Inpatient experience survey 2016, volume 3: exploring differences in experience

This report explores the differences in self-reported experience of people who responded to the inpatient experience survey 2016.


Results - Staff

Summary

The survey results show that overall people were largely positive about their experiences of hospital staff, 91 per cent were positive about the staff they came into contact with.

All the characteristics investigated indicated a significant impact on differences seen in responses relating to people's experience of the hospital staff.

In general older people, males and those staying in general and other type hospitals are significantly more positive about the staff they came into contact with.

People reporting fair or poor health and those who were admitted as an emergency are significantly more negative. People living in SIMD 4 or SIMD 5 (least deprived) are significantly more negative when asked about nurses or other staff they came into contact with.

Staff

Nineteen of the survey questions relate to people's experience of the staff they came into contact with during their stay. All characteristics investigated are associated with variation seen for these questions (Figure 8).

Figure 8: Number of questions affected by various characteristics - staff

Figure 8: Number of questions affected by various characteristics – staff

Doctors

All characteristics related to questions on doctors are detailed in Table 11. Males and people aged over 45 are significantly more positive than the reference groups for questions regarding how they felt they were treated by doctors.

People with emergency admissions were significantly more negative than those who had a planned admission for all questions related to doctors. Those reporting fair or poor health were significantly more negative than those reporting good health, which was also reflected in the pre-existing health conditions.

As seen with some other aspects of the survey, people living in SIMD 4 or SIMD 5 (least deprived) areas were significantly more negative for questions relating to whether doctors listened to patient concerns or washed their hands.

People who require an interpreter or help with communicating, were significantly more negative for four of the six questions on doctors.

Nurses

All characteristics related to questions on nurses are detailed in Table 12. Males and people aged over 55 are significantly more positive than the reference groups for questions regarding how they felt and were treated by nurses.

People with emergency admissions were significantly more negative than those who had a planned admission for all questions related to nurses. People reporting fair or poor health were significantly more negative which is reflected in the pre-existing health conditions.

The characteristic SIMD 2016 explains some of the differences seen in response for five of the six of questions on nurses, compared to two out of six questions on doctors.

All staff

All characteristics related to questions on all staff are detailed in Table 13. As seen in other areas of staffing, males and people aged over 45 were significantly more positive when asked questions about all the staff they came into contact with.

People with emergency admissions were significantly more negative that those with planned admissions for six of the seven questions asked. People reporting fair or poor health were also significantly more negative than those reporting good health.

People who stayed in general and other type of hospitals were significantly more positive than those staying in teaching hospitals. The opposite is seen for those staying in larger general hospitals, who are significantly more negative.

Table 11: Significant response compared to reference group - doctors

Question

Positive

Negative

Knew enough about condition and treatment

Had an operation;
Age 55-75+;
Males;
Other religions and Christian;
Other and community hospitals

Emergency and something else admissions;
Poor health;
Chronic pain lasting at least 3 months, more than one long term health condition;
Need an interpreter

Discussed condition and treatment in away patient could understand

Had an operation;
Age 45-75+;
Males

Emergency and something else admissions;
Fair and poor health;
chronic pain lasting at least 3 months, mental health, learning disability, more than one long term health condition;
Gay/Lesbian/Bisexual/Other

Didn't talk as if patient wasn't there

Emergency admissions;
Age 45-75+;
Other long term condition

Emergency admissions;
Fair and poor health;
chronic pain lasting at least 3 months, learning disability, more than one long term health condition;
Gay/Lesbian/Bisexual/Other;
Need an interpreter

Listened if any questions or concerns

Age 45-75+;
Males;
Christian

Emergency and something else admission;
Poor health;
more than one long term health condition;
Day-to-day activity limited a lot;
Need an interpreter;
SIMD 2, SIMD 4, SIMD 5

Washed/cleaned their hands at appropriate times

Males;
Other religions and Christian

Emergency and something else admissions;
Age 35-54, 75+;
Poor health;
Mental health, more than one long term health condition;
SIMD 4, SIMD 5

