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Ataro BA, Geta T, Endirias EE, Gadabo CK, Bolado GN. Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: a cross-sectional study. BMC Nurs 2024; 23:235. [PMID: 38584268 PMCID: PMC11000348 DOI: 10.1186/s12912-024-01881-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 03/18/2024] [Indexed: 04/09/2024] Open
Abstract
BACKGROUND To enhance patient satisfaction, nurses engaged in preoperative care must possess a comprehensive understanding of the most up-to-date evidence. However, there is a notable dearth of relevant information regarding the current status of preoperative care satisfaction and its impact, despite a significant rise in the number of patients seeking surgical intervention with complex medical requirements. OBJECTIVE To assess patient satisfaction with preoperative nursing care and its associated factors in surgical procedures of, 2023. METHODS A cross-sectional study was conducted, and the data was collected from the randomly selected 468 patients who had undergone surgery during the study period. The collected data was entered into Epidata version 3.1 and analyzed using SPSS version 25 software. RESULTS The complete participation and response of 468 participants resulted in a response rate of 100%. Overall patient satisfaction with preoperative nursing care was 79.5%. Sex (Adjusted odds ratio (AOR): 1.14 (95% confidence interval (CI): 0.21-2.91)), payment status for treatment (AOR: 1.45 (95% CI: 0.66-2.97)), preoperative fear and anxiety (AOR: 1.01, 95% CI: 0.49-2.13)), patient expectations (AOR: 3.39, 95% CI: 2.17-7.11)), and preoperative education (AOR: 1.148, 95% CI: 0.54-2.86)) exhibited significant associations with patient satisfaction with preoperative nursing care. CONCLUSION It is important to exercise caution when interpreting the level of preoperative nursing care satisfaction in this study. The significance of preoperative nursing care satisfaction lies in its reflection of healthcare quality, as even minor deficiencies in preoperative care can potentially lead to life-threatening complications, including mortality. Therefore, prioritizing the improvement of healthcare quality is essential to enhance patient satisfaction.
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Affiliation(s)
- Bizuayehu Atinafu Ataro
- Adult Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia.
| | - Temesgen Geta
- Maternity and Child Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia
| | - Eshetu Elfios Endirias
- Adult Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia
| | - Christian Kebede Gadabo
- Pediatrics and Child Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia
| | - Getachew Nigussie Bolado
- Adult Health Nursing, School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Sodo, Ethiopia.
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Gashaw DG, Alemu ZA, Constanzo F, Belay FT, Tadesse YW, Muñoz C, Rojas JP, Alvarado-Livacic C. COVID-19 patient satisfaction and associated factors in telemedicine and hybrid system. Front Public Health 2024; 12:1384078. [PMID: 38645451 PMCID: PMC11028400 DOI: 10.3389/fpubh.2024.1384078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 03/20/2024] [Indexed: 04/23/2024] Open
Abstract
Background The quality assessment of the home-based isolation and care program (HBIC) relies heavily on patient satisfaction and length of stay. COVID-19 patients who were isolated and received HBIC were monitored through telephone consultations (TC), in-person TC visits, and a self-reporting application. By evaluating patient satisfaction and length of stay in HBIC, healthcare providers could gauge the effectiveness and efficiency of the HBIC program. Methods A cross-sectional study design enrolled 444 HBIC patients who answered a structured questionnaire. A binary logistic regression model assessed the association between independent variables and patient satisfaction. The length of stay in HBIC was analyzed using Cox regression analysis. The data collection started on April (1-30), 2022, in Addis Ababa, Ethiopia. Results The median age was 34, and 247 (55.6%) were females. A greater proportion (313, 70.5%) of the participants had high satisfaction. Higher frequency of calls (>3 calls) (AOR = 2.827, 95% CI = 1.798, 4.443, p = 0.000) and those who were symptomatic (AOR = 2.001, 95% CI = 1.289, 3.106, p = 0.002) were found to be significant factors for high user satisfaction. Higher frequency of calls (>3 calls) (AHR = 0.537, 95% CI = 0.415, 0.696, p = 0.000) and more in-person visits (>1 visit) (AHR = 0.495, 95% CI = 0.322, 0.762, p = 0.001) had greater chances to reduce the length of stay in the COVID-19 HBIC. Conclusion 70.5% of the participants had high satisfaction with the system, and frequent phone call follow-ups on patients' clinical status can significantly improve their satisfaction and length of recovery. An in-person visit is also an invaluable factor in a patient's recovery.
