Peri-operative care in adults with congenital heart disease

Room for improvement in after care

D. Schoormans, E.M.A. Smets, R. Zwart, M.A.G. Sprangers, T.H. Veelenturg, B.A. de Mol, M.G. Hazekamp, D.R. Koolbergen, V. Sojak, B.J. Bouma, M. Groenink, M.S. Boekholdt, A.P. Backx, B.J. Mulder

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Patient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.
Patient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.
Data were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21% of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.
Patients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.
Original languageEnglish
Pages (from-to)540-545
JournalCardiology in the Young
Volume23
Issue number4
DOIs
Publication statusPublished - 2013

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Schoormans, D., Smets, E. M. A., Zwart, R., Sprangers, M. A. G., Veelenturg, T. H., de Mol, B. A., ... Mulder, B. J. (2013). Peri-operative care in adults with congenital heart disease: Room for improvement in after care. Cardiology in the Young, 23(4), 540-545. https://doi.org/10.1017/s1047951112001254
Schoormans, D. ; Smets, E.M.A. ; Zwart, R. ; Sprangers, M.A.G. ; Veelenturg, T.H. ; de Mol, B.A. ; Hazekamp, M.G. ; Koolbergen, D.R. ; Sojak, V. ; Bouma, B.J. ; Groenink, M. ; Boekholdt, M.S. ; Backx, A.P. ; Mulder, B.J. / Peri-operative care in adults with congenital heart disease : Room for improvement in after care. In: Cardiology in the Young. 2013 ; Vol. 23, No. 4. pp. 540-545.
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abstract = "Patient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.Patient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.Data were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21{\%} of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.Patients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.",
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Schoormans, D, Smets, EMA, Zwart, R, Sprangers, MAG, Veelenturg, TH, de Mol, BA, Hazekamp, MG, Koolbergen, DR, Sojak, V, Bouma, BJ, Groenink, M, Boekholdt, MS, Backx, AP & Mulder, BJ 2013, 'Peri-operative care in adults with congenital heart disease: Room for improvement in after care', Cardiology in the Young, vol. 23, no. 4, pp. 540-545. https://doi.org/10.1017/s1047951112001254

Peri-operative care in adults with congenital heart disease : Room for improvement in after care. / Schoormans, D.; Smets, E.M.A.; Zwart, R.; Sprangers, M.A.G.; Veelenturg, T.H.; de Mol, B.A.; Hazekamp, M.G.; Koolbergen, D.R.; Sojak, V.; Bouma, B.J.; Groenink, M.; Boekholdt, M.S.; Backx, A.P.; Mulder, B.J.

In: Cardiology in the Young, Vol. 23, No. 4, 2013, p. 540-545.

Research output: Contribution to journalArticleScientificpeer-review

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T1 - Peri-operative care in adults with congenital heart disease

T2 - Room for improvement in after care

AU - Schoormans, D.

AU - Smets, E.M.A.

AU - Zwart, R.

AU - Sprangers, M.A.G.

AU - Veelenturg, T.H.

AU - de Mol, B.A.

AU - Hazekamp, M.G.

AU - Koolbergen, D.R.

AU - Sojak, V.

AU - Bouma, B.J.

AU - Groenink, M.

AU - Boekholdt, M.S.

AU - Backx, A.P.

AU - Mulder, B.J.

PY - 2013

Y1 - 2013

N2 - Patient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.Patient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.Data were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21% of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.Patients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.

AB - Patient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.Patient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.Data were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21% of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.Patients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.

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DO - 10.1017/s1047951112001254

M3 - Article

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SP - 540

EP - 545

JO - Cardiology in the Young

JF - Cardiology in the Young

SN - 1047-9511

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ER -