satisfaction utilizing the Picker Patient Experience Questionnaire (PPE-15) for a total of 219 symptomatic endometriosis patients treated surgically at a certified endometriosis centre (Agaplesion Diakonie Hospital, Kassel, Germany) between November 2018 and April 2019. Data from our sample on complication rates and satisfaction were compared with those from reference samples published by Radosa et al. and Jenkinson et al. RESULTS: An overall complication rate of 10.96% (24 out of 219 patients) was observed. Four endometriosis patients (1.83%) had major complications with complications grade III according to the CD classification system. 155 patients out of 219 chose to answer the PPE-15 (return rate 70.78%). 92 patients (59.35%) reported about problems during their treatment in our hospital in their PPE-15. "Doctors sometimes talked as if I was not here" was the best rated item (1.2%) in our cohort. "Staff gave conflicting information" was the most mentioned item (33.55%) by patients during their hospital stay in relation to patient dissatisfaction.ConclusionIncorporation of PPC in the surgical inpatient treatment of endometriosis patients resulted in a low postoperative complication rate and a high patient satisfaction in our study cohort. Furthermore, nursing staff of endometriosis patients also needs particular attention.
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Abstract

Purpose The aim of this retrospective cohort study was to validate patient’s satisfaction and surgical complication rate in patients treated at a certified endometriosis centre with personal patient care (PPC).

Methods

The implementation of PPC at a gynaecologic treatment centre was retrospectively evaluated by analysing perioperative complications using the Clavien Dindo (CD) classification and patient satisfaction utilizing the Picker Patient Experience Questionnaire (PPE-15) for a total of 219 symptomatic endometriosis patients treated surgically at a certified endometriosis centre (Agaplesion Diakonie Hospital, Kassel, Germany) between November 2018 and April 2019. Data from our sample on complication rates and satisfaction were compared with those from reference samples published by Radosa et al. and Jenkinson et al.

Results

An overall complication rate of 10.96% (24 out of 219 patients) was observed. Four endometriosis patients (1.83%) had major complications with complications grade III according to the CD classification system. 155 patients out of 219 chose to answer the PPE-15 (return rate 70.78%). 92 patients (59.35%) reported about problems during their treatment in our hospital in their PPE-15. “Doctors sometimes talked as if I was not here” was the best rated item (1.2%) in our cohort. “Staff gave conflicting information” was the most mentioned item (33.55%) by patients during their hospital stay in relation to patient dissatisfaction.

Conclusion

Incorporation of PPC in the surgical inpatient treatment of endometriosis patients resulted in a low postoperative complication rate and a high patient satisfaction in our study cohort. Furthermore, nursing staff of endometriosis patients also needs particular attention. Similar content being viewed by others

References

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BMJ Open 8(1):e019189 Sturm H, Rieger MA, Martus P, Ueding E, Wagner A, Holderried M, Maschmann J, WorkSafeMed Consortium (2019) Do perceived working conditions and patient safety culture correlate with objective workload and patient outcomes: a cross-sectional explorative study from a German university hospital. PLoS ONE 14(1):e0209487 Bach AM, Risoer MB, Forman A, Seibaek L (2016) Practices and attitudes concerning endometriosis among nurses specializing in gynecology. Glob Qual Nurs Res 3:2333393616651351 Ahern T, Gardner A (2015) Literature review: an exploration of the role of the Australian breast care nurse in the provision of information and supportive care. Collegian 22(1):99–108 Author information Authors and Affiliations Contributions S. F: preparation of the manuscript, data analysis, statistics, literature review. J. C. R: statistics. A. M: study design, proof-reading. S. Y: conceptual design, literature review. S. S: data acquisition. L. S: statistics. P. S: language editing, tables. E. F. S: data acquisition, proof reading. M. P. R: conceptual design, data acquisition, language editing. Corresponding author Ethics declarations Conflict of interest We declare that we have no conflict of interest. Ethical approval The study was conducted in concordance to the ethical standards of the institution. Informed consent Only retrospective data from patient records were analysed without any intervention. All patients gave their agreement in analysing and publishing data anonymously before treatment. Additional information Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Appendix Appendix The PPE-15 includes the following items: - 1. If you asked important questions to a doctor, did you get clear answers? - 2. If you asked important questions to nurses, did you get clear answers? - 3. Sometimes it happens that a doctor or nurse says something, and another doctor or nurse tells you something else. Did that happen to you? - 4. If you were worried or worried about your condition or treatment, did a doctor discuss it with you? - 5. Did it happen that doctors in your presence talked about you as if you were not there? - 6. Could you participate in your treatment? - 7. Did you have the feeling of being treated with care and attention during your stay in hospital? - 8. If you were worried or worried about your condition or treatment, did the nurses discuss it with you? - 9. Was it easy to find someone from the hospital staff who talked to you about your concerns and concerns? - 10. Did you have pain during this hospital stay? - 11. Did your family or other people close to you have ample opportunity to talk to your doctor? - 12. Has anyone informed your family or other people who are close to you how recovery can help you? - 13. Did someone explain the purpose of the medication that you should take at home understandably? - 14. Has anyone told you what side effects of these medicines you should look at home? - 15. Has anyone told you what symptoms you should be aware of at home with regard to your illness or surgery? Rights and permissions About this article Cite this article Findeklee, S., Radosa, J.C., Mothes, A. et al. Patient satisfaction with personal patient care (PPC) in the inpatient treatment of endometriosis. Arch Gynecol Obstet 301, 545–550 (2020). https://doi.org/10.1007/s00404-019-05394-4 Received: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1007/s00404-019-05394-4

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endometriosis

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Endometriosis Adult Endometriosis Endometriosis Female Humans Inpatients Patient Satisfaction Retrospective Studies

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