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KSA authorities should be willing to address such issues in the care of oncology patients through
policy reform, in particular by developing strategies that will help healthcare professionals deliver
patient-centred care practices. This is a factor in patients’ quality of care, indicating that more locally
recruited nurses could improve patient satisfaction in oncology wards. The study’s result would seem
to indicate that patients in the KSA are seeking a holistic approach to their care. Following this brief
introduction, the research question and study aims are considered in more detail before the rationale
for the study design is presented. Dieronitou, I. (2014).The ontological and epistemological
foundations of qualitative and quantitative approaches to research. This search strategy facilitated the
capture of all articles about quality care issues in health care, both globally and in the KSA, with a
specific focus on oncology patients. Although researchers disagree on what exactly constitutes
patient-centred care, and its influence on patient satisfaction has not been firmly established, ample
evidence does suggest that patient-centeredness leads to patients reflecting upon their experiences in
a health care setting in a positive way. Interviews are deemed suitable to explore attitudes and beliefs
(Gordon 1975), and they can be structured, unstructured (open), or semi-structured (Mason 2006;
Walliman 2005). In my mind it was just one fatal disease and I knew nothing else about it. World
Health Organization, WHO (2008).The World Health Report 2008: primary health care - now more
than ever. The interview schedule included a brief discussion on an outline of issues, a list of topics
and subtopics relevant to the research, and the primary research question (Green and Thorogood
2009); the questions were adapted and refined based on the results of Phase 1. Prakash (2010) has
argued that patient satisfaction impacts clinical outcomes, patient retention, and medical malpractice
claims. Furthermore, it is known to affect the judiciously, efficiently, and patient-centred delivery of
quality health care (Prakash 2010). Provider groups often lack the expertise necessary to plan and
manage the task. How do interpersonal aspects of care influence the satisfaction of adult oncology
inpatients at SRCC in Riyadh. Embedding qualitative data provides a supporting role in the study.
The research site was restricted to only one hospital to ensure the research complied with KSA
regulations. Data was collected in Microsoft Excel and analyzed in Sta 13.0. Point estimate at 95%
Confidence Interval was calculated and frequency and percentage was calculated for binary data.
This section has highlighted the importance of nurses and other medical staff in oncology wards
tailoring their care to patients’ needs and providing a more patient-centred approach, as this can
significantly affect patient satisfaction levels. 5.3.4 Organisational factors impacting patient care This
section presents the findings from the study that highlights the organisational factors influencing
patients’ satisfaction or dissatisfaction. Dental RED EYE Public health Publication for IPC RED
EYE Public health Publication for IPC StephenKigotho 3. Research in Nursing and Health, 31(4),
pp. 391-398. Nursing and Midwifery Council (NMC) (2010). A further theme was how, within the
KSA, cancer diagnosis extends beyond stigma and is perceived by some as a death sentence,
instilling great fear and a sense of doom. European Journal of Cancer, 43(2), 323-330. 647 cancer
patients from hospitals in the EU and Asia EORTC INPATSAT32 Questionnaire; quality of life of
the patients and socio-demographic data; institutional data. Therefore, it can be concluded that the
patients in. The most noteworthy aspects of dissatisfaction related to issues such as inadequate
attention to individual patients’ needs and a lack of psychological support: Generally, nurses are
good but need to recognise the psychological status of the patient by allowing more time to spend
with cancer patients when asking questions. (Participant 5) The nursing staff is good but there’s a lot
of need for further development. We have many more template about Affidavit Sample I. It was
administered to determine their satisfaction levels with the care provided to them at the time of their
participation. The qualitative Phase 2 interviews explore further the quantitative Phase 1 results to
provide a deep understanding of patient satisfaction. Figure 3.1 shows the visual model of the
explanatory mixed method design used in the current study. This extensive initiative addresses
funding, detection, screening, medication access, and human resource development. First, the
approach involved setting out the adopted search strategy and describing the reasons for including
particular articles. Large values for KMO commonly indicate that a factor analysis of the variables is
considered a reasonable step to be taken.
