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Related Experiment Videos

Patients' perceptions of cardiac anesthesia services: a pilot study.

S Le May1, J F Hardy, F Harel

  • 1Faculty of Nursing, Department Of Anesthesiology University of Montreal, Montreal, Quebec, Canada.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|December 18, 2001
PubMed
Summary

A new instrument, the Scale of Patients

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Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Healthcare Quality Measurement
  • Patient Experience Research

Background:

  • Measuring patient perceptions of anesthesiologist services is crucial for assessing healthcare quality.
  • Existing information on patient satisfaction with cardiac anesthesia is limited.
  • Developing a reliable instrument is necessary to capture these patient perspectives.

Purpose of the Study:

  • To develop and validate an instrument measuring patient perceptions of cardiac anesthesia services.
  • To provide a tool for anesthesiologists to evaluate and enhance the quality of care.
  • To identify key factors influencing patient satisfaction and dissatisfaction.

Main Methods:

  • Development of the Scale of Patients' Perceptions of Cardiac Anesthesia Services (SOPPCAS) with 17 Likert-type and sociodemographic questions.

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  • Data collection at two time points: T-1 (postoperative day 4) and T-2 (15 days postoperatively).
  • Principal Component Analysis (PCA) for construct validation, with Marlow-Crowne and Psychological Symptoms Index used to assess social desirability and distress.

    • Main Results:

    • The SOPPCAS demonstrated a Cronbach alpha of 0.58, with PCA identifying four factors: patient/anesthesiologist interactions, anesthesia concerns, anesthesia experience, and pain management.
    • Global mean patient satisfaction was 4.45 +/- 0.64 (on a 6.0 scale), indicating moderate-to-high satisfaction.
    • Key satisfaction drivers included premedication, anesthesiologist empathy, and pain management; dissatisfaction stemmed from lack of information on blood transfusion and endotracheal intubation recall.

    Conclusions:

    • A rigorously developed instrument (SOPPCAS) now exists to measure patient perceptions of cardiac anesthesia quality.
    • Overall patient satisfaction with cardiac anesthesia services is moderately high, contrary to some previous assumptions of very high satisfaction.
    • The SOPPCAS can guide anesthesiologists in identifying areas for improvement in patient care and service delivery.