Medicine and Health Sciences Commons^™

A Quality Improvement Initiative Using Discharge Education Videos To Improve Communication With Families In A Pediatric Urgent Care, Hannah G. Carron, Gisella Valderrama, Adam A. Vukovic

Patient Experience Journal

Introduction: Effective discharge communication, often given in verbal and written form, during pediatric acute healthcare visits positively impacts caregiver satisfaction and competency in providing at-home care. Institutions are beginning to incorporate evidence-based, and standardized multimedia education to try to further improve these outcomes.

Methods: For this QI initiative, educational videos were created and shown to families prior to discharge from a pediatric urgent care. PDSA cycles focused on development of an electronic medical record (EMR) order to provide video education, a best practice alert regarding this order, and recurrent staff education. The primary outcome measure was the percentage …

Experiences Of Psychosocial Support In Group Rehabilitation Interventions From Adults With Chronic Conditions – A Qualitative Systematic Review, Jenny Mäkeläinen, Ulla Jämsä, Anne Oikarinen, Maria Kääriäinen, Heidi Siira

Patient Experience Journal

Aims and objectives: Psychosocial support is essential in group rehabilitation interventions aiming at supporting adaptation to chronic illness and disability. Aim was to synthesize qualitative evidence on how adults with chronic conditions experience psychosocial support in group rehabilitation interventions. Materials and Methods: Four databases (CINAHL, Medic, Pubmed, Scopus) were searched for qualitative studies published between 2009-2022. Study selection and critical appraisal were independently performed by two authors using the JBI Critical Appraisal Checklist. Study selection and critical appraisal were independently performed by two authors. Data were synthesized through inductive content analysis. Results: The findings from nine studies were synthesized into …

Post-Pandemic Needs Of Unpaid Family And Friend Caregivers To Effectively Continue Caregiving Duties In One Northern Ontario Health Authority, Jodi Webber, Erin Mulroney, Mark Tatasciore, Brianna Smith, Patti-Jo Duggan, Louis Ferron, Hannah Albani, Bianca Feitelberg, Laura Tenhagen, Sophia Myles

Patient Experience Journal

The Covid-19 pandemic had a significant impact on the support networks for older adults and caregivers as health and social care systems were forced to dramatically change the ways patients and clients interacted with providers, services, and programs. In Northern Ontario, caregivers are older, caring in more intense situations, more likely to be caring for multiple care recipients simultaneously and less likely to be in contact with health professionals. This research sought to explore the post-pandemic needs of caregivers in a Northern Ontario health catchment to better understand the needed supports. Using a collaborative and co-design approach with caregiver advisors …

Patients' Perceptions: A Group Differences Study Twelve Months Before And Twelve Months During A Worldwide Pandemic, Nancy B. Valla

Patient Experience Journal

Objective: The COVID-19 pandemic subjected healthcare systems' to decreasing operational margins, enhanced regulatory scrutiny, and challenges related to patients' expectations. Until now, there was a lack of empirical evidence studying patients' perceptions prior to versus deep immersion into the pandemic. Methods: This quantitative non-experimental ex post facto causal-comparative study examined if and to what extent there were significant differences in patients' perceptions of the nurses' communications, doctors' communications, overall hospital rating, and willingness to recommend before versus during the COVID-19 pandemic for HCAHPS participating hospitals in California. The final sample size was 292 facilities grouped by two identically …

An Exploratory Qualitative Study Of Perinatal Experiences In An Acute Setting During Early Phases Of The Covid-19 Pandemic, Sharon Hoosein, Pamela Winchester, Stephanie Babinski, Naomi Smith, Payalben Bhavsar, Susan Law

Patient Experience Journal

The COVID-19 pandemic was highly disruptive for people delivering babies in-hospital and for obstetrical healthcare professionals. The purpose of this study was to explore the experiences of people with or without COVID-19 giving birth in a community-based hospital to provide patient insight to obstetrical care providers regarding the services/policies used during the pandemic. Nine interviews were conducted with participants within six months of giving birth in-hospital – four who tested positive for COVID-19 and five who tested negative. Seven themes were identified in the analysis: conflicting emotions; experiences of COVID-related protocols; altered experiences of pregnancy and birth; other aspects of …

