Quality Measure Concepts for Inpatient Rehabilitation That Are Best Understood from the Patient's Perspective

Anne Deutsch*, Holly Neumann, Arielle Goldsmith, Allen W. Heinemann, Linda Ehrlich-Jones

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose The aim of this study was to identify inpatient rehabilitation quality-of-care concepts that are best understood from the patient perspective. Design We conducted 12 focus groups with 95 former patients, caregivers, and rehabilitation clinicians and asked them to describe high-quality inpatient rehabilitation care. Methods We independently reviewed the focus group transcripts and then used an iterative process to identify the quality measure concepts identified by participants. Results Based on participants' comments, we identified 18 quality measure concepts: respect and dignity, clinician communication with patient, clinician communication with family, organizational culture, clinician engagement with patient, clinician engagement with family, rehabilitation goals, staff expertise, responsiveness, patient safety, physical environment, care coordination, discharge planning, patient and family education, peer support, symptom management (pain, anxiety, fatigue, sadness), sleep, and functioning. Clinical Relevance to the Practice of Rehabilitation Nursing Rehabilitation nurses should be aware of the quality-of-care issues that are important to patients and their caregivers. Conclusion Important patient-reported domains of quality of care include interpersonal relationships, patient and family engagement, care planning and delivery, access to support, and quality of life.

Original languageEnglish (US)
Pages (from-to)210-219
Number of pages10
JournalRehabilitation Nursing
Volume47
Issue number6
DOIs
StatePublished - Nov 1 2022

Keywords

  • Focus groups
  • inpatient rehabilitation
  • quality of care

ASJC Scopus subject areas

  • General Nursing
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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