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Who needs patient satisfaction surveys? Perspectives of Polish doctors, nurses, and patients

100%
Marcinowicz L., Sierżantowicz R., Dudzik A., Sawicka-Powierza J., Grajek Z., Chlabicz S.
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issue 2
72-76
EN
Introduction. Patient satisfaction surveys are still popular tools for obtaining feedback on the quality of health care. Nonetheless, there is a paucity of data to indicate whether health care providers even want patients to assess the quality of care delivered. Neither it is certain whether patients are interested in participating in such surveys. Aim. To present and compare the perspectives of doctors, nurses, and patients on the validity of health care customer satisfaction surveys. Material and methods. A cross-sectional survey design was used. The questionnaires were administered to doctors, nurses and patients in three hospitals of different sizes (small, medium, and large), all in the north-east of Poland. Each sample group was given 200 questionnaires; responses were received from 95 doctors (47.5%), 190 nurses (95%), and 182 patients (91%), and included in the final analyses. Results. Most respondents (doctors - 64.2%; nurses - 61.6%; patients - 87.4%) answered ‘Yes’ to the question ‘Do you think that patients should evaluate the quality of health care?’ Analysis of data allowed to identify the following main reasons why patients should evaluate the quality of health care: 1. to enhance the quality of care; 2. to recognise patients as evaluators; 3. to motivate providers to work more efficiently; and 4. to emphasise the impact of evaluation on a core value, i.e. health. Doctors and nurses outlined reasons why they did not advocate conducting patient satisfaction surveys: satisfaction surveys are redundant; negative evaluations; unwillingness to be evaluated by patients; satisfaction surveys hamper effective work with patients; surveys are not objective; survey results are not communicated to providers. Conclusions. Patient satisfaction surveys are desirable tools for evaluating the quality of health care delivery despite the fact that they frequently raise concerns amongst providers and patients. There is, therefore, a definite need for providers to experience the benefits of measuring patient satisfaction. Another important practical implication is that patients need to be convinced that their opinions do matter and contribute to improving the quality of services.
2
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Assessment of medical personnel knowledge about the function of transplant coordinator with reference to current Polish legislation

86%
Watrakiewicz-Hurko O., Belowska J., Sienkiewicz Z., Dykowska G., Gotlib J.
Polish Journal of Public Health
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2015
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vol. 124
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issue 1
14-20
EN
Introduction. Initially, a transplant coordinator assisted in the process of removal and transplantation of organs. The most important rule in the Polish legislation is the Act of July 17th, 2009, amending the Act on removal, preservation, and transplantation of cells, tissues, and organs. Professional qualifications of a transplant coordinator are specified by the Regulation of the Minister of Health of December 4th, 2009 on detailed conditions of removal, preservation, and transplantation of cells, tissues, and organs. Aim. The study aimed to assess the knowledge of medical personnel about the function of a transplant coordinator with reference to the current Polish legislation. Material and methods. The study was conducted in April 2013 among 100 selected health professionals (25 physicians, 62 nurses, and 13 persons representing other medical professions) with the use of a questionnaire comprising 42 close-ended simple choice questions and one multiple-choice question. They were referring to various aspects associated with the legal axiology of transplantation, procedure of organ donation, and tasks of a donation coordinator, as well as one open-ended question about the age of respondents. Results. Statistically significant differences between the occupational groups were found in relation to questions about legal and medical aspects. As many as 21 nurses (34%), 26 physicians (92%), and 6 persons representing other medical professions (46%) (p<0.000) provided the correct answer to a question referring to determination of death, and 19 nurses (31%), 7 physicians (28%), and 5 persons representing other medical professions (p<0.021) answered correctly to a question about the key premise to determine brain death. Conclusions. 1. The knowledge of medical personnel about the function of a transplant coordinator and the legal provisions concerning brain death determination needs to be supplemented. 2. There is a need of constantly supplementing knowledge of medical personnel about the clinical aspects of transplantation
3
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Doping in sport — attitude and professional experience among physicians in Poland

86%
Domagała-Rodacka R., Rodacki T., Owczarek D., Cibor D., Zagrodzki P.
Folia Medica Cracoviensia
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2018
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vol. 58
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issue 3
4
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Ocena wiedzy i postaw personelu medycznego Samodzielnego Publicznego Szpitala Klinicznego im. Prof. Orłowskiego w Warszawie wobec praw pacjenta

