S. Maslekar
Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists
Maslekar, S.; Hughes, M.; Gardiner, A.; Monson, J. R. T.; Duthie, G. S.
Authors
M. Hughes
A. Gardiner
J. R. T. Monson
G. S. Duthie
Abstract
Aim Assessment of patient satisfaction with lower gastrointestinal endoscopy (LGE) comprising colonoscopy and flexible sigmoidoscopy is gaining increasing importance. We have now trained non healthcare professionals such as nonmedical endoscopists (NMEs) to perform LGE to overcome shortage of trained endoscopists. The aim of this study was to prospectively determine patient satisfaction, factors affecting satisfaction with LGE and to compare with nurses, NME and medical endoscopists, in terms of patient satisfaction. Method Consecutive patients undergoing LGE answered specially developed patient satisfaction questionnaire at discharge and 24 h thereafter. This questionnaire was a modification of m-Group Health Association of America questionnaire. Construct and face validity of questionnaire were tested by an expert group. Demographic and clinical data was prospectively collected. Multivariate regression analysis was performed to determine factors influencing patient satisfaction. Results Some 503 patients were surveyed after LGE. Examinations were performed by nurse (n = 105), doctor (n = 191), or NMEs (n = 155). There were no differences between three groups in terms of completion rates/complications. No differences were detected between endoscopists in patient rating for overall satisfaction (P = 0.6), technical skills (P = 0.58), communication skills (P = 0.61) or interpersonal skills (0.59). Multivariate regression analysis showed that higher preprocedure anxiety, history of pelvic operations/hysterectomy and higher pain scores were associated with adverse patient satisfaction and preprocedure anxiety, history of hysterectomy and female gender were associated with higher pain scores. Conclusion This study has shown that there are no differences in patient satisfaction with LGE performed by nurse, doctor or NME. The most important factor affecting patient satisfaction is degree of discomfort/pain experienced by patient.
Citation
Maslekar, S., Hughes, M., Gardiner, A., Monson, J. R. T., & Duthie, G. S. (2010). Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists. Colorectal disease, 12(10), 1033-1038. https://doi.org/10.1111/j.1463-1318.2009.01989.x
Acceptance Date | May 16, 2009 |
---|---|
Online Publication Date | Jul 3, 2009 |
Publication Date | 2010-10 |
Deposit Date | Nov 13, 2014 |
Publicly Available Date | Mar 28, 2024 |
Journal | Colorectal Disease |
Electronic ISSN | 1463-1318 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 12 |
Issue | 10 |
Pages | 1033-1038 |
DOI | https://doi.org/10.1111/j.1463-1318.2009.01989.x |
Keywords | Patient satisfaction; Nonmedical colonoscopists |
Public URL | https://hull-repository.worktribe.com/output/462620 |
Files
Article
(61 Kb)
PDF
You might also like
Managing constipation in adults with co-morbidities
(2016)
Journal Article
Constipation: causes, assessment and management
(2013)
Journal Article
The application of rectal irrigation in the management of functional bowel disorders
(2009)
Journal Article
Downloadable Citations
About Repository@Hull
Administrator e-mail: repository@hull.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search