A study on patient satisfaction with special reference to government hospital. The language barrier
may mean that they appear detached from their patients and not appear as empathic, especially as
they may also lack cultural sensitivity. Currently, there is a relatively limited amount of literature on
patient-centred care and how it impacts patient-perceived satisfaction (Nichols et al., 2013). This is
an area of research that needs to be addressed. Personal relationships can only be established when
communications are possible. Life Science Journal, 10 (1), pp. 463-468 Novick, G. (2008). Is there a
bias against telephone interviews in qualitative research. By taking a hybrid approach it is possible to
facilitate both inductive and deductive development of coding, which means a combination of the
data-driven inductive approach (Boyatzis 1998) and the deductive a priori code template, as
described in the next section (Crabtree and Miller 1999). The recommendations produced by the
study contribute to the improvement of healthcare systems in Saudi Arabia. The nurse educator
coordinating the administration of the questionnaire was careful not to coerce or pressurise potential
participants. The scale scores are then linearly transformed to a 0-100 scale, with a high score
reflecting a higher level of satisfaction. The KSA has a patriarchal social system, characterised by
masculine authority over kinship family groups. It can be argued that achieving a better experience
for a patient and therefore higher patient satisfaction levels involves good patient-centred care
(Krupat et al. 2001; McCormack 2003). Report to the Center for Health Design for the “Designing
the 21st Century Hospital Project”. This meant that there were no previous examples to base the
research upon and no way to learn from others’ experiences and indeed the limitations of such
studies. It is only when expectations are not met that the patient is likely to judge the service quality
as low (Kupfer and Bond 2012). Journal of Family Practice, 50 (12)pp. 1057-1062. Kupfer, J. and
Bond, E. (2012). Patient satisfaction and patient-centred care: Necessary but not equal. Four main
factors were identified that represent aspects of interpersonal communication between doctors and
their patients: Listening: listening to and addressing the patients’ questions and concerns Information
provision: providing adequate information about the patients’ conditions and treatments Motivation:
being encouraging and motivating to the patients Care and compassion: being caring and
compassionate, with attention to the patients’ psychological as well as medical needs. This is
especially the case with the family’s ability to influence doctors’ disclosure of information to a
patient. Dieronitou, I. (2014).The ontological and epistemological foundations of qualitative and
quantitative approaches to research. That means a person don’t really have to alter the design, unless
of course it is required to do therefore. It raises the complex issues of breast cancer and women in
the Middle East 31 Aljubran, A. (2010) The attitude toward disclosure of bad news to cancer patients
in Saudi Arabia. Therefore, a middle ground was struck, which ensured that participants that I
valued their input without becoming too emotionally attached to them. According to Al-Sakkak et
al. (2008), this is because less educated people tend to be more satisfied with healthcare providers
while high patient educational levels resulted in a lower level of satisfaction with the quality of
healthcare provided to them. 2.5.3.3 Respect for religious beliefs Almuzaini et al. (1998) note that
since the KSA is an Islamic nation Islam is very influential in healthcare. BMC Cancer. 7 (1) 222.
Available from:. Elzubier, A. ( 2002). Doctor-patient communication: A skill needed in KSA. The
absence or presence of compassion clearly had an impact on patients’ overall level of satisfaction
with their care. These issues can be partially attributed to the significant socio-economic and
infrastructural transformations the KSA has undergone in the past three to four decades. Specifically,
I strongly believe in considering each patient's unique circumstances and complexities. They just ask
routine questions and provide general reassurance. Patient satisfaction within the KSA will be
affected by how changes in the doctor-patient relationship are managed, especially with changing
patient demographics. However, it is also evident that doctor-patient relationships that are seen as
poor result in just the opposite and are just as unsatisfying to doctors (Vermeire et al. 2001; Al-
Sakkak et al. 2008; Stravropoulo 2010). The literature that does exist suggests that the adoption of
patient-centred care in the KSA can help bridge the gaps related to information provision resulting
from cultural beliefs (Younge et al. 1997; Al-Ahwal 1998; Aljubran 2010). 2.5.2 Influences Various
factors influence patient satisfaction which will be discussed in extensive detail in the following
sections.
