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The evaluation of clinician, staff and patient satisfaction regarding the implementation of pre-visit laboratory testing in a primary care setting
Descriptive
TitleInfo
Title
The evaluation of clinician, staff and patient satisfaction regarding the implementation of pre-visit laboratory testing in a primary care setting
Name
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(type = family)
Jamil
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Nadia
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1981-
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Nadia Jamil
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author
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Benenson
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Irina
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Irina Benenson
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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Text
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theses
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2019
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2019-05
Language
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English
Abstract
(type = abstract)
PURPOSE
According to the American Medical Association health care organizations can improve work-life satisfaction and patient satisfaction in primary care by implementing pre-visit laboratory testing. The purpose of this project is to evaluate clinician, staff, and patient satisfaction regarding implementation of pre-visit laboratory testing.
METHODOLOGY
Implementation of pre-visit laboratory testing occurred over 6 weeks at a small primary care practice in New Jersey. Diagnostic laboratory tests were ordered at the end of an initial appointment for the next upcoming appointment so that laboratory tests were available to discuss in person at the next appointment. Likert-type questionnaires were used to evaluate staff, clinician, and patient satisfaction with the process. Non-parametric Wilcoxon signed rank test was used to assess a difference in staff satisfaction scores pre and post-implementation. Clinician and patient satisfaction scores were expressed as frequencies/percentages.
RESULTS
A total of 2 clinician (n=2) and 7 staff members (n=7) participated pre and post-implementation. A total of 10 patients (n=10) participated post- implementation. Pre-visit laboratory testing showed no significant difference in staff satisfaction (p > 0.005). All clinicians and majority of patients were satisfied with pre-visit laboratory testing; however, we could not determine statistical significance of this result.
IMPLICATIONS FOR PRACTICE
The results of this project suggest that pre-visit laboratory testing can maintain overall clinician, staff, and patient satisfaction in primary care. However, we could not infer whether high levels of satisfaction were due to the implementation of pre-visit laboratory testing. Also, it became apparent that the majority of the staff, clinicians, and patients were satisfied with traditional methods, indicating that it may not be necessary for primary offices to adopt this practice to improve satisfaction with laboratory procedures. Future research should evaluate the impact of pre-visit laboratory testing on patient, clinician, and staff satisfaction as well its impact on costs and long-term clinical outcomes.
According to the American Medical Association health care organizations can improve work-life satisfaction and patient satisfaction in primary care by implementing pre-visit laboratory testing. The purpose of this project is to evaluate clinician, staff, and patient satisfaction regarding implementation of pre-visit laboratory testing.
METHODOLOGY
Implementation of pre-visit laboratory testing occurred over 6 weeks at a small primary care practice in New Jersey. Diagnostic laboratory tests were ordered at the end of an initial appointment for the next upcoming appointment so that laboratory tests were available to discuss in person at the next appointment. Likert-type questionnaires were used to evaluate staff, clinician, and patient satisfaction with the process. Non-parametric Wilcoxon signed rank test was used to assess a difference in staff satisfaction scores pre and post-implementation. Clinician and patient satisfaction scores were expressed as frequencies/percentages.
RESULTS
A total of 2 clinician (n=2) and 7 staff members (n=7) participated pre and post-implementation. A total of 10 patients (n=10) participated post- implementation. Pre-visit laboratory testing showed no significant difference in staff satisfaction (p > 0.005). All clinicians and majority of patients were satisfied with pre-visit laboratory testing; however, we could not determine statistical significance of this result.
IMPLICATIONS FOR PRACTICE
The results of this project suggest that pre-visit laboratory testing can maintain overall clinician, staff, and patient satisfaction in primary care. However, we could not infer whether high levels of satisfaction were due to the implementation of pre-visit laboratory testing. Also, it became apparent that the majority of the staff, clinicians, and patients were satisfied with traditional methods, indicating that it may not be necessary for primary offices to adopt this practice to improve satisfaction with laboratory procedures. Future research should evaluate the impact of pre-visit laboratory testing on patient, clinician, and staff satisfaction as well its impact on costs and long-term clinical outcomes.
Subject
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Topic
Family Nurse Practitioner
Subject
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Topic
Primary care
Subject
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Topic
Medical care -- Evaluation
Subject
(authority = LCSH)
Topic
Diagnosis, Laboratory -- Evaluation
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Rutgers University Electronic Theses and Dissertations
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ETD_9570
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1 online resource (76 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-gcdf-xb89
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ETD doctoral
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Rights
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The author owns the copyright to this work.
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Name
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Jamil
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Nadia
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Permission or license
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2019-03-06 08:38:28
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Nadia Jamil
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2019-05-31
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-03-06T13:36:34
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2019-03-06T13:36:34
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