Driving Healthy Behaviors Through Social Support: The Role Of Co-Responsibility In Weight Loss And Maintenance, Melanie Knufinke-Meyfroyt, Carlo Lancia, Yentl Lodewijks, Simon Nienhuijs, Eva Deckers

Patient Experience Journal

Objective: The effectiveness of out of hospital lifestyle interventions in healthcare is likely co-dependent on social support from involved one's. We sought to investigate the interrelationships between patient-partner Co-responsibility, Spousal Support, and Self-efficacy and the mechanisms through which they contribute to health behaviors and outcomes relevant to weight loss and maintenance. Methods: Co-responsibility, Spousal Support, self-efficacy, health outcomes and health behaviors like total weight loss, physical activity, OBESI-Q, and health satisfaction were assessed through a questionnaire among 868 individuals attempting to lose weight. Full and semi-partial correlations were used to understand the association between Co-responsibility, Spousal Support, Self-efficacy …

Co-Developing A Paediatric Patient Reported Experience Measure: The Perspectives Of Children And Young People, Karlen R. Barr, Jessica Nikolovski, Les White, Sarah Elliott, Lynn Mccartney, Claire Treadgold, Barb Vernon, James R. John, Valsamma Eapen

Patient Experience Journal

NOTE: A minor correction was made to this article. It was revised on August 6, 2025.

Paediatric Patient Reported Experience Measures (PREMs) are tools that capture what children and young people (CYP) value in their healthcare and promote their involvement in clinical decision-making. A standardised paediatric PREM could improve quality of care for CYP across hospital settings, but CYP are rarely included in the development of PREMs. This study aimed to explore CYP's perspectives regarding their experiences of hospitals as the initial stage of developing the first self-reported paediatric PREM for use in Australia, including the perspectives of vulnerable populations. …

“You May Not Appreciate This Now, But You May Later”: A Qualitative Analysis Of The Impact And Meaning Of Legacy Interventions As Defined By Bereaved Parents, Stephanie Barta, Cassandra Matz, Stephany Griswold, Foster Rosemund, Caroline Boyd, Sarah Scott, Eileen Auer Bennett, Jennifer Staab

Patient Experience Journal

The death of a child is a significant event that affects the family system. Families of dying children need comprehensive support to help them cope with their trauma and loss. However, there is little research that examines parental preferences and grieving support needs. This study explored bereaved parent mentors' perspectives on legacy interventions to identify preferences and guide best practices for legacy interventions provided by pediatric staff. Legacy interventions can be defined as a practice that encourages families to process, create, and reflect on their experiences, stories, and memories. Six parents whose child died ≥2 years ago and who volunteered …

Efficacy Of A Communication Toolkit To Optimize Palliative Care Communication In The Surgical Intensive Unit, Kathryn J. Cary, Aubrey Place, Marta Mccrum, Joanna Grudziak, Lauren Mcguire

Patient Experience Journal

Data demonstrates patients benefit from the experience of specialty palliative care providers for advance care planning and prioritizing quality of life, regardless of diagnosis or stage of illness. Despite these benefits, many intensive care units (ICUs) show low utilization of palliative care. The purpose of this study was to evaluate the ability of a bedside communication toolkit to improve communication between family members and caregivers of surgical ICU patients and the ICU team, particularly in the context of medical updates and decision-making. A pilot bedside communication tool was completed by fifty family members of trauma and emergency general surgery (EGS) …

Consumers', Family Members', And Health Practitioners' Perspectives On Increasing Activity Engagement Of Older Patients Admitted To Geriatric Hospital Units, Yvonne Y.K. Mak-Yuen, Farnaz Khoshmanesh, Tamara Tse

Patient Experience Journal

The aim of this study was to explore the perspective of consumers, family members, and health practitioners on increasing patient activity engagement in a Geriatric Evaluation and Management (GEM) Unit. This study followed a qualitative phenomenology approach. Semi-structured interviews were conducted, audio-recorded and transcribed verbatim with consenting patients (n = 12), family members (n = 3), and health practitioners (n = 5) admitted to the GEM Unit of a tertiary metropolitan hospital in Melbourne, Victoria, Australia between August 2017 and March 2018. Data were analysed using spiral content analysis. From the 20 interviews, three themes emerged: 1. What can I …

