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Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting.

Publication ,  Journal Article
Gramling, R; Stanek, S; Ladwig, S; Gajary-Coots, E; Cimino, J; Anderson, W; Norton, SA; AAHPM Research Committee Writing Group, ; Aslakson, RA ...
Published in: J Pain Symptom Manage
February 2016

CONTEXT: As endorsed by the palliative care "Measuring What Matters" initiative, capturing patients' direct assessment of their care is essential for ongoing quality reporting and improvement. Fostering an environment where seriously ill patients feel heard and understood is of crucial importance to modern health care. OBJECTIVES: To describe the development and performance of a self-report field measure for seriously ill patients to report how well they feel heard and understood in the hospital environment. METHODS: As part of a larger ongoing cohort study of inpatient palliative care, we developed and administered the following point-of-care item: "Over the past two days, how much have you felt heard and understood by the doctors, nurses and hospital staff?" (completely, quite a bit, moderately, slightly, not at all). Participants completed the measure before and the day after palliative care consultation. For the postconsultation version, we changed the time frame from "past two days" to "today." RESULTS: One hundred sixty patients with advanced cancer completed the preconsultation assessment, and 87% of them completed the postconsultation version. Responses encompassed full use of the ordinal scale, did not exhibit ceiling or floor effects, and showed improvement from preassessment to postassessment. The item was quick to administer and easy for patients to complete. CONCLUSION: The "Heard & Understood" item is a promising self-report quality measure for the inpatient palliative care setting.

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Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

February 2016

Volume

51

Issue

2

Start / End Page

150 / 154

Location

United States

Related Subject Headings

  • United States
  • Self Report
  • Quality Assurance, Health Care
  • Professional-Patient Relations
  • Patient Satisfaction
  • Palliative Care
  • Neoplasms
  • Inpatients
  • Humans
  • Communication
 

Citation

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Gramling, R., Stanek, S., Ladwig, S., Gajary-Coots, E., Cimino, J., Anderson, W., … Unroe, K. T. (2016). Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting. J Pain Symptom Manage, 51(2), 150–154. https://doi.org/10.1016/j.jpainsymman.2015.10.018
Gramling, Robert, Susan Stanek, Susan Ladwig, Elizabeth Gajary-Coots, Jenica Cimino, Wendy Anderson, Sally A. Norton, et al. “Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting.J Pain Symptom Manage 51, no. 2 (February 2016): 150–54. https://doi.org/10.1016/j.jpainsymman.2015.10.018.
Gramling R, Stanek S, Ladwig S, Gajary-Coots E, Cimino J, Anderson W, et al. Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting. J Pain Symptom Manage. 2016 Feb;51(2):150–4.
Gramling, Robert, et al. “Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting.J Pain Symptom Manage, vol. 51, no. 2, Feb. 2016, pp. 150–54. Pubmed, doi:10.1016/j.jpainsymman.2015.10.018.
Gramling R, Stanek S, Ladwig S, Gajary-Coots E, Cimino J, Anderson W, Norton SA, AAHPM Research Committee Writing Group, Aslakson RA, Ast K, Elk R, Garner KK, Grudzen C, Kamal AH, Lamba S, LeBlanc TW, Rhodes RL, Roeland E, Schulman-Green D, Unroe KT. Feeling Heard and Understood: A Patient-Reported Quality Measure for the Inpatient Palliative Care Setting. J Pain Symptom Manage. 2016 Feb;51(2):150–154.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

February 2016

Volume

51

Issue

2

Start / End Page

150 / 154

Location

United States

Related Subject Headings

  • United States
  • Self Report
  • Quality Assurance, Health Care
  • Professional-Patient Relations
  • Patient Satisfaction
  • Palliative Care
  • Neoplasms
  • Inpatients
  • Humans
  • Communication