Confidence and trust in the doctors

Had an operation;
Age 45-75+;
Males;
Christian;
Other hospitals

Emergency and something else admissions;
Fair and poor health;
chronic pain lasting at least 3 months, more than one long term health condition;
Need an interpreter

Table 12: Significant response compared to reference group - nurses

Question

Positive

Negative

Knew enough about condition and treatment

Has an operation;
Age 55-75+;
Males;
Christian;
Other urban, accessible small town and remote rural areas; Other and general hospitals

Emergency admissions;
Fair and poor health;
chronic pain lasting at least 3 months, more than one long term health condition;
day-to-day activity limited a little and a lot;
SIMD 2, SIMD 3, SIMD 4, SIMD 5

Discussed condition and treatment in away patient could understand

Age 55-74;
Males;
Accessible small town and remote rural areas;
Other and general hospitals

Emergency and something else admissions;
Fair and poor health;
Physical disability, chronic pain lasting at least 3 months, more than one long term health condition;
SIMD 2, SIMD 3, SIMD 4, SIMD 5

Didn't talk as if patient wasn't there

Age 55-75+

Emergency and something else admissions;
Poor health;
Day-to-day activity limited a little and a lot;
Other religions;
Gay/Lesbian/Bisexual/Other;
Need an interpreter

Listened if any questions or concerns

Age 55-75+;
Males;
Other and general hospitals

Emergency admissions;
Poor health;
chronic pain lasting at least 3 months, other long term health condition, mental health, learning disability, more than one long term health condition;
Day-to-day activity limited a lot;
SIMD 2, SIMD 3, SIMD 5

Washed/cleaned their hands at appropriate times

Males;
Other and general hospitals

Emergency and something else admissions;
Fair and poor health;
Day-to-day activity limited a lot;
SIMD 3, SIMD 4, SIMD 5

Confidence and trust in the nurses

Age 65-75+;
Males;
Other and general hospitals

Emergency admissions;
Fair and poor health;
mental health, more than one long term health condition;
Day-to-day activity limited a little and a lot;
SIMD 2, SIMD 3, SIMD 4, SIMD 5

Table 13: Significant response compared to reference group - all staff

Question

Positive

Negative

Know which nurse was in charge

Had an operation;
Age 45-74;
Males;
Other religions and Christian;
Other and general hospitals

Fair and poor health;
other long term health condition;
Need an interpreter;
SIMD 3, SIMD 5

Were there enough nurses on duty

Age 65-75+;
Males;
Blindness or severe vision impairment;
Other, community and general hospitals

Emergency and something else admissions;
Fair and poor health;
physical disability, chronic pain lasting at least 3 months, other long term health condition, more than one long term health condition;
Day-to-day activity limited a little and a lot;
Large general hospitals

Staff worked well together

Age 45-75+;
Males;
Christian;
Other and general hospitals

Emergency and something else admission;
Fair and poor health;
more than one long term health condition;
SIMD3, SIMD4, SIMD 5;
Large general hospitals

Staff took account of the things that mattered to you

Age 55-75+;
Males;
Other and general hospitals

Emergency and something else admissions;
Fair and poor health;
chronic pain lasting at least 3 months, more than one long term health condition;
Day-to-day activity limited a little and a lot;
SIMD 5;
Large general hospitals

Enough emotional support from staff during your stay

Age 45-75+;
Males;
Other and general hospitals

Emergency and something else admissions;
Fair and poor health;
physical disability, chronic pain lasting at least 3 months, other long term health condition, mental health, more than one long term health condition;
Non-white;
SIMD 5

Treated with compassion and understanding

Age 45-75+;
Males;
Other and general hospitals

Emergency admissions;
Fair and poor health;
physical disability, chronic pain lasting at least 3 months, mental health, more than one long term health condition;
Day-to-day activity limited a lot;
SIMD 4, SIMD 5;
Large general hospitals

Overall, rate all the staff who you came into contact with

Age 45-75+;
Males;
Christian
Other and general hospitals

Emergency and something else admissions;
Poor health;
mental health, more than one long term health condition;
Day-to-day activity limited a lot;
Need an interpreter;
Large general hospitals

Contact

Email: Nicola Kerr

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