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Abs1180-hpr Patient Satisfaction With Nursing Led Rheumatology Clinics

Year: 2025

Type: article

Abstract: Background: Patient satisfaction is a key element in evaluating care quality and the patient perspective for those with rheumatic diseases [1-4]. Objectives: To evaluate patient satisfaction with nursing consultations in the rheumatology department of our hospital. Methods: A descriptive cross-sectional study involving patients with rheumatic diseases. Data collection was conducted through a satisfaction survey developed for this purpose, consisting of 18 items. Responses ranged from 1 "Strongly Agree (SA)" to 5 "Strongly Disagree (SD)" (5-point Likert scale). The items were selected jointly with the rheumatology team, extracting the most relevant elements from the Leeds Satisfaction Questionnaire applicable to our context. The survey included aspects such as kindness and quality of care, accessibility, patient information, shared decision-making, resolution of doubts, ease of contacting the team via telephone/online, and overall satisfaction. The survey was distributed in two anonymous ways: 1In-person: after consultations, the nurse provided the survey, which patients deposited in a box outside the consultation room. 2Online: sent via WhatsApp to all patients registered on our phone line. The study was conducted in nursing outpatient consultations over four weeks in November 2024. Statistical analysis was performed using SPSS 26.00. Results: A total of 317 surveys were included (9 were excluded due to incomplete information). Among the responses, 97% were completed online, and 92% were self-administered; 68% women, the majority had a secondary education level (44%), average mean age was 56,8±13,4years. In most items, patients reported being satisfied or highly satisfied with the care and attention received. However, in certain aspects, such as ease of scheduling an appointment, telephone/online accessibility and the impact of advice on lifestyle habits, there were higher levels of indecision or dissatisfaction (see Table 1). Conclusion: Overall patient satisfaction with nursing consultations in rheumatology was rated positively in most evaluated aspects. However, some areas, such as ease of scheduling appointments, telephone/online accessibility and the impact of advice on lifestyle habits, present opportunities for improvement. Overall, our study indicates that patients value the role of nursing in the comprehensive management of their disease (comorbidity control, self-management, etc.) and are highly satisfied with the care received during nursing consultations. REFERENCES: [1] Escarrabill et al. 2020. Key elements influencing patient experience. Patient Reported Experience Measurements (PREM). GenCat: Agència de Qualitat i Avaluació Sanitàries de Catalunya. [2] Muñoz-Fernández S et al. 2017. SCORE study: quality indicators for rheumatology nursing clinics. Rheumatol Int 37(3):353-61. [3] Nolla JM et al. 2016. Quality standards for rheumatology outpatient clinics. Reumatol Clin 12:248-55. [4] Muñoz-Fernández S et al. 2013. Quality standards for nursing consultations in rheumatology. Reumatol Clin 9(4):206-15. Table 1Patient Satisfaction Survey on Nursing Consultations, n=317.ItemSA (%)A (%)NS (%)D (%)SD (%)Q1: I feel I am in good hands.7424200Q2: I receive information about my disease and medication.6927310Q3: My questions about my disease and medication are resolved.6232510Q4: The duration of the consultation is adequate.6235210Q5: It is easy to schedule an appointment.33382252Q6: I am satisfied with telephone/online accessibility.5932531Q7: My opinion is considered in treatment decisions.5438710Q8: I am encouraged to contact via telephone/online in case of problems.6329611Q9: I receive health advice regarding diet.50341231Q10: I receive health advice regarding physical exercise.51351031Q11: I receive health advice regarding tobacco use.6326812Q12: I receive health advice regarding alcohol use.6127813Q13: I have made changes to my lifestyle (diet, exercise, tobacco, alcohol) thanks to nursing consultations.36421471Q14: I receive help managing comorbidities: blood pressure.43341733Q15: I receive help managing comorbidities: obesity.36381943Q16: I am helped to improve self-management of my rheumatic disease.45411031Q17: I am treated with respect.7919110Q18: Overall, I am satisfied with the care I receive.7224310 SA = Strongly Agree; A = Agree; NS = Not Sure; D = Disagree; SD = Strongly Disagree. Acknowledgements: All the patients who participated at the study. Disclosure of Interests: None declared . © The Authors 2025. This abstract is an open access article published in Annals of Rheumatic Diseases under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Neither EULAR nor the publisher make any representation as to the accuracy of the content. The authors are solely responsible for the content in their abstract including accuracy of the facts, statements, results, conclusion, citing resources etc.

Source: Annals of the Rheumatic Diseases

DOI: 10.1016/j.ard.2025.06.1021