Patient, Family, And Health Professional Perspectives Of How Families Are Involved In Adult Inpatient Traumatic Brain Injury Rehabilitation, Kaylee Eady, Katherine A. Moreau, Shawn Marshall, Mary Egan

Patient Experience Journal

Objective: We aimed to answer the following research question: From the perspectives of patients, family members, and health professionals, how are families involved in the rehabilitation of adult patients with Traumatic Brain Injury at an inpatient Acquired Brain Injury service within an adult rehabilitation centre? Methods: We used an interpretive qualitative approach, from a constructivist view. This approach allowed us to understand and describe family involvement from the perspectives of patients with Traumatic Brain Injury, family members, and health professionals. We conducted one-on-one interviews with patients, family members, and health professionals. We used a three-step analysis method: data …

Exploring Consumer And Clinician Attitudes Towards Patient Reported Outcome Measures (Proms) In An Australian Inpatient Musculoskeletal Rehabilitation Unit: A Qualitative Pilot Study, Rehana Di Rico, Louisa Ng, Jacquelin T. Capell

Patient Experience Journal

Objective: This pilot qualitative study explores consumers' and clinicians' perspectives about the relevance and utility of patient reported outcome measures (PROMs) in an Australian inpatient rehabilitation unit. Methods: Two focus groups, were recruited via convenience sampling, comprising English speaking rehabilitation clinicians (n = 5) and consumers (n = 6) who had recent experience of inpatient musculoskeletal rehabilitation in a large, privately funded, rehabilitation hospital in Melbourne Australia, in 2020. The focus groups were conducted via videoconference, moderated by two experienced rehabilitation clinician-researchers, following semi-structured interview guides. Focus group recordings were professionally transcribed for coding and thematic analysis by …

The "Ableism'' Behind Mental Health Professionals' Perceptions Of Support, Hideki Muramatsu

Patient Experience Journal

This paper presents the personal narrative of the author, an individual who has experienced personal and clinical recovery from mental health difficulties. Diagnosed with a mental disorder (NEUROTIC; ICD-10) during my university years, I endured cognitive dysfunction, panic disorder, derangement of ego, suicidal ideation, and depression. Despite these challenges, I have actively engaged in social skills training, supervised virtual reality content, led self-help groups, and published papers on my experiences. I will discuss my own experiences as an expert-by-experience and describe the tendencies of professional ableism consciousness that I encountered during my journey of recovery. Through the lens of my …

Trust Remains The Foundation Of My Practice, Saria Gouher

Patient Experience Journal

Navigating healthcare while managing the complexities of disease, especially in elderly individuals, is challenging for both patients and their families. Physicians play a crucial role as pathfinders in this journey. However, physicians often experience burnout when dealing with patients and families facing complex illnesses. This narrative highlights the characteristics that enable physicians to effectively negotiate with such patients. It describes the experience of an elderly patient during the pandemic, suffering from severe disease complications, and illustrates the uncertainties and fears that families face, feeling as though they are lost in a maze. The physician's role in guiding the patient and …

Patient Experience (Px) Giants: Pioneers And The Path Forward, Geoffrey A. Silvera, Courtney Haun, Varun Natarajan

Patient Experience Journal

This commentary pays tribute to the foundational figures in patient experience (PX) scholarship, acknowledging the "PX Giants" whose contributions have established and expanded the field's core principles. Building upon the analysis in Foundational PX, which identified highly cited works, this piece honors individual contributors who have contributed to the scholarly foundation of PX. It highlights the cumulative impact of both frequently cited and consistently productive scholars, underscoring their essential role in shaping patient-centered care. PX Giants have pioneered frameworks on diverse aspects of PX, such as patient-provider communication, care disparities, and the integration of patient perspectives into quality assessments. Through …

Why Human Experience Matters, Jason A. Wolf

Patient Experience Journal

As we close the 11^th volume of Patient Experience Journal and a pivotal year for experience efforts globally, it provides a moment of pause, of reflection, and an opportunity to return to purpose. As a publication accessed in over 220 countries and territories around the world, I am heartened by the fact that what is shared on these pages moves you. That what our amazing authors contribute here truly matters. This issue, with its 24 insightful articles, brings our total publication count to 570 articles. These pieces have informed us, pushed our thinking, and challenged our beliefs. This is …

Hans Holbein's Portrait Of Henry Viii: England's Own Personal Jesus, Amy Pitsor

Best Integrated Writing

Pitsor explores the possibility that Holbein’s late-stage change in the composition of the portrait from a three-quarter view of Henry to a frontal view held a motive to present Henry as the head of the newly established Church of England and as equal to the pope, and possibly to Christ himself.

