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Abstract

Aim. The purpose of this study was to determine the effect of comprehensive-care program on patient satisfaction in patients with minor and moderate trauma (accident, fall and other types of trauma) in emergency department.

Background. Assessment of patient satisfaction is one of the most important indicators of measuring quality of care. Patient satisfaction of nursing services is declining it can be caused by increased awareness of patients about their rights and health care services which leads to an increase in patient expectations of health care services. Comprehensive care program is one of the ways to increase patient satisfaction.

Method. This clinical trial study was conducted with 104 patients, 52 in each control and experimental groups. The experimental group received comprehensive-care program from the moment of entering emergency department to the discharge of emergency department and the control group received the usual nursing care. After implementing comprehensive-care program and at the end of the patient stay, the patient satisfaction in two groups was measured using a modified form of satisfaction questionnaire. The data analysis was done by SPSS software, version 22 using descriptive and inferential statistics.

Findings. The mean score of the total satisfaction was 32.02 (relatively appropriate) and 45.6 (appropriate) after intervention in control and experimental groups, respectively. There was a statistical significant difference between the mean score of total satisfaction of the groups after intervention (p<0.001).

Conclusion. Implementing comprehensive-care program increases the rate of the patient satisfaction. Therefore, it is recommended to managers and staff of the health care centers and educational centers to apply comprehensive care program.

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Aim. The aim of this study was to examine the role of liaison nurse on vital signs of patients in the process of transition from cardiac surgery intensive care unit to general ward. Background. Patients' transfer from intensive care unit to a general ward is accompanied by anxiety, stress and changes in patients' vital signs. It is said that the role of liaison nurse solve the problems between intensive care unit and the general ward and prevent adverse events during transfer of patients. Method. This was a quasi-experimental study in which 68 patients were recruited and allocated to experimental and control group. In both control and experimental group, demographic and disease characteristics were collected in the beginning of the study .The experimental group received liaison nurse services during transfer process. Vital signs of the patients were measured and recorded at the beginning of transfer and two hours after admission of patient in the general ward. The data were analyzed by SPSS version 19 and using statistical tests. Findings. Before intervention, the experimental and control group were homogeneous in terms of demographics and vital signs except for systolic blood pressure. After intervention, significant reductions were found in vital signs in the experimental group. Conclusion. Liaison nurse services affect the vital signs of patients in the process of transition from cardiac surgery intensive care unit to general ward.