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A mixed-methods examination of patient feedback within forensic and non-forensic mental healthcare services

机译:一种混合方法检查法医和非法医精神医疗保健服务中的患者反馈

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Background: The literature surrounding patient feedback is limited, despite government policy integrating patient feedback into how the care quality of the National Health Service (NHS) is assessed. The aim of the study is to examine the detailed contextualised accounts of patient feedback within forensic and non-forensic settings through qualitative and quantitative analyses. Method: Responses which reflected positive or negative/neutral overall feedback were analysed using Chi-Square tests on a total of 906 patient responses in a large NHS Trust in England. Conventional content analysis was conducted on 222 patient free-text comments, deriving codes and distributing these into categories. Findings: Forensic patients were more likely to give negative feedback on mental healthcare services than non-forensic patients. The service?s level of security-impacted patient?s willingness to engage with giving feedback. The qualitative analysis provided further insight into these differences by identifying themes in the data. Conclusion: The findings of the present study highlight the challenges faced by staff and volunteers when collecting patient feedback, exploring important differences between services. The study makes recommendations to practice-based interventions to reduce the consequence of these challenges and explores recommendations for future research.
机译:背景:围绕患者反馈的文献是有限的,尽管政策政策将患者反馈与国家卫生服务(NHS)的护理质量纳入如何评估。该研究的目的是通过定性和定量分析来检查法医和非法医环境中的患者反馈的详细上下文。方法:使用Chi-Square测试分析了反映了积极/中性/中性的整体反馈的响应,在英格兰的大型NHS信任中共有906名患者反应。在222名患者自由文本评论中进行常规的内容分析,将代码推导并将其分配到类别中。调查结果:法医患者比非法医患者更有可能对心理医疗保健服务提供负面反馈。服务的服务级别的安全影响患者的愿意与反馈进行反馈。定性分析通过识别数据中的主题,进一步了解这些差异。结论:本研究的调查结果突出了员工和志愿者在收集患者反馈时面临的挑战,探索服务之间的重要差异。该研究提出了基于练习的干预措施来减少这些挑战的后果,并探讨未来研究的建议。

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