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Affiliation(s)
- Dagmawit G. Gashaw
- National Public Health Emergency Operation Center, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | | | - Freddy Constanzo
- Neurology Unit, Hospital Las Higueras, Talcahuano, Chile
- Medical Program in Adult Neurology, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Feben T. Belay
- National Training Center, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
| | | | - Carla Muñoz
- Medical Program in Adult Neurology, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Juan Pablo Rojas
- Medical Program in Adult Neurology, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Cristobal Alvarado-Livacic
- Medical Program in Adult Neurology, School of Medicine, Universidad Católica de la Santísima Concepción, Concepción, Chile
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Mat Din H, Raja Adnan RNE, Kadir Shahar H, Mawardi M, Awang Dzulkarnain DH, Hassan NH, Nor Akahbar SA, Shariff Ghazali S. Associated Factors in Patient Satisfaction among Older Persons Attending Primary Health Facilities in Sepang, Malaysia. Malays J Med Sci 2024; 31:172-180. [PMID: 38456117 PMCID: PMC10917596 DOI: 10.21315/mjms2024.31.1.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 05/04/2023] [Indexed: 03/09/2024] Open
Abstract
Background With Malaysia's ageing population, the utilisation of primary healthcare services by older individuals with comorbidities is expected to increase. Patient satisfaction serves as a key indicator for assessing the quality of healthcare services. Thus, the aim of this study is to evaluate patient satisfaction among older persons attending public primary healthcare facilities and to identify associated factors. Methods A cross-sectional survey was conducted from October 2017 to January 2018, involving face-to-face interviews with older outpatients in primary health clinics. Minimum 300 participants were required and systematic random sampling were used. The measurement included sociodemographic variables, patient comorbidity and patient satisfaction using the Short-Form Patient Satisfaction Questionnaire (PSQ-18). Results A total of 317 participants enrolled in this study, resulting in a response rate of 95.6%. The findings indicated that 35.7% of participants reported high satisfaction, while 64.3% reported moderate satisfaction. Participants with at least secondary education (OR = 3.12) were more likely to experience satisfaction compared to those without formal education. Participants with monthly incomes above RM2,000 (OR = 0.40) and RM1,000-RM1,999 (OR = 0.53) were less likely to be satisfied compared to those earning less than RM999. Moreover, participants with two or more comorbidities were less likely to be satisfied compared to those with one comorbidity. Gender, marital status, employment status and living arrangements were not significant factors. Conclusion This study highlights the need for healthcare authorities to examine factors such as patients' education level, income level and comorbidity status that are associated with healthcare satisfaction to enhance overall patient satisfaction.
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Affiliation(s)
- Hazwan Mat Din
- Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Selangor, Malaysia
| | | | - Hayati Kadir Shahar
- Malaysian Research Institute on Ageing, Universiti Putra Malaysia, Selangor, Malaysia
- Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | - Maliza Mawardi
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
| | | | | | | | - Sazlina Shariff Ghazali
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
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Liu Y, Zhang F, Guan C, Song B, Zhang H, Fu M, Wang F, Tang C, Chen H, Guo Q, Fan L, Hou X, Wang H, Wu B, Shan G, Zhang H, Yu F, Lou X, Xie H, Zhou Y, Lu G, Xin X, Pan S, Guo S. Patient satisfaction with humanistic nursing in Chinese secondary and tertiary public hospitals: a cross-sectional survey. Front Public Health 2023; 11:1163351. [PMID: 37711237 PMCID: PMC10498541 DOI: 10.3389/fpubh.2023.1163351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Accepted: 08/04/2023] [Indexed: 09/16/2023] Open
Abstract
Background Humanistic care pertains to the abilities, attitudes, and behaviors central to patient-centered care, contributing to patients' sense of safety and wellbeing. This study aimed to assess the satisfaction of patients with humanistic nursing care in Chinese secondary and tertiary public hospitals. Methods A national cross-sectional survey was conducted across 30 provinces and 83 hospitals in China. Patient satisfaction with humanistic care was assessed using the Methodist Health Care System Nurse Caring Instrument (NCI), which encompasses 20 items across 12 dimensions. Each item was rated on a 7-point Likert scale, yielding a total score of 140. Multiple linear regression analysis was employed to identify factors associated with patients' satisfaction. Results Moderate satisfaction (mean score 91.26 ± 13.14) with humanistic nursing care was observed among the 17,593 participants. Factors significantly associated with patient satisfaction included age, hospital type, presence of children, educational attainment, place of residence, family monthly income, and medical insurance type. Conclusion The study findings highlight the importance of tailored interventions, evidence-based practice guidelines, and patient-centered care in improving patients' satisfaction with humanistic nursing care. Continuous emphasis on nursing education and professional development is crucial for enhancing humanistic care and patient satisfaction.
