title: Evaluating health services with point of service feedback: perspectives and experiences of patients, staff and community volunteers in an inpatient rehabilitation facility.
abstract: OBJECTIVE
  To determine patient, staff and community volunteer opinions and experiences of point of service feedback (POSF) in an inpatient rehabilitation facility.
  
  
  METHODS
  Participants were recruited by purposeful sampling. Two researchers conducted in-depth semi-scripted interviews with patients, staff or volunteers until no new issues emerged. Manually transcribed interview data underwent thematic analysis that grouped information into categories of related information.
  
  
  RESULTS
  Twenty patients, 26 staff from 10 different professional groups, and 2 community volunteers were interviewed. Patient and volunteer data were grouped into five main categories: patients wanted their voice heard and acted on; patients could be positively and negatively affected by POSF; patients could be reluctant to evaluate staff; patients preferred POSF to post-discharge mailed questionnaires; and patients' feedback was influenced by the data collector. Staff wanted: feedback to help them improve the patient experience; and feedback that was trustworthy, usable and used. Staff believed that the feedback-collector influenced patients' feedback and affected how feedback could be used.
  
  
  CONCLUSIONS
  Patients, staff and community volunteers identified issues that determine the appropriateness and usefulness of POSF. Policy and practise should address the preferences, needs and experiences of health service users and providers so that POSF produces maximum benefits for both patients and health services. Implications for Rehabilitation POSF can enhance patients' experiences of inpatient rehabilitation by providing a mechanism to be heard and communicating that patients are valued; care must be exercised with patients who find giving feedback stressful. Collecting POSF is most beneficial when coupled with methods to efficiently and effectively respond to feedback. POSF requires interpretation in light of its limitations including patients' ability to accurately and unreservedly communicate their experiences. Who collects POSF requires careful consideration; community volunteers have both advantages and disadvantages.
authors.affiliation: a Safety, Quality and Innovation Unit , Barwon Health , Geelong , Australia .
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Gill
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Dolley
authors.forename: Trisha L
authors.initials: TL
authors.lastname: Dunning
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Hughes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D001315:Australia; D005246:Feedback; D005260:Female; D006302:Health Services Research / Q000592:standards*; D006801:Humans; D007297:Inpatients; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012047:Rehabilitation Centers; D012111:Residence Characteristics; D011795:Surveys and Questionnaires; D014838:Volunteers
keywords: Evaluation; patient experience; patient satisfaction; point of service feedback