La Falta De Los Supermercados En El Oeste De Dayton: Cómo Obtienen Los Estudiantes Comida Fresca En Los Desiertos Alimentarios (Un Ensayo Expositivo-Argumentativo, Catherine Iacobacci

Best Integrated Writing

After having learned about how poverty can affect children’s educational outcomes in one of her classes, Iacobacci wanted to learn more about how the issue affected the area where she lived and went to school. What she found out was incredibly shocking, and only furthered the idea that students are struggling with opportunity gaps, not achievement ones. Unfortunately, due to discriminatory loan practices from long ago, children from the 21st century are suffering physically, emotionally, and academically.

The Journey Within: My Travel Journel, Devonique Jones

Best Integrated Writing

This project is a multigenre research exploration that delves into Jones's personal journey of self discovery and growth during her first solo trip.

Investigation Of Ndv In Southern African Waterfowl Reveal Insightful Geographic And Biodiversity Trends To Help Contain The Virus, Lauren Goodwill

Best Integrated Writing

This study assesses the infection rates and trends of Newcastle disease in southern African waterfowl, a project carried out by Emily Murphy in Dr. Jeffrey Peters’ laboratory

Analysis Of The Integration Of Race And Cultural Concordant Doulas Into The Birth Experience Of African American Women, Cherissa Garcia

Best Integrated Writing

Garcia's study looks at how integrating race and cultural-concordant doulas into the birth experience of African American women would impact outcomes. She found similar studies that provided strong evidence to support doula integration. However, most did not select study populations that appropriately reflected the African American women at increased risk of poor outcomes. As a result, Garcia designed a study that looked at race and cultural concordance between doulas and patients from a wide range of SES backgrounds and varying degrees of pregnancy risk.

The Foreigner In Our Midst: Jewish Rights Debates In Revolutionary France, William Evans

Best Integrated Writing

The debates surrounding Jewish rights during the French Revolution concerned many of the same subjects that divide the Western world today. The fear of the other, immigration as a political tool, and the disagreements over assimilation are all subjects which feature prominently today. In this essay Evans sets out to explore these debates while fairly assessing the historical informants.

Junebug In January: A Novel Excerpt, Hannah Carson

Best Integrated Writing

This section of Junebug in January is the beginning of a much longer story that follows eighteen-year-old June and her small family as she attempts to survive the harsh reality of living in the era of the Great Depression and her attempts to survive her Papa’s tasks for her. This story challenges the boundaries of family loyalty, investigates the concept of “saving yourself,” and explores the limits of redemption.

Best Integrated Writing Fall 2024 - Complete Edition, Wright State University School Of Humanities And Cultural Studies, Kristie Mckiernan, Tracy Smith

Best Integrated Writing

Best Integrated Writing includes excellent student writing from Integrated Writing courses taught at Wright State University.

The Impact Of Coordination Training On Motor Skills In Adolescent Handball Players Aged 14–15 Years: A Randomized Controlled Trial, Michał Spieszny, Wojciech Wąsacz, Zbigniew Kamys, Tadeusz Ambroży, Krzysztof Kasicki, Paweł Kapuściński, Łukasz Rydzik

Baltic Journal of Health and Physical Activity

Introduction: Motor skills are fundamental to athletic performance, particularly in sports like handball, where coordination, speed, and power are critical. This study aimed to evaluate the effects of an innovative coordination training program on the profile of motor skills of adolescent handball players compared to traditional training methods. Materials and Methods: A randomized controlled trial was conducted with 27 young handball players. Participants were divided into an experimental group (n = 15) receiving additional co-ordination training and a control group (n = 12) following standard training. The participants’ motor fitness was assessed using selected population tests from the …

Genetic Associations Of Il-2 (Rs2069762) And Egr3 (Rs3750192) Polymorphisms With Schizophrenia: A Meta-Analysis, Anu Shibi Anilkumar, Sheena Mariam Thomas, Ramakrishnan Veerabathiran

Folia Medica Indonesiana

Highlights:
1.The novelty of this study lies in its thorough examination of gene polymorphisms and their associations with schizophrenia risk across different populations.
2.This meta-analysis provides new insights by highlighting the lack of reliable association for interleukin-2 (IL-2) rs2069762 and revealing a substantial protective effect of early growth response 3 (EGR3) rs3750192 in specific ethnic groups, particularly among Polish and Chinese.