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Affiliation(s)
- Yilan Liu
- Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Fengjian Zhang
- Department of Nursing, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Chunyan Guan
- Department of Otorhinolaryngology Head and Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China
| | - Bing Song
- Department of Orthopedic, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou, Shandong, China
| | - Haixin Zhang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
| | - Mo Fu
- Department of Nursing, Jingzhou Central Hospital, Jingzhou, Hubei, China
| | - Fang Wang
- Department of Nursing, Laibin People's Hospital, Laibin, China
| | - Chenxi Tang
- Department of Nursing, Nanchong Central Hospital, Nanchong, Sichuan, China
| | - Huiling Chen
- Heart Center of Henan Provincial People's Hospital, Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, Henan, China
| | - Qingfeng Guo
- Department of Nursing, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China
| | - Ling Fan
- Department of Nursing, Shengjing Hospital of China Medical University, Shenyang, Liaoning, China
| | - Xinfeng Hou
- Department of Nursing, Luohe Central Hospital, Luohe, Henan, China
| | - Hongxia Wang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
| | - Bing Wu
- Assisted Reproductive Centre, Henan Provincial People's Hospital, Zhengzhou, Henan, China
| | - Geyan Shan
- Institute of Psychology and Behaviour, Henan University, Kaifeng, Henan, China
| | - Hongmei Zhang
- Department of Nursing, Henan Provincial People's Hospital, Zhengzhou, Henan, China
| | - Feifei Yu
- Outpatient of International Medical Center, Henan Provincial People's Hospital, Zhengzhou, Henan, China
| | - Xiaoping Lou
- Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
| | - Hongzhen Xie
- Department of Health Medicine, People's Liberation Army General Hospital of Southern Theatre Command, Guangzhou, Guangdong, China
| | - Ying Zhou
- School of Nursing, Guangzhou Medical University, Guangzhou, Guangdong, China
| | - Gendi Lu
- Department of Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Xia Xin
- Department of Nursing, First Affiliated Hospital of Xi'an Jiaotong University, Xi'An, Shanxi, China
| | - Shaoshan Pan
- Department of Nursing, General Hospital of Southern Theatre Command, Guangzhou, Guangdong, China
| | - Shujie Guo
- Department of Outpatient, Henan Provincial People's Hospital, Zhengzhou, Henan, China
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Gilliand M, Bernier Emch A, Perrenoud B. Adults with intellectual disabilities' satisfaction regarding their hospitalization: A correlational descriptive study. J Intellect Disabil 2023:17446295231193461. [PMID: 37565271 DOI: 10.1177/17446295231193461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Abstract
When hospitalized, adults with intellectual disabilities are more anxious and have more unmet needs than the general population. Despite these problems, studies report contradictory results about their satisfaction with hospitalization. The aim of this study was to determine the level of satisfaction of adults with intellectual disabilities regarding their hospital care and the factors associated with satisfaction. An analysis of the Patient Satisfaction Scale (PSS) and Cognitive Appraisal of Health Scale (CAHS) instruments completed by adults with intellectual disabilities, or their caregivers, after hospitalization was done. The 32 participants' mean PSS score was 3.6/5, with means of 13.3/25 and 8.7/25 on the CAHS' 'harm/loss' dimension and 'challenge' dimension, respectively. None of the factors studied was associated with the total PSS score. Adults with intellectual disabilities were not fully satisfied with their hospital care, experiencing challenges and losses. These findings call for a rethink of the care provided to this population.
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Affiliation(s)
- Morgane Gilliand
- HESAV School of Health Sciences, University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland; Institute of Higher Education and Research in Healthcare-IUFRS, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
| | | | - Béatrice Perrenoud
- Lausanne University Hospital (CHUV), Lausanne, Switzerland; La Source School of Nursing Sciences, University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland
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Mohamed Noor NM, Ibrahim MI, Hairon SM, Mohd Zain M, Satiman MSN. Predictors of Healthcare Workers' Compassionate Care Amid the COVID-19 Pandemic: A Cross-Sectional Study from Patients' Perspective in Kelantan, Malaysia. Int J Environ Res Public Health 2023; 20:1380. [PMID: 36674149 PMCID: PMC9859271 DOI: 10.3390/ijerph20021380] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 01/05/2023] [Accepted: 01/10/2023] [Indexed: 06/17/2023]
Abstract
Background: Compassionate care served by healthcare workers (HCWs) has been recognized as one of the most critical aspects of high-quality care. Unfortunately, there is still an unmet need for the assessment of compassionate care from the patient’s perspective. During the COVID-19 pandemic, many new rules were enacted to tackle the raging pandemic, which raised concerns about its effect on compassionate care. Methods: A cross-sectional study involving 315 patients from three public hospitals was conducted during the conditional movement control order (CMCO). A self-administered Malay version of the Relational Aspect of Care Questionnaire (RAC-QM) was used to assess compassionate care. Multiple linear regression was used to determine the predictors. Results: More than 90% of the patients were Malays, Muslims, and fell under the B40 household income category. Companions were present for 51.7% of the patients, but 75.2% had no visitors. All hospitals received scores of more than 90%. Occupation (student, p = 0.032), dependency level (total dependent, p < 0.001), and household income level (M40, p = 0.027) were the statistically significant predictors for compassionate care. Conclusions: The current study revealed that compassionate care to patients was not compromised during the pandemic. Patients with disabilities or financial constraints are more likely to experience less compassionate care, while students are generally more satisfied. This study may provide clues for hospital administrators and policymakers regarding the vulnerable group of patients. It also provides opportunities for future research to study the perspective of HCWs.