This would allow for a deeper understanding of patient satisfaction with care nationally and over
time and enable health service providers to adjust their care to provide greater patient satisfaction.
When doctors are encouraging and motivating, this can be perceived as having a positive impact on
the progression of the patient’s recovery. Thank you for taking the time to read this information sheet
and thinking about participation in the study. Participation in both phases of this project is voluntary.
Rather, it should be seen as a way of helping to evaluate it. Whenever they had a doubt they
consulted the doctor to be accurate. Other inequalities include the restriction of women from being
admitted into a hospital without their male guardian and not being allowed to give their consent for
invasive medical procedures. Additionally the writing process can mean long gaps or pauses in the
interview plus the interviewer may find it rather challenging to combine concurrent note taking with
guiding the conversation (Beebe 2001). The coding process was carried out based on these stages, as
described next. A limitation of one month (from the end of November 2012 till early January 2013)
was placed on data collection for the first phase of the current study. Annals of Family Medicine, 2
(6), pp. 595-608. Groene, O., Skau J. K. and Frolich, A. (2008). An international review of projects
on hospital performance assessment. The use of a sequential mixed methods design was considered
the most appropriate for reaching the aims and objectives of the study and answering the research
questions. International Journal for Quality in Health Care, 18(6), pp. 414-421. Rashad, A., MacVane
Phipps, F. and Haith-Cooper, M. (2004). Obtaining informed consent in Egyptian research study.
Service quality and patients’ satisfaction are closely related. The KSA Culture In the cultural
framework of the Kingdom of Saudi Arabia (KSA), Islam serves not only as a religious belief but
also as the foundation for a comprehensive social system that shapes various aspects of individuals'
lives. Chapter 6 of the current study also provides insight into the significance of the study along
with the various contributions produced to improve patient satisfaction within healthcare delivery in
the Saudi Arabian context. International Alliance of Patients’ Organisations, IAPO (2009). Social
Science and Medicine, 51(11), pp. 1611-1625. Carmel, S. and Glick, S. M. (1996). Compassionate-
empathic physicians: Personality traits and social-organizational factors that enhance or inhibit this
behaviour pattern. The diagnostic facilities include the pathology department which has separate.
Globally, there is a widespread consensus in the literature that patient autonomy is a crucial
component of quality patient care (McCormack 1992; Gaston and Mitchell 2005). Make sure the
questions relate to patient satisfaction. Additionally, the writing process can mean long gaps or
pauses in the interview, plus the interviewer may find it rather challenging to combine concurrent
note-taking with guiding the conversation (Beebe 2001). Saudi Medicine Journal, 23(10), pp.1237-
42. Sale, J., Lohfeld, L., Brazil, K. (2002). Revisiting the quantitative-qualitative debate:
Implications for mixed methods research. All the female participants except one had attained some
level of education. The KSA’s use of e-Health has been identified as a strategic objective for the
Ministry, which should not just improve health, but enhance how patients perceive the effectiveness
of care and availability. Summary If you are planning to get started on a new project or perhaps you
are only searching for a collection of great templates for future use, the themes on this wide list
makes the perfect choice of equipment for you. Journal of Medical Oncology. 36(155), pp.387-393.
Initiative to Improve Cancer Care in the Arab World (ICCAW) (2010). Afterwards, each of these
particular influences is discussed and analysed through the KSA patient satisfaction and experience.
One point is given for each aspect, and a research paper’s quality is judged by the total score
obtained out of five. Still, only 62% of them were satisfied with parking accessibility to the
Oncology ward. 4.4 Factor Analysis of Observed Variables An exploratory factor analysis was
carried out in order to reduce the number of variables to useful factors and to identify the correlation
among them.