Abstract
Although genome-wide association studies have identified numerous genes linked to schizophrenia, their specific roles remain unclear. This meta-analysis sought to explore the association of polymorphisms in the interleukin-2 (IL-2) rs2069762 and early growth response 3 (EGR3) rs3750192 with …

Efficacy And Safety Of Ozoralizumab Versus Moxibustion For Rheumatoid Arthritis, Luthfiana Rofhani Susanti, Arifa Mustika, Lita Diah Rahmawati, Citrawati Dyah Kencono Wungu

Folia Medica Indonesiana

Rheumatoid arthritis is a chronic inflammatory disease that symmetrically damages the synovial membrane, affecting approximately 13% of the global population. Systemic complications and substantial declines in quality of life may result from untreated rheumatoid arthritis. This study investigated the safety and efficacy of moxibustion and ozoralizumab in reducing disease activity scores in rheumatoid arthritis patients. Between July 2023 and February 2025, we conducted a thorough search on four online databases (PubMed, Cochrane, Scopus, and ProQuest) using keywords, reference searches, and other methods following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The obtained randomized controlled trials (RCTs) …

Hypnopressure As A Non-Invasive Method For Anxiety And Pain Management In Primigravidae During Active Labor, Yeni Fitrianingsih, Hanung Prasetya, Rani Widiyanti

Folia Medica Indonesiana

Highlights:
1. This study applied hypnopressure, an innovative method that combines auditory hypnosis with acupressure on effective uterine points, namely the Hegu (LI4) and Sanyinjiao (Sp6) points.
2. This innovation offers an effective method for managing labor pain in primigravidae during the active phase of the first labor stage compared to hypnotherapy and acupressure administered separately.

Abstract
Psychological factors, such as fear and anxiety, are often responsible for prolonged labor. Anxiety affects 58% of primigravidae, while 2–4% experience pain with scores ranging from 30 to 40 out of 50. Hypnopressure is an innovative combination of hypnotherapy and acupressure applied on …

Reduction Of Postoperative Nausea And Vomiting Induced By Spinal Anesthesia: Peppermint And Lavender Aromatherapies As Complementary Therapies, Taufan Arif, Maria Diah Ciptaningtyas, Navalia Nailin Mudviyanti, Fitriana Kurniasari Solikhah

Folia Medica Indonesiana

Highlights:
1. This study provides insight into the effectiveness of peppermint and lavender aromatherapies in reducing postoperative nausea and vomiting in patients following spinal anesthesia.
2. Aromatherapies with peppermint and lavender administered three times within six hours have demonstrated potential as an easy-to-apply intervention that reduces postoperative nausea and vomiting.
3. In terms of effectiveness, however, peppermint aromatherapy exhibits a higher effectiveness in reducing nausea and vomiting compared to lavender aromatherapy.

Abstract
Nausea and vomiting are common occurrences after surgery with spinal anesthesia, potentially leading to complications and delayed recovery. Hypotension associated with spinal, epidural, and combined spinal-epidural anesthesia is …

Prognostic Nutritional Index With Wound Complication After Laparotomy In Colorectal Cancer Patients At Dr. Zainoel Abidin General Hospital Banda Aceh, Amirul Hadi, Muhammad Yusuf, Iflan Naufal, Imam Hidayat

Folia Medica Indonesiana

Colorectal cancer patients generally undergo laparotomy as part of the management. The earliest complications of laparotomy are bleeding, surgical wound infection, and anastomotic dehiscence. Albumin-lymphocytes are indicators of nutritional status and inflammation combined in the Prognostic Nutritional Index (PNI). Evaluation of PNI related to the degree of post-laparotomy wounds in colorectal cancer has not been widely explained. Objective: to find out the correlation of PNI for laparotomy wound complications in colorectal cancer patients at Dr. Zainoel Abidin General Hospital Banda Aceh. Method: A cross-sectional study will assess the correlation of PNI to the degree of post-operative wounds with the South …