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Affiliation(s)
| | - Mohd Ismail Ibrahim
- Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia
| | - Suhaily Mohd Hairon
- Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia
| | - Maizun Mohd Zain
- Public Health Unit, Hospital Raja Perempuan Zainab II, Kota Bharu 16150, Malaysia
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Yan M, Zhi M, Xu Y, Hu L, Liu Y. Inpatient Satisfaction with Nursing Care and Its Impact Factors in Chinese Tertiary Hospitals: A Cross-Sectional Study. Int J Environ Res Public Health 2022; 19:16523. [PMID: 36554403 PMCID: PMC9778790 DOI: 10.3390/ijerph192416523] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Revised: 11/29/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
AIMS To evaluate the level of patient satisfaction with nursing care in China's major tertiary hospitals, and to explore patient and hospital level factors associated with patient satisfaction, in order to provide policy implications for the evaluation and improvement of nursing care, toward a patient-centered healthcare system. BACKGROUND Patient satisfaction with nursing care has been designated as a key measure of the quality of nursing care and is one of the main focuses of the current healthcare improvement campaign in China. METHODS We participated in the 2021 China National Patient Survey and designed and administered a survey instrument with five domains, to evaluate patient satisfaction with nursing care among 24,971 inpatients from 143 tertiary hospitals across 31 provinces in China. Descriptive analysis and binary logistic regressions were utilized to assess the level of satisfaction and identify key factors related to nursing satisfaction. RESULTS The overall satisfaction level is high, but satisfaction with health guidance is relatively low. Patients' sociodemographic characteristics, including age, income, and education, are significantly associated with their satisfaction. Hospital characteristics, such as geographic location, type, and nurse-to-doctor ratio, significantly impact inpatient satisfaction with nursing care. Patients of hospitals in the eastern region, general hospitals, and hospitals with higher nurse-to-doctor ratios are more satisfied with nursing care. CONCLUSION More attention should be paid to equitably allocating healthcare resources among different regions, improving the management and competence of non-general hospitals, and strengthening the recruitment and retention of the nursing workforce. Moreover, patient characteristics should be considered when evaluating patient satisfaction across hospitals. Patient and Public Contribution: These findings will help us better understand patients' satisfaction regarding nursing care in Chinese tertiary hospitals and develop targeted interventions, to establish a patient-centered healthcare system.
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Affiliation(s)
| | | | | | - Linlin Hu
- Correspondence: (L.H.); (Y.L.); Tel.: +86-13661229049 (L.H.); +86-13522592907 (Y.L.)
| | - Yuanli Liu
- Correspondence: (L.H.); (Y.L.); Tel.: +86-13661229049 (L.H.); +86-13522592907 (Y.L.)
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Kannappan SR, Veigas J, Walton M. Patient Satisfaction and Barriers to Nursing Care Quality in Oncology Units. Journal of Health and Allied Sciences NU 2022. [DOI: 10.1055/s-0042-1755353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Abstract
Background: Every patient expects safe and quality patient care. A satisfying journey during hospitalization indicates quality care. Nurses provide a significant component of patient care over a long period, compared to any other healthcare professional. This study aims to find patient satisfaction in oncology units and identify the barriers to nursing care quality.
Materials and Methods: A cross-sectional correlation design was used with 100 cancer patients admitted to oncology units of tertiary care hospital selected by convenience sampling. The Nursing Care Quality Questionnaire was used to assess patient satisfaction, and an investigator-prepared and validated checklist was used to identify barriers to nursing care quality.
Results: The study revealed that 50% of patients were satisfied with the overall nursing care quality received during the hospital stay, and the overall barrier score to patient satisfaction for quality nursing care was 33.5%. Overall, 37% of patients were extremely satisfied with the quality of care and services they received during their hospital stay. The findings revealed a statistically significant association between patient satisfaction and the patients' employment status, type of treatment, and duration of stay in the hospital. This study also revealed that workload, lack of time, and inability to speak the local language were the major barriers to patient satisfaction.
