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‘We’re Here to Help’: Students of Color Experiences and Satisfaction with Health and Emergency Services at Washington State University

‘We’re Here to Help’: Students of Color Experiences and Satisfaction with Health and Emergency Services at Washington State University

Primary author: Brianne Posey
Faculty sponsor: Patricia Maarhuis

Primary college/unit: Cougar Health Services/Health Promotion
Category: Physical and Social Sciences

Campus: Pullman

Abstract:

Background: People of color may face barriers to care services. Some of these barriers stem from financial and geographic disadvantage, while other barriers stem from negative experiences with practitioners and staff. Patient satisfaction with care services is an important factor in retention. Previous studies have concluded that patient experiences and satisfaction scores significantly predict whether a patient maintains a continuing relationship with a practitioner. Research Objectives: Researchers sought to examine the self-reported experiences and satisfaction scores of minority students at Washington State University. Data: A survey questionnaire was distributed to 200 students of color regarding their experiences and satisfaction with four Washington State University, Pullman campus and community emergency and health care services: 1) Cougar Health Services Medical Clinic (CHS), 2) Counseling and Psychological Services (CAPS), 3) Washington State University Police Department (WSU PD), 4) Pullman Police Department (Pullman PD). Analysis: Quantitative descriptive analysis was performed along with qualitative thematic analysis. Results: Participant experiences such as friendly staff, trauma informed interviewing, and culturally respectful and inclusive language were associated with higher satisfaction scores and students being more likely to return. Oppositely, experiences such as long wait times, incorrect diagnosis, and high cost of treatment were associated with lower satisfaction scores and students being less likely to return. Conclusion: This study provides data about factors important to patient satisfaction with care services for a selected group of college students. Recommendations for improving satisfaction among students of color are provided.

Modeling the Impact of Staff to Patient Ratios on MRSA Acquisition in an Intensive Care Unit

Modeling the Impact of Staff to Patient Ratios on MRSA Acquisition in an Intensive Care Unit

Primary Author: Stephanie Sikavitsas Johnson

Faculty Sponsor: Eric Lofgren

 

Primary College/Unit: College of Veterinary Medicine

Category: Medical and Life Sciences

Campus: Pullman

 

Abstract:

 

Staff-to-Patient ratios in hospitals impact several hospital acquired infections (HAIs). Intuitively, increasing the number of nurses and doctors in an intensive care unit (ICU) should impact rates of HAI transmission by reducing the number of patients per provider, allowing less patient-patient interaction. Designing a study to determine how different staffing ratios would affect HAIs is difficult to in person because of lots of different factors that make each hospital and unit unique. Mathematical modeling can be used instead to simulate how staffing ratios affect methicillin-resistant S. aureus (MRSA) being acquired in a 15-bed ICU.

 

We varied the number of doctors in the ICU from one to three. For each doctor scenario, the nurse -patient ratio was 1:1, 1:2.5, 1:3. And 1:5. We ran each model 1000 times, with each time simulating 1 year in the ICU. The outcome was the mean number of MRSA acquisitions in one year for each of the 12 models. Our baseline model we compared everything to was the single doctor, 1:3 nurse-patient ratio model.

 

Adding more doctors slightly decreased the number of acquisitions, with the steeper decline going from one doctor to two. Going from a 1:3 nursing ratio to 1:1 ratio decreased MRSA acquisition by 64%. Increasing to a 1:5 ratio raised acquisitions 21.5%. These results suggest reduction in provider contact may have an impact on HAI rates. Appropriate staffing should be considered in infection control guidelines, and the cost of staffing be weighed against its impact on infection prevention.