This project has been cleared by the University of Stirling Ethics Committee, as well as approved by
the Ethics Committee of the Saudi Regional Cancer Centre in Riyadh. Report Back from San
Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight. There were mixed views that
appeared in the investigated which included that some of the participants expressed being motivated
and encouraged by their doctors which is evident from the quotes below, attesting that
communication and relationship with doctors is a significant factor in enhancing patients’
psychological well-being; I myself didn’t want to stay as I felt depressed, but their motivating words
helped me and I started being hopeful. The thesis concludes with a discussion of the contribution
and implications of this research in the following areas: (1) patients, (2) for practice, and (3). Being in
the position of authority means that compared to other members of the health care team, doctors
have a greater impact, either positive or negative, on the health and wellbeing of patients. Informed
by the responses in Phase 1, another series of specific questions was asked during Phase 2: How do
interpersonal aspects of care influence adult oncology inpatients’ satisfaction with care at the SRCC
in Riyadh. It includes clinical and interpersonal aspects of care during the delivery of medical
treatment or intervention. Babakus, E. Mangold, W.G., “Adapting the SERVQUAL Scale to Hospital
Services; An Empirical Investigation”, Health. In the past, patient nondisclosure regarding life-
threatening or terminal illnesses was universally common (Field and Copp, 1999). They just asked a
few questions about our illness but never appeared concerned with our psychological state.
(Participant 21) Two main findings emerge in relation to compassion and the doctor-patient
relationship. Nurse Education Today, 26 (8) pp. 719-725. Campbel,l J. L., Ramsay, J. and Green, J.
(2001). Age, gender, socioeconomic, and ethnic differences in patients’ assessments of primary
health care. Process Research suggests that the processes by which healthcare is delivered in the
KSA are inconsistent in nature and quality, which may give rise to inconsistencies in patient
satisfaction. The high scoring in the questionnaires could be related to the fact that the nurse
educator collected the completed questionnaires. According to Creswell and Tashakkori (2007 p.4),
mixed methods research can be described as: “Research in which the investigator collects and
analyses data integrates the findings and draws inferences using qualitative and quantitative
approaches or methods in a single study.” Some researchers claim that MMR results in clarity in
understanding the complexities of the social phenomena that are under investigation (Ponterotto and
Greiger 1999). Overall, this review has demonstrated the difficulty of defining and measuring quality
of care and patient satisfaction. Results: From the study findings, the satisfaction was rated highest i.
Satisfactions Among Admitted Patient of Tertiary Level Hospital in Dhaka City. This allows the
researcher to describe the relationships between the variables in the responses to the Likert
questionnaire. The I.P.D patient Questionnaire consists of 20 questions related to the hospital. Within
the realm of patient experience, this study zeroes in on patient satisfaction, a pivotal construct at its
core. For every one unit change in Nurse Interpersonal and Technical Skills, the log odds of overall
satisfaction increases by 0.277, as seen in Table 15 above. This will be the main factors that are
analysed in the current study using the mixed methods research approach as discussed at great length
in chapter 3. Telephone interviews are considered to be a credible and robust method, although the
researcher is unable to see non-verbal and social cues such as body-language (Novick 2008). These
Feedback Survey Templates are available in Word and Excel formats. It, therefore, facilitated the
acquisition of a rich data set to assess the level of patient satisfaction with care processes, the
structure of care, and the outcomes of care in a KSA setting. This, in turn, has negative ramifications
on prognosis (Elkum et al. 2007; Ibrahim et al. 2008) and by extension, on quality of care, which can
impact patient satisfaction, which is highly dependent upon meeting expectations. I was fortunate in
being able to liaise with the oncology staff and the attending physician because this helped to inform
my decisions regarding patient vulnerability. Then there is the issue of a patient receiving help from
family members and this could lead to potential distortions in the collection of data. Chapter
Summary This chapter has provided an overview of the research design employed in the current
study and a theoretical rationale for its use. As one participant said: I am waiting longer to get
information about results from doctors, while nurses can’t give me this information until the doctors
do their round.
Appendix 4: Criteria for quality appraisal of chosen studies in literature review Quality appraisal
criteria by Dixon-Woods et al. (2005) Are the aims and objectives of the research clearly stated.