Conclusions: Patients are the hospital's consumers or customers. For the best results, hospitals should train nurses to communicate in the local language, provide adequate staffing, and adequate training.
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Affiliation(s)
- Sujatha R Kannappan
- Department of Child Health Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India
| | - Jacintha Veigas
- Department of Community Health Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India
| | - Mary Walton
- College of Nursing, Gulf Medical University, Ajman, United Arab Emirates
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Yusefi AR, Sarvestani SR, Kavosi Z, Bahmaei J, Mehrizi MM, Mehralian G. Patients' perceptions of the quality of nursing services. BMC Nurs 2022; 21:131. [PMID: 35624460 PMCID: PMC9137069 DOI: 10.1186/s12912-022-00906-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Accepted: 05/16/2022] [Indexed: 11/25/2022] Open
Abstract
Introduction The quality of nursing services is one of the main factors accelerating patients' recovery. The present study aimed to examine patients' perceptions of the quality of nursing services in the teaching hospitals of Iran. Methods This cross-sectional research was a descriptive-analytical study conducted in 2021, in which 1067 patients were selected as the research sample. The Qualipak nursing quality questionnaire (QUALPAC) was used to collect the required data. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient using SPSS software version 23. Results From the patients' perspective, the mean and standard deviation of the quality of nursing services was 191.47 ± 19.51. Among the quality dimensions, all services quality: psychosocial (91.34 ± 9.34), physical (65.72 ± 10.18), and communication (34.41 ± 6.21) were placed at the moderate level. A significant association was found between patients’ age and nursing service quality. The perceived nursing service quality was subject to sex (P = 0.01, t = 1.921) and place of residence (P = 0.02, t = 1.873). Conclusion According to the findings, the quality of nurses 'care was "moderate" from the patients' perspectives. Planning is recommended to reinforce and promote the quality of nursing services.
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Affiliation(s)
- Ali Reza Yusefi
- Department of Public Health, School of Health, Jiroft University of Medical Sciences, Jiroft, Iran
| | | | - Zahra Kavosi
- Health Human Resources Research Center, School of Health Management and Information Sciences , Shiraz University of Medical Sciences, Shiraz, Iran
| | - Jamshid Bahmaei
- Student Research Committee, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Morteza Mortazavi Mehrizi
- Department of Occupational Health Engineering, School of Public Health, Shahid Sadoughi University of Medical Scince, Yazd, Iran
| | - Gholamhossein Mehralian
- Pharmacoeconomics and Pharmaceutical Administration, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran. .,Nottingham Business School, Nottingham Trent University, Nottingham, UK.
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Rahman I, Martin DS, Liu S. Outbound medical tourists: The interplay of perceived quality, length of stay, group-size, post-visit destination image and revisit intention. PLoS One 2022; 17:e0267755. [PMID: 35536776 PMCID: PMC9089917 DOI: 10.1371/journal.pone.0267755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2021] [Accepted: 04/15/2022] [Indexed: 11/19/2022] Open
Abstract
Using halo effect as the underlying theory, we examined how perceived quality of medical care influenced components of post-visit destination image (infrastructure, attraction, value for money, and enjoyment) and how each component influenced Bangladeshi outbound medical tourists’ revisit intentions. Additionally, we examined how these relationships varied based on their length of stay (LOS) and travel-group size (TGS). Results showed a significant positive effect of the perceived quality of medical care on all four components of the post-visit destination image. Except for enjoyment, all three components had a significant positive influence on revisit intentions. All the proposed relationships were supported for medical tourists with higher LOS and TGS. However, for medical tourists with low LOS, the perceived quality of medical care did not influence value for money. Furthermore, value for money and enjoyment did not significantly influence revisit intentions for medical tourists with low LOS and TGS.
