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Canadian Journal of Anesthesia

, Volume 48, Issue 9, pp 864–870 | Cite as

Information provision, patient involvement, and emotional support: prospective areas for improving anesthetic care

  • Heather D. Hadjistavropoulos
  • Joy Dobson
  • Jennifer A. Boisvert
General Anesthesia

Abstract

Purpose

To explore patients’ perceptions of anesthetic care as measured by a patient-centered care survey. Specifically the survey examined patient views of multiple diverse dimensions of care that are not typically fully addressed among patients receiving anesthesia services, namely opinions on Information Provision, Involvement in Care, Respect Shown, Physical Comfort, and Emotional Support.

Method

A total of 268 patients responded to a patient-centered care survey, a self-report factor analytically derived instrument designed to measure the aforementioned dimensions of care.

Results

Analyses revealed that the highest ratings of care were given to Physical Comfort and Respect. Ratings of Information Provision, Involvement, and Emotional Support were significantly lower. Ratings did not differ as a function of site of service, inpatient vs day surgery, surgical service, type of anesthetic, or anesthesiologist.

Discussion

The findings generated from the study are of value in obtaining a broader understanding of anesthesia services from the patient’s perspective, and also in directing quality improvement initiatives. Other departments of anesthesiology interested in quality improvement initiatives may similarly benefit from measurement of patient-centered care.

Keywords

Emotional Support Information Provision Preoperative Anxiety Anesthetic Care Emotional Concern 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

L’accès à l’information, la participation du patient, le soutien émotionnel : des secteurs potentiels d’amélioration des soins anesthésiques

Résumé

Objectif

Explorer la façon de percevoir les soins anesthésiques au moyen d’une enquête axée sur les patients. L’enquête a spécialement étudié le point de vue des patients sur différentes dimensions des soins qui ne sont pas généralement examinées, à savoir l’accès à l’information, la participation aux soins, le respect, le confort physique et le soutien émotionnel.

Méthode

Ce sont 268 patients qui ont répondu à cette enquête axée sur les patients. Nous avons utilisé un instrument dérivé analytiquement d’un facteur autodéclaré pour mesurer l’importance des soins susmentionnée.

Résultats

Les plus hautes cotes sont allées au confort physique et au respect. Les cotes sur les informations, la participation et le soutien émotionnel ont été significativement plus basses. Les cotes n’ont pas présenté de différence en fonction du lieu, du fait d’être un patient hospitalisé ou ambulatoire, du type de chirurgie ou d’anesthésie ou de l’anesthésiologiste.

Conclusion

Les résultats de l’étude sont précieux, car ils permettent de mieux comprendre les services anesthésiques du point de vue du patient et aussi d’orienter les initiatives d’amélioration de la qualité. D’autres services d’anesthésiologie intéressés à ce genre d’action pourraient bénéficier d’une enquête semblable.

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Copyright information

© Canadian Anesthesiologists 2001

Authors and Affiliations

  • Heather D. Hadjistavropoulos
    • 1
  • Joy Dobson
    • 2
  • Jennifer A. Boisvert
  1. 1.Clinical Research and Development ProgramRegina Health DistrictReginaCanada
  2. 2.Department of AnesthesiologyRegina Health DistrictReginaCanada

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