72%
Gotlib J., Dykowska G., Sienkiewicz Z., Skanderowicz E.
Annales Academiae Medicae Silesiensis
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2014
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vol. 68
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issue 2
84-93
EN
BACKGROUND AND AIM OF STUDY The core of a well-organised healthcare system is respecting patients' rights by healthcare professionals. The study aimed to analyse the knowledge of and attitudes towards patients' rights among healthcare professionals. MATERIALS AND METHODS 100 physicians and 100 nurses were enrolled in the study. Specialist physicians constituted 40% of the total, nurses with a secondary school degree represented 30% of all the participants, and nurses with a Bachelor's degree accounted for 25% of the total. The mean age was 40 years old (min. 24, max. 64, SD: 9.390), and the mean length of service of the respondents was 15 years (min. 1, max. 44, SD: 10.569, median: 13). A diagnostic survey was conducted between November 2012 and January 2013 by means of a voluntary and anonymous questionnaire developed by the authors, consisting of 46 questions. Quantitative and qualitative analysis was performed with Statsoft STATISTICA 10.0, as well as the Mann-Whitney U test, p < 0.05. RESULTS As many as 34% of the physicians and nurses assessed their knowledge of patients' rights as good (p < 0.011). 19% of the physicians and 7% of the nurses assessed their knowledge as very good. 85% of the study partici-pants knew the right to information, right to access medical records, and right to health services (p = NS). 78% of the respondents were familiar with the Act on Patients' Rights and Ombudsman for Patients' Rights. 64% of the total confirmed that they had witnessed the infringement of patients' rights at their workplace. CONCLUSIONS 1. The knowledge of the study participants concerning patients' rights was insufficient. Therefore, a system of training for medical personnel in this field needs to be developed and introduced. 2. Healthcare professionals play a minor role in providing patients with information on their rights. Hence, medical personnel should have an opportunity to acquire knowledge, skills and competence in this area. 3. Due to the fact that a majority of the respondents witnessed the infringement of patients' rights, the observance of patients' rights by healthcare professionals needs to be monitored and those who infringe patients' rights should be held professionally responsible.
PL
WSTĘP I CEL PRACY Respektowanie praw pacjenta przez personel medyczny jest podstawą prawidłowo funkcjonującej służby zdrowia. Celem pracy była analiza wiedzy i postaw personelu medycznego wobec praw przysługujących pacjentom. MATERIAŁ I METODY W badaniu uczestniczyło 100 lekarzy (40% specjalistów) i 100 pielęgniarek (30% z wykształceniem średnim, 25% z licencjackim). Średnia wieku: 40 lat (min. 24, maks. 64, SD: 9), średni staż pracy: 15 lat (min. 1, max. 44, SD: 10; mediana: 13). W pracy zastosowano takie metody, jak: sondaż diagnostyczny, dobrowolne, anonimowe badania ankietowe, samodzielnie skonstruowany kwestionariusz, 46 pytań. Analizę ilościową i jakościową przeprowadzono za pomocą programu Statsoft STATISTICA 10.0 oraz testu U Manna-Whitneya, p < 0,05. WYNIKI Swoją wiedzę na temat praw pacjenta bardzo dobrze oceniło 19% lekarzy i 7% pielęgniarek, zaś dobrze: 34% lekarzy i pielęgniarek (p < 0,011). Prawo do informacji, wglądu w dokumentację medyczną oraz prawo do świadczeń zdrowotnych znało 85% badanych (p = NS). Z ustawą o prawach pacjenta i Rzeczniku Praw Pacjenta zapoznało się 78% badanych, 64% potwierdziło, że było świadkiem łamania praw pacjenta w miejscu pracy. WNIOSKI 1. Wiedza badanych na temat praw pacjenta była niewystarczająca, dlatego należy opracować i wdrożyć system szkoleń dla personelu medycznego w tym zakresie. 2. Rola personelu medycznego w przekazywaniu informacji o przysługujących pacjentom prawach jest znikoma, dlatego należy umożliwić personelowi nabywanie wiedzy, umiejętności i kompetencji w tym zakresie. 3. Większość badanych była świadkami łamania praw pacjenta, dlatego należy monitorować respektowanie praw pacjenta przez personel medyczny i pociągać do odpowiedzialności zawodowej tych, którzy ich nie przestrzegają.
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