A service evaluation to examine the experience of patients attending wound healing outpatient clinics in South Wales

Br J Community Nurs. 2018 Jun 1;23(6):S6-S12. doi: 10.12968/bjcn.2018.23.Sup6.S6.

Abstract

Chronic wounds are becoming increasingly prevalent in the UK, with a significant proportion of patients being treated in the community. Given the pressures on out-patient services for individuals with wounds, the provision of nurse-led community clinics is increasing. Evaluation of wound services is essential to develop an awareness of where improvements can be made - particularly, although not exclusively, related to nurse-led clinics compared to doctor-led services. This article describes the development of a patient satisfaction questionnaire to compare the patient experience in two wound clinics located within in South East Wales using a cross sectional survey approach. 117 patients attended these clinics over a 4-week period, and 58 completed the questionnaire. The data showed that most patients in these clinics were over 65 (n=34, 58.6%), with the majority being treated for leg ulcers (n=41, 70.7%). Overall, the feedback was very positive for both clinics, with the majority of patients reporting a high level of satisfaction for both a doctor-led clinic (n=21) and a nurse-led clinic (n=22). However, while the numbers involved in the study were too small to determine any statistical significance and the results only present a snapshot of the situation, it is still clear that patient satisfaction rates between a nurse-led and a doctor-led service are comparable.

Keywords: chronic wounds; doctor-led clinic; nurse-led clinic; patient satisfaction; service evaluation; wound healing.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Ambulatory Care Facilities*
  • Community Health Nursing / standards
  • Cross-Sectional Studies
  • Female
  • Humans
  • Leg Ulcer / nursing*
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care*
  • Patient Satisfaction*
  • Practice Patterns, Nurses'*
  • State Medicine
  • Surveys and Questionnaires
  • Wales
  • Young Adult