Trial reportBMC health services research2013
Facilitated patient experience feedback can improve nursing care: a pilot study for a phase III cluster randomised controlled trial.
Trial report in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Patient feedback to improve quality of patient-centred care in public hospitals: a systematic review of the evidence.BMC health services research · 2020Pooled it
- Systematic review of approaches to using patient experience data for quality improvement in healthcare settings.BMJ open · 2016Pooled it
- Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.BMJ quality & safety · 2017Trial
- Patients' use and views of real-time feedback technology in general practice.Health expectations : an international journal of public participation in health care and health policy · 2017Trial
- A cost analysis of implementing facilitated improvements in hospital palliative care using patient reported experience measures: the LEAHP (Listen Empower Act - Hospital Palliative care) bundle.BMC palliative care · 2026Article
- [Measuring patient experiences in healthcare-overview of methods and the Experienced Patient-Centeredness Questionnaire (EPAT) as an example].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- Improving patient reported experience in inpatients with palliative care needs: a pre-post quality improvement study.BMC palliative care · 2025Article
- Through the patients' eyes: psychometric evaluation of the 64-item version of the Experienced Patient-Centeredness Questionnaire (EPAT-64).BMJ quality & safety · 2025Article
- Psychological Safety and Work Design as Mediators of Supervisors' Dark Triad Traits Impact on Nurses' Task Performance.International journal of public health · 2024Article
- The Effect of the Application of the Team-STEPPS-Based Preceptorship Guidance Model on the Competence of Nursing Students.Advances in medical education and practice · 2023Article
- Enriching the Value of Patient Experience Feedback: Web-Based Dashboard Development Using Co-design and Heuristic Evaluation.JMIR human factors · 2022Article
- Article
- How do frontline staff use patient experience data for service improvement? Findings from an ethnographic case study evaluation.Journal of health services research & policy · 2020Article
- Reflection in practice: How can patient experience feedback trigger staff reflection in hospital acute care settings?Health expectations : an international journal of public participation in health care and health policy · 2020Article
- How to implement patient experience surveys and use their findings for service improvement: a qualitative expert consultation study in Australian general practice.Integrated healthcare journal · 2020Article
- Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study.BMC health services research · 2019Article
- Patient experience feedback in UK hospitals: What types are available and what are their potential roles in quality improvement (QI)?Health expectations : an international journal of public participation in health care and health policy · 2019Review
- "Change is what can actually make the tough times better": A patient-centred patient safety intervention delivered in collaboration with hospital volunteers.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- What's the problem with patient experience feedback? A macro and micro understanding, based on findings from a three-site UK qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEngland's extensive NHS patient survey programme has not fulfilled government promises of widespread improvements in patients' experiences, and media reports of poor nursing care in NHS hospitals are increasingly common. Impediments to the surveys' impact on the quality of nursing care may include: the fact that they are not ward-specific, so nurses claim "that doesn't happen on my ward"; nurses' scepticism about the relevance of patient feedback to their practice; and lack of prompt communication of results. The surveys' impact could be increased by: conducting ward-specific surveys; returning results to ward staff more quickly; including patients' written comments in reports; and offering nurses an opportunity to discuss the feedback. Very few randomised trials have been conducted to test the effectiveness of patient feedback on quality improvement and there have been few, if any, published trials of ward-specific patient surveys.
methodsOver two years, postal surveys of recent inpatients were conducted at four-monthly intervals in 18 wards in two NHS Trusts in England. Wards were randomly allocated to Basic Feedback (ward-specific printed patient survey results including patients' written comments sent to nurses by letter); Feedback Plus (in addition to printed results, ward meetings to discuss results and plan improvements) or Control (no active feedback of survey results). Patient survey responses to questions about nursing care were used to compute wards' average Nursing Care Scores at each interval. Nurses' reactions to the patient feedback were recorded.
resultsConducting ward-level surveys and delivering ward-specific results was feasible. Ward meetings were effective for engaging nurses and challenging scepticism and patients' written comments stimulated interest. 4,236 (47%) patients returned questionnaires. Nursing Care Scores improved more for Feedback Plus than Basic Feedback or Control (difference between Control and Feedback Plus=8.28±7.2 (p=0.02)).
conclusionsThis study provides preliminary evidence that facilitated patient feedback can improve patients' experiences such that a full trial is justified. These findings suggest that merely informing nurses of patient survey results in writing does not stimulate improvements, even if results are disaggregated by ward, but the addition of ward meetings had an important and significant impact.
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