PATIENT SATISFACTION AS AN EVALUATION TOOL FOR REGISTERED NURSES (RN) PERFORMING FLEXIBLE SIGMOIDOSCOPY (FS) ON PATIENTS
MA Cooper, J Pennington, K Gayman, M Dobrow, L Rabeneck
University of Toronto, Toronto, Ontario
BACKGROUND: Objective evaluation of endoscopy remains to be developed to determine technical competence in performing endoscopy. A program to train RNs to perform FS was developed in Ontario, Canada to create increased endoscopy capacity to screen for colorectal cancer. Objective parameters were developed to assess their performance.
OBJECTIVES: To develop standardized evaluation tools to monitor nurses' performance of FS on patients.
METHODS: Evaluation of RN performance of FS on patients was conducted by checklists and global rating scales (GRS) completed by expert observers and by patients completing a patient satisfaction survey. We modified the Patient Satisfaction Questionnaire III (PSQ-III) to include five domains: interpersonal aspects, communication, technical quality, time spent with provider, and general satisfaction.
RESULTS: Five RNs performed at least ten procedures each. Figure 1 shows general satisfaction scores of patients seen by two different trainees. It demonstrates that with increasing experience, an improving profile is seen for one trainee (Figure 1a) but a deteriorating profile is seen for another (Figure 1b). These trends correlate with checklist and GRS data. (Data not shown.)
 |