Preprint Article Version 1 This version is not peer-reviewed

What’s So Great About Inpatient Rehabilitation From the Patient Experience Perspective: Content Analysis of an Appreciative Inquiry During a Bedside Experience Rounding

Version 1 : Received: 27 June 2024 / Approved: 28 June 2024 / Online: 2 July 2024 (09:31:39 CEST)

How to cite: Jesus, T. S.; Buschbacher, J.; Struhar, J.; Walters, T.; Lopez, C.; Fernandez, A.; Gracz, K.; Colby, K. What’s So Great About Inpatient Rehabilitation From the Patient Experience Perspective: Content Analysis of an Appreciative Inquiry During a Bedside Experience Rounding. Preprints 2024, 2024062055. https://doi.org/10.20944/preprints202406.2055.v1 Jesus, T. S.; Buschbacher, J.; Struhar, J.; Walters, T.; Lopez, C.; Fernandez, A.; Gracz, K.; Colby, K. What’s So Great About Inpatient Rehabilitation From the Patient Experience Perspective: Content Analysis of an Appreciative Inquiry During a Bedside Experience Rounding. Preprints 2024, 2024062055. https://doi.org/10.20944/preprints202406.2055.v1

Abstract

Background: Positive person-centered attributes of inpatient rehabilitation need to be identified from the patient perspective to be further developed and sustained. Purpose: To identify which attributes patients openly evoke as being great care experiences, using an open appreciative inquiry during the inpatient rehabilitation stay. Methods: Qualitative secondary analysis of appreciative patient comments during a bedside patient experience rounding, facilitated by a neutral party. Two independent analysts employed an inductive, summative form of content analysis. Results: Among 150 patients rounded, 122 provided categorizable appreciative accounts. Over two thirds of the patients (67.2%) focused on “staff attributes” in their great-experience accounts. Those attributes were mostly interpersonal such as being “attentive & caring - beyond clinical duty” and being “encouraging (but not too hard) & reassuring”. These interpersonal staff attributes were reported with words showing deep levels of personal significance or patient appreciation. Beyond staff attributes, the perceived quality of the “patient care” (31.1%) and opportunities for “leisure and social activities” (9.0%) were also frequently evoked. Amenities like food or costumer service were the least evoked, rarely so as an exclusive attribute (0.8% for each). Conclusions: The human(e) factor, especially the interpersonal qualities of staff, emerged as greatly appreciated from the patient experience perspective during inpatient rehabilitation. These experiences help identify which person-centered attributes of care might be further developed and sustained.

Keywords

Patient experience; patient-centered care; patient perspective; bedside rounding; content analysis

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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