EVIDENCE-BASED PROJECT, PART 2

Full citation of selected article

Article #1

Article #2

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Article #4

El-Haddad, C., Hegazi, I., & Hu, W. (2020). Understanding patient expectations of health care: a qualitative study. Journal of patient experience, 7(6), 1724-1731.

Swarup, I., Henn, C. M., Gulotta, L. V., & Henn III, R. F. (2019). Patient expectations and satisfaction in orthopaedic surgery: a review of the literature. Journal of clinical orthopaedics and trauma, 10(4), 755-760.

Schilling, I., Behrens, H., Hugenschmidt, C., Liedtke, J., Schmiemann, G., & Gerhardus, A. (2019). Patient involvement in clinical trials: motivation and expectations differ between patients and researchers involved in a trial on urinary tract infections. Research involvement and engagement, 5, 1-14.

Walker, R. C., Tong, A., Howard, K., & Palmer, S. C. (2019). Patient expectations and experiences of remote monitoring for chronic diseases: systematic review and thematic synthesis of qualitative studies. International journal of medical informatics, 124, 78-85.

Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)

I chose this article because it delves into understanding patient expectations across various clinical contexts directly relevant to the clinical problem of meeting patient expectations. Ethically, understanding and meeting patient expectations are essential for delivering patient-centered care.

I chose this article because it provides a comprehensive review of patient expectations in orthopaedic surgery, directly relevant to the clinical problem of meeting patient expectations. Ethically, understanding and managing patient expectations is crucial for optimizing patient satisfaction and outcomes in orthopaedic surgery.

I chose this article because it explores patient involvement in clinical trials, indirectly related to meeting patient expectations. Ethically, involving patients in research aligns with patient-centred care principles and can enhance the relevance and quality of clinical trials.

It investigates patient expectations and experiences related to remote monitoring for chronic diseases. Remote monitoring is a technology-driven approach that can influence patient expectations regarding their healthcare management, making this study relevant to understanding how technology impacts patient expectations and experiences in healthcare.

Brief description of the aims of the research of each peer-reviewed article

This research aims to understand how patients express and conceptualize their expectations of health care across a range of clinical contexts and conditions.

This review summarises the current literature on patient expectations in orthopaedic surgery, including methodologies used to assess expectations, factors associated with greater expectations, and the impact of expectations on outcomes and satisfaction after surgery.

This study aimed to understand the motivation and expectations of patients and researchers regarding patient and public involvement (PPI) in a clinical trial on urinary tract infections (UTIs).

- **Literature search**: The authors conducted a systematic search of several databases, including MEDLINE, Embase, PsychINFO, and CINAHL, as well as Google Scholar and reference lists of related studies, to identify qualitative studies reporting patients' experiences and perspectives of remote monitoring for chronic diseases.

- **Selection criteria**: Qualitative studies involving adult patients with chronic diseases and reporting on experiences and perspectives of remote monitoring were included. Non-English articles and studies relying solely on structured questionnaires or surveys were excluded.

- **Data analysis**: Thematic synthesis was used to analyze the findings of the primary studies. Line-by-line coding of primary study findings was conducted, and similar concepts were grouped into themes and subthemes. Conceptual links among themes were identified using a mind-mapping approach.

Brief description of the research methodology used Be sure to identify if the methodology used was qualitative , quantitative , or a mixed-methods approach. Be specific.

The research methodology used in this study is qualitative. Semi-structured interviews were conducted with patients presenting to a major metropolitan hospital, informed by interpretive phenomenological analysis (IPA).

This article is a systematic review of studies relating to pre-operative patient expectations in orthopaedic surgery. The authors conducted an electronic search for relevant studies using databases such as Medline, Google Scholar, and the Cochrane Library.

This study implemented a patient board comprising ten patients and five researchers for a randomized controlled trial on treating UTIs. Telephone interviews were conducted with all researchers and patients before the first board meeting to gather data on their motivations for involvement and expectations. Thematic qualitative text analysis was used to analyze the interview data.

The research aimed to describe the range of patients' beliefs, attitudes, expectations, and experiences of remote monitoring for chronic conditions across different healthcare contexts and populations.

A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Reliability: The use of IPA allows for a systematic and detailed analysis of patient expectations, enhancing the reliability of the findings.

Validity: The qualitative approach enables researchers to capture the richness and complexity of patient expectations, ensuring the validity of the study results.

Applicability: By conducting interviews across diverse clinical contexts, the study provides applicable insights across various medical conditions and settings, enhancing the generalizability of the findings.

Comprehensiveness: The systematic review methodology ensures a comprehensive coverage of the literature on patient expectations in orthopaedic surgery, enhancing the reliability of the review findings.

Evidence-based: By synthesizing findings from multiple studies, the review provides evidence-based insights into the assessment, factors, and impact of patient expectations in orthopaedic surgery.

Clinical relevance: The review aims to provide orthopaedic surgeons with a better understanding of patient expectations, which can improve patient counselling and potentially enhance patient outcomes and satisfaction after surgery.

In-depth exploration: Using qualitative interviews allowed for an in-depth exploration of patients' and researchers' motivations and expectations regarding patient involvement in the clinical trial.

Participant perspectives: By including both patients and researchers, the study captures diverse perspectives on patient involvement, enhancing the richness and comprehensiveness of the findings.

Early anticipation of conflicts: Understanding motivations and expectations at the outset of the patient board allowed the researchers to anticipate potential conflicts or disappointments early on and consider them during patient involvement.

Comprehensive search: The study systematically searched multiple databases and sources, enhancing the comprehensiveness of the literature review.

In-depth analysis: Thematic synthesis allowed for an in-depth analysis of patients' beliefs, attitudes, expectations, and experiences regarding remote monitoring, providing rich insights into patient perspectives.

Researcher triangulation: The involvement of multiple authors in the data analysis process, including independent review and discussion of themes, enhances the reliability and credibility of the findings.

General Notes/Comments

This qualitative study provides valuable insights into the domains within which patient expectations lie, which can inform the effective development of measures and strategies to meet patient expectations.

This systematic review contributes to understanding patient expectations in orthopaedic surgery by synthesizing existing evidence and highlighting important factors and methodologies relevant to assessing and managing patient expectations.

This study provides valuable insights into the motivations and expectations of patients and researchers regarding patient involvement in clinical trials, which can inform the design and conduct of future research endeavours aiming to involve patients in the research process.

This study contributes valuable insights into patients' perspectives on remote monitoring for chronic diseases, which can inform the design and implementation of remote monitoring interventions to meet patient expectations better and improve patient experiences in chronic disease management.