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Affiliation(s)
- Imran Rahman
- Department of Nutrition, Dietetics & Hospitality Management, College of Human Sciences, Auburn University, Auburn, AL, United States of America
- * E-mail:
| | - David S. Martin
- Department of Nutrition, Dietetics & Hospitality Management, College of Human Sciences, Auburn University, Auburn, AL, United States of America
| | - Sijun Liu
- Department of Nutrition, Dietetics & Hospitality Management, College of Human Sciences, Auburn University, Auburn, AL, United States of America
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Baig LA, Ahmer Z, Tariq H, Khan M, Khan MN, Sohaib M, Shaikh S. Enhancing satisfaction and respect for health care personnel: a mixed-methods case study of a community-based intervention. Soc Work Health Care 2022; 61:123-138. [PMID: 35412962 DOI: 10.1080/00981389.2022.2062635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Revised: 09/04/2021] [Accepted: 04/02/2022] [Indexed: 06/14/2023]
Abstract
Health care personnel (HCP) face violence as a result of lack of satisfaction and respect among community members. It is imperative for HCP to engage in social work by involving communities for enhancing satisfaction and respect for them. This study attempted to provide insight on this phenomenon by using a mixed-methods concurrent embedded approach. Communities were selected based on modified Solomon four-group design from Karachi in southern province and from three cities of northern province, Khyber Pakhtunkhwa of Pakistan. Focus group discussions and in-depth interviews took place for formulating the quantitative tool. Six hundred pretests were done prior to introducing low-cost community-based interventions followed by 601 posttests. We found increased levels of satisfaction in both provinces, whereas level of respect increased significantly in Karachi in the southern province only. Qualitative interviews revealed the important role played by media and religious leaders. These findings suggest that satisfaction and respect for HCP can be enhanced through community support, involvement of religious leaders, and effective media campaigns.
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Affiliation(s)
- Lubna Ansari Baig
- APPNA Institute of Public Health, Jinnah Sindh Medical University, Cantonment Karachi, Pakistan
| | - Zaeema Ahmer
- APPNA Institute of Public Health, Jinnah Sindh Medical University, Cantonment Karachi, Pakistan
| | - Hira Tariq
- APPNA Institute of Public Health, Jinnah Sindh Medical University, Cantonment Karachi, Pakistan
| | - Mirwais Khan
- Health Care in Danger (HCiD) Initiative, International Committee of the Red Cross, Islamabad, Pakistan
| | - Muhammad Naseem Khan
- Institute of Public Health & Social Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Muhammad Sohaib
- Institute of Public Health & Social Sciences, Khyber Medical University, Peshawar, Pakistan
| | - Shiraz Shaikh
- APPNA Institute of Public Health, Jinnah Sindh Medical University, Cantonment Karachi, Pakistan
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Deressa D, Gebreyohannis T, Boka A, Geneti Y. Satisfaction with preoperative education and surgical services among adults elective surgical patients at selected public hospitals in Addis Ababa, Ethiopia. SAGE Open Med 2022; 10:20503121221143219. [DOI: 10.1177/20503121221143219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 11/17/2022] [Indexed: 12/14/2022] Open
Abstract
Objectives: The purpose of this study was to determine the level of satisfaction with preoperative education and surgical services among adult elective surgical patients at governmental hospitals in Addis Ababa, Ethiopia. Methods: Four hundred and twenty-two elective surgical patients at Addis Ababa’s governmental hospitals took part in a facility-based cross-sectional study from 8 October to 8 November 2021. Based on past experiments, an instrument for structured data collection was modified and employed. The data were cleaned and sent to Epidata version 4.2 before being exported and analysed in SPSS version 25. Descriptive statistics were used to describe the participant characteristics, and logistic regression, which also included bivariate and multivariate analysis, was used to evaluate the association between the independent and outcome variables. The level of statistical significance was indicated by a p value of 0.05. Results: 84.6% of the participants reported feeling very satisfied with their preoperative education. Preoperative education about surgery (adjusted odds ratios (AOR) = 0.005; 95% confidence interval (CI): (0.000, 0.061)), previous surgery (AOR = 2.7; 95% CI: (2.51, 6.85)), and preoperative anxiety (AOR = 0.013; 95% CI: (0.003, 0.06)) were all significantly associated. Conclusions: About 84% of survey participants reported being satisfied with preoperative education and services. Preoperative patient satisfaction was negatively predicted by preoperative anxiety, prior surgery, and preoperative information about surgery. The decrease of anxiety and enhancement of surgical patient satisfaction may be significantly impacted by proper preoperative education.
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Affiliation(s)
- Dereje Deressa
- Department of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Tigistu Gebreyohannis
- Department of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abdisa Boka
- Department of Nursing, School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
| | - Yomilan Geneti
- Department of Nursing and Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia
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Manrique Abril FG, Maciá-Soler ML, Herrera Amaya GM, Cifuentes Rodríguez JE, González-Chorda VM. Cuestionario de calidad del cuidado de enfermería (CUCACE): Validez y fiabilidad en Colombia. Rev Salud Publica (Bogota) 2021. [DOI: 10.15446/rsap.v23n4.94715] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo Determinar la validez y confiabilidad del CUCACE (Cuestionario de Calidad de la Atención de Enfermería) en Colombia. Cada día hay un interés creciente en medir la cali- dad de la atención recibida por parte del personal de enfermería como elemento tangible de la atención; sin embargo, un obstáculo para medir la satisfacción del paciente es la no tenencia de instrumentos confiables y válidos, especialmente en Colombia.