Many patients’ perceptions of the care they received were based on how their religious views and
needs were respected. Considering the primary aim, it is evident that it is necessary to comprehend
which major factors influence patient satisfaction, which can be revealed through a quantitative
measuring instrument, in this case, a survey. However, it is also evident that doctor-patient
relationships that are seen as poor result in just the opposite and are just as unsatisfying to doctors
(Vermeire et al. 2001; Al-Sakkak et al. 2008; Stravropoulo 2010). Embedding qualitative data
provides a supporting role in the study. Most of the participants highlighted the proficiency of
nurses’ professional and technical competence, also asserting that such competence helped to build
trust between them and the nurses. The doctor-patient relationship in KSA is completely different to
the ethically set standards of many Western countries. This is partially due to the standards typically
adopted by the largely non-Saudi healthcare workforce in the KSA (Young et al. 1997; Ezzat et al.
1995). Finally, whilst there are many international studies available on patient satisfaction as a quality
indicator for health care, this review has identified a lack of consensus on how it can be measured
effectively. Each of these surveys provides different information about consumer. Conceivably, this
may enhance patient satisfaction within the KSA (Mobeireek et al. 2008; Aljubran, 2010). One
particular challenge in a mixed-methods approach is to integrate the different strands; this is achieved
in the final discussion and conclusions found in Chapter 6, which pulls together and evaluates all of
the results, considers the success and limitations of the research, and offers recommendations for
further study along with the contributions that the current study makes to the field of patient
satisfaction in particular to the KSA healthcare setting. Any findings derived from these responses
are, therefore, a reflection of these cultural influences. The MMR methodology allowed people to
express their opinions freely and to feel comfortable providing information to the researcher.
Nevertheless, the consensus in the literature is that some versions of pragmatism represent the most
useful philosophy for supporting MMR. For example, Johnson et al. (2007) contend that pragmatism
is a suitable philosophy for integrating different perspectives and mixing approaches by applying
epistemological justification and logic. In: Chelimsky, E. and Shadish. W. R., eds. Evaluation for the
21st Century: A Handbook. This can lead to restrictions on access to health care (Walker 2009).
Second, the findings from the interviews are presented and organised according to the key themes
which emerged. To fully understand, four key elements arise: (1) doctors’ listening skills, (2)
information provision, (3) the extent to which patients felt motivated and encouraged, and (4) the
extent of compassion doctors showed towards patients. By giving reasons for either satisfaction or
dissatisfaction with care within the interviews, healthcare providers can have more understanding of
their experiences with hospital care and eventually will make an effort to contribute to delivering
effective, high-quality cancer services in Saudi Arabia. Failure to do so will result in their failure to
deliver true patient-centred care. There were limitations to the study, particularly constraints due to
official policy that restricted the sampling, recruitment and the length of time available to conduct
the research in oncology ward settings that could have made the sample unrepresentative and
therefore made the findings not generalisable. Many patients noted having had to wait for long
periods of time to be admitted to hospital, whether for a referral, or to gain access to a laboratory
test or results. Analysis of Outpatient Satisfaction on the Quality of Pharmaceutical Services.
Consequently, daily life in Saudi Arabia adheres to the teachings of the Prophet Muhammad, and the
Sunni Hanbali school of Islam is the predominant source of guidance. The study of Cornell et al.
(2009) found that while there were many available indicators, there were instances where they were
not applicable and inadequately measured the quality of care, and further studies were needed to
determine which of the existing indicators were pertinent. According to Dona Bedian “patient
satisfaction may be considered to be one. There are, however, certain weaknesses in the use of
MMR. Using different methods can result in different types of answers to a research question. I am
suffering so much of it without any psychological support from doctors. Patient Education and
Counselling. 51, pp. 197-206. Middelboe, T., Schjodt, T., Byrsting, K., and Gjerris, A. (2001). Ward
atmosphere in acute psychiatric in?patient care: patients' perceptions, ideals and satisfaction. All the
scores for all items in a particular subscale are summed, and then divided by the number of items in
that subscale.