title: Barriers and facilitators of a near real-time feedback approach for measuring patient experiences of hospital care.
abstract: OBJECTIVE
  To contribute towards the current policy directive and recommendations outlined in the Francis Report (1) to strengthen relational aspects of hospital care and increase the use of a near real-time feedback (RTF) approach. This article offers insight into the challenges and enablers faced when collecting near real-time feedback of patient experiences with trained volunteers; and using the data to facilitate improvements.
  
  
  METHODS
  Feedback was collected from staff and volunteers before, during and after a patient experience data collection. This took the form of both formal mixed methods data collections via interviews, surveys and a diary; and informal anecdotal evidence, collected from meetings, workshops, support calls and a networking event.
  
  
  RESULTS
  Various challenges and enablers associated with the RTF approach were identified. These related to technology, the setting, volunteer engagement and staff engagement. This article presents the key barriers experienced followed by methods suggested and utilised by staff and volunteers in order to counteract the difficulties faced.
  
  
  CONCLUSIONS
  The results from this evaluation suggest that a near real-time feedback approach, when used in a hospital setting with trained volunteers, benefits from various support structures or systems to minimise the complications or burden placed on both staff and volunteers.
authors.affiliation: Picker Institute Europe, Buxton Court, 3 West Way, OX2 0JB Oxford, UK.
authors.forename: Susanne
authors.initials: S
authors.lastname: Käsbauer
authors.affiliation: Picker Institute Europe, Oxford, UK.
authors.forename: Robyn
authors.initials: R
authors.lastname: Cooper
authors.affiliation: Nuffield Department of Population Health, The University of Oxford, Oxford, UK.
authors.forename: Laura
authors.initials: L
authors.lastname: Kelly
authors.affiliation: Picker Institute Europe, Oxford, UK.
authors.forename: Jenny
authors.initials: J
authors.lastname: King
keywords: Barriers and facilitators; Real-time feedback; Relational aspects of care; Use of patient experience data; Volunteer-led data collection