Método Se realizó un estudio instrumental psicométrico y evaluativo. Se extrajeron datos de interés del CUCACE cumplimentados en español, junto con la información demográfica de los participantes.
Resultados Se confirmó la validez del contenido y construcción de las escalas de atención, atención al cuidado de enfermería y percepción del cuidado en un hospital colombiano. El alfa de Cronbach fue superior a 0,7; por lo tanto su fiabilidad se acepta en el contexto.
Conclusión El CUCACE es adecuado para medir la satisfacción y experiencia de los pacientes con los cuidados de enfermería en el contexto colombiano. El cuestionario con sus dos escalas es útil, claro, preciso, válido y confiable para evaluar la calidad de la aten- ción de enfermería.
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GEZER D, ARSLAN S. Patient satisfaction on nursing care: the case of in day surgery. Cukurova Medical Journal 2021. [DOI: 10.17826/cumj.895225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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15
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Rodríguez-Herrera C, López-Jiménez JDJ, Del Toro-Valero A, Torres-Carrillo NM, Torres-Carrillo N, Godínez-Peña CA, Méndez-Magaña AC, Herrera-Godina MG, Fletes-Rayas AL. The Newcastle satisfaction with nursing scales in a Mexican Oncology Hospital. Afr Health Sci 2021; 21:60-66. [PMID: 34394282 PMCID: PMC8356602 DOI: 10.4314/ahs.v21i1.10] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The principal aim of this study was to identify whether the Newcastle Satisfaction with Nursing Scales (NSNS) could be used on cancer patients. METHODS This was a descriptive, cross-sectional study carried out on cancer patients (n = 298). RESULTS We found that a majority of cancer patients were around 50 years old (hospitalized patients [HP]: 49.5 ± 14.9; chemotherapy outpatients [COP]: 49.4 ± 12.7), were female (HP: 74%; COP: 63.5%), and had received education at least up to elementary level (HP: 70%; COP: 80%). Breast cancer was the principal type of cancer (>34%) in both groups (HP and COP). The groups were comparable in age, sex distribution, place of origin, educational qualification, and type of cancer. Among HP, the experience and satisfaction scales of the NSNS showed good internal consistency (n = 235, α >0.9, r > 0.7), while among COP, only the satisfaction scale showed good internal consistency (n = 62, α = 1.00). Most patients' perceptions (level of satisfaction) of hospitalization and chemotherapy services were positive (98% and 97%, respectively). CONCLUSION An NSNS instrument specifically designed for ambulatory care cancer patients is necessary for it to be useful in assessing cancer patients' perception of nursing care. This will help improve the quality of care in Mexico.The presence of cancer by itself could modify the patients' satisfaction level. Further large-scale studies are required to investigate the patients' perceptions of nursing care using the NSNS on different cancer patient groups.
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Affiliation(s)
| | - José de Jesús López-Jiménez
- Instituto Mexicano del Seguro Social, Centro de Investigación Biomédica de Occidente, División de Medicina Molecular
- Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Disciplinas Filosófico Metodológico e Instrumentales; Departamento de Morfología
| | | | | | - Norma Torres-Carrillo
- Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Microbiología y Patología
| | | | - Ana Cecilia Méndez-Magaña
- Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Salud Pública
| | | | - Ana Lilia Fletes-Rayas
- Universidad de Guadalajara, Centro Universitario de Ciencias de la Salud, Departamento de Enfermería Clínica Aplicada
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Yalew ZM, Zeleke H, Afenigus AD, Yitayew YA, Minuye B, Kassahun SA. Patient Experience in Nursing Care and Associated Factors Among Adult Admitted Patients in Debre Markos and Dessie Referral Hospitals, Amhara Region, Ethiopia, 2019. J Patient Exp 2021; 7:1391-1397. [PMID: 33457592 PMCID: PMC7786695 DOI: 10.1177/2374373520966817] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based cross-sectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission ≥22 days (adjusted odds ratio [AOR] = 2.67, 95% CI = 1.013-7.025) and free service (AOR = 3.69, 95% CI = 2.381-5.730) showed a positive association with patient experience in nursing care. However, admission in gynecology ward (AOR = 0.43, 95%CI = 0.257-0.707), secondary education (AOR = 0.53, 95% CI: 0.308-0.907), and college or above education (AOR = 0.55, 95%CI = 0.320-0.957) showed a negative association with patient experience in nursing care.
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Affiliation(s)
| | - Haymanot Zeleke
- Debre Markos University, College of Health Science, Amhara, Ethiopia
| | | | | | - Biniam Minuye
- Debre Tabor University, College of Medicine and Health Science, Amhara, Ethiopia
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Abstract
Purpose
This study aims to provide insights into the public–private partnerships (PPP) concept and its performance measurement in the health-care sector, identifying and refining critical success factors, including the perceived quality of health care, as evidenced by patient satisfaction and policy requirements for successful PPP implementation.
Design/methodology/approach
This theoretical study explores the existing literature on the relationship between service quality and patient satisfaction, to propose a culture-specific conceptual model interlinking the drivers of patient satisfaction with PPP. The in-depth theoretical research focuses on the qualitative performance indicators of PPPs, as well as their corresponding peripheral factors.
Findings
The research presents theoretical evidence that the concept of patient satisfaction can only be viewed through a multifactor perspective that incorporates demographics of patients, perceived service quality factors and emotions. It is found that significant improvements in service quality and patient satisfaction do, indeed, emphasize the effective role of PPP in hospitals.
Practical implications
The theoretical model is based on a comprehensive set of both cognitive and affective determinants. And considering these, as well as their causes, effects and interrelations, sets the foundations for testing and for further research to develop. Moreover, the outcomes of this study can be used as a theoretical base for the development of a PPP qualitative performance measurement framework.
Originality/value
This study attempts to fill the gap in knowledge on service quality and patient satisfaction as qualitative indicators for hospital performance after and toward PPP, while setting explicit factors and opening clear research avenues for further studies to follow.
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Liu X, Zheng J, Liu K, Baggs JG, Liu J, Wu Y, You L. Associations of nurse education level and nurse staffing with patient experiences of hospital care: A cross sectional study in China. Res Nurs Health 2019; 43:103-113. [DOI: 10.1002/nur.22003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 11/20/2019] [Indexed: 11/08/2022]
Affiliation(s)
- Xu Liu
- School of NursingSun Yat‐sen UniversityGuangzhou China
| | - Jing Zheng
- School of NursingGuangdong Pharmaceutical UniversityGuangzhou China
| | - Ke Liu
- School of NursingSun Yat‐sen UniversityGuangzhou China
| | - Judith G. Baggs
- School of NursingOregon Health & Science UniversityPortland Oregon
| | - Jiali Liu
- Department of Nursing, Sun Yat‐sen University Cancer Center, Collaborative Innovation Center for Cancer MedicineState Key Laboratory of Oncology in South ChinaGuangzhou China
| | - Yan Wu
- School of NursingGuangzhou University of Chinese MedicineGuangzhou China
| | - Liming You
- School of NursingSun Yat‐sen UniversityGuangzhou China
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Abstract
Patient satisfaction with nursing is an important indicator of the quality of the nursing services. This study used The Patient Perception of Hospital Experience With Nursing (PPHEN) scale (Dozier, Kitzman, Ingersol, Holmberg, & Schultz, 2001) to determine the nursing care perception of patients in a Turkish tertiary care hospital. The study design was descriptive comparative and used convenience sampling. In total, 566 patients volunteered to take part in the study. The patient satisfaction level with nursing was found to be below average; patient satisfaction showed no meaningful differences between genders, marital status, or the clinics where the patient was hospitalized, but significantly higher levels of satisfaction were found with higher levels of education, younger age, higher incomes, and being employed. Overall, the patients considered that nursing care needs improvement, especially in terms of the provision of information and psychosocial support.
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Affiliation(s)
- Hülya Ozturk
- Eskisehir Osmangazi University, Eskisehir, Turkey
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20
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Biglar S, Rafiee A, Puryaghoob M, Sharafi F, Moghaddam F, Nisari Z. The Effects of Nursing Welcome Program on the Level of Stress and Satisfaction of Patients in the Coronary Care Unit. J Res Dev Nurs Midw 2019. [DOI: 10.29252/jgbfnm.16.2.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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21
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Liu J, Mao Y. Patient Satisfaction with Rural Medical Services: A Cross-Sectional Survey in 11 Western Provinces in China. Int J Environ Res Public Health 2019; 16:ijerph16203968. [PMID: 31627474 PMCID: PMC6843638 DOI: 10.3390/ijerph16203968] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Revised: 10/09/2019] [Accepted: 10/17/2019] [Indexed: 12/18/2022]
Abstract
Rural medical services play an important role in protecting and promoting the health of the rural population; however, patient satisfaction with rural medical services has been understudied in China. A better understanding of the actual situation and the determinants involved will provide evidence for health-related policy makers and hospital managers to further improve rural medical services. A total of 9811 patients (5208 outpatients and 4603 inpatients) were included in this study from a cross-sectional survey conducted in rural hospitals from 