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What do people hospitalised with COVID-19 think about their care? Results of a satisfaction survey during the first wave of COVID-19 in Liverpool

Meng-San Wu, Rebecca Watson, Fatima Hayat, Libuse Ratcliffe, Mike BJ Beadsworth, Mark McKenna, Daniel Corney, Catherine Plum, Jamie-Leigh Macfarlane, Maisoon Matareed, Sundas Butt, Sandipika Gupta, Paul Hine, Sylviane Defres and Tom Wingfield
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DOI: https://doi.org/10.7861/fhj.2020-0260
Future Healthc J March 2021
Meng-San Wu
ALiverpool University Hospitals NHS Foundation Trust, Liverpool, UK and Imperial College Healthcare NHS Trust, London, UK
Roles: specialty trainee in infectious diseases and medical virology
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Rebecca Watson
BLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Roles: core medical trainee
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Fatima Hayat
CLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Roles: locum registrar in infectious diseases
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Libuse Ratcliffe
DLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Roles: consultant physician in infectious diseases and general internal medicine
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Mike BJ Beadsworth
DLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Roles: consultant physician in infectious diseases and general internal medicine
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Mark McKenna
ELiverpool University Hospitals NHS Foundation Trust, Liverpool, UK
Roles: patient and family experience lead
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Daniel Corney
FUniversity of Liverpool, Liverpool, UK
Roles: foundation trainee
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Catherine Plum
FUniversity of Liverpool, Liverpool, UK
Roles: foundation trainee
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Jamie-Leigh Macfarlane
FUniversity of Liverpool, Liverpool, UK
Roles: foundation trainee
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Maisoon Matareed
FUniversity of Liverpool, Liverpool, UK
Roles: foundation trainee
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Sundas Butt
GGeorge Eliot Hospital NHS Trust, Nuneaton, UK
Roles: foundation trainee
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Sandipika Gupta
HInstitute of Cardiovascular Science, London, UK
Roles: foundation trainee
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Paul Hine
ILiverpool University Hospitals NHS Foundation Trust, Liverpool, UK and Liverpool School of Tropical Medicine, Liverpool, UK
Roles: consultant physician in infectious diseases and general internal medicine
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Sylviane Defres
JLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK, University of Liverpool, Liverpool, UK and Liverpool School of Tropical Medicine, Liverpool, UK
Roles: senior clinical lecturer and consultant physician in infectious diseases and general internal medicine
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Tom Wingfield
KLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK, University of Liverpool, Liverpool, UK, Liverpool School of Tropical Medicine, Liverpool, UK and Karolinska Institutet, Stockholm, Sweden
Roles: senior clinical lecturer and honorary consultant physician in infectious diseases and general internal medicine
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  • For correspondence: tom.wingfield@lstmed.ac.uk
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    Fig 1.

    COVID-19 satisfaction survey.

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    Fig 2.

    Quantitative feedback from people hospitalised with COVID-19 about their care (n=94).

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    Fig 3.

    Pilot version of poster detailing holistic COVID-19 practice pointers.

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    Table 1.

    Sociodemographic and clinical details of people hospitalised with COVID-19

    VariablesParticipants (%)
    Basic sociodemographic data
    Male49 (52)
    Median age (interquartile range)59 (46–71)
    Ex- or current smoker31 (33)
    Risk factors for severe COVID-19
    Age ≥60 years46 (49)
    Obesity (body mass index ≥30 kg/m2, n=84)32 (38)
    Black, Asian and minority ethnic (BAME)10 (11)
    One or more comorbidities73 (78)
    • Weight, height and body mass index were not documented for 10 respondents. Comorbidities include chronic lung disease, hypertension, diabetes mellitus, obesity (body mass index ≥30 kg/m2), chronic kidney disease, vasculopathy (including cardiovascular disease, cerebrovascular disease and peripheral vascular disease), immunosuppressive therapy, HIV and previous venous thromboembolism. Full sociodemographic and clinical details can be found in supplementary material S2.

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    Table 2.

    Free-text responses of people with COVID-19 (n=94) on aspects of care that were positive and those that could be improved

    CategoryPositive commentsAreas for improvement
    Medical and nursing careKind, friendly, supportive and helpful.
    Honest and straightforward.
    Professional and knowledgeable.
    Reassuring.
    ‘The ward team were there for me.’
    ‘I am convinced I would not have survived without the dedication of all the medical staff.’
    Long waits for pain relief.
    ‘I felt like no staff had time for me.’
    Communication‘Staff were always reassuring.’
    ‘It was evident that there was a clear pathway for my treatment.’
    ‘Being referred to as a room/bed number is dehumanising.’
    Diagnoses explained to patients at midnight.
    Communication difficulties for deaf patients due to face masks.
    Patient safety‘I was admitted quickly.’
    ‘I felt safe and comfortable while in hospital.’
    ‘My belongings were lost and never replaced or found.’
    Felt unsafe to eat or sleep, with one respondent describing ‘chaos on the ward’.
    Inadequate briefing and communication prior to discharge.
    Sleep/wellbeingNil‘Very difficult to sleep at night on the wards due to lots of noise.’
    ‘Noise coming from staff at their workstation overnight.’
    ‘The urine bucket wasn’t removed.’
    Shallow commode, poor access to toiletries and bin, cold rooms.
    Food and drink‘The cleanliness and food were good.’
    ‘Nurses were brilliant. Love them all, as were the cleaners and cooks.’
    ‘Food delivered when I was asleep so was cold when I woke up.’
    ‘Never offered food or drink when admitted on ward in evening, until breakfast the next morning.’
    Difficult to find personal preference within foods on offer.
    • Text in italics reflects verbatim written respondent quotes. Text not in italics is amalgamated from multiple respondents’ feedback.

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    • Supplementary material S2
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What do people hospitalised with COVID-19 think about their care? Results of a satisfaction survey during the first wave of COVID-19 in Liverpool
Meng-San Wu, Rebecca Watson, Fatima Hayat, Libuse Ratcliffe, Mike BJ Beadsworth, Mark McKenna, Daniel Corney, Catherine Plum, Jamie-Leigh Macfarlane, Maisoon Matareed, Sundas Butt, Sandipika Gupta, Paul Hine, Sylviane Defres, Tom Wingfield
Future Healthc J Mar 2021, 8 (1) e70-e75; DOI: 10.7861/fhj.2020-0260

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What do people hospitalised with COVID-19 think about their care? Results of a satisfaction survey during the first wave of COVID-19 in Liverpool
Meng-San Wu, Rebecca Watson, Fatima Hayat, Libuse Ratcliffe, Mike BJ Beadsworth, Mark McKenna, Daniel Corney, Catherine Plum, Jamie-Leigh Macfarlane, Maisoon Matareed, Sundas Butt, Sandipika Gupta, Paul Hine, Sylviane Defres, Tom Wingfield
Future Healthc J Mar 2021, 8 (1) e70-e75; DOI: 10.7861/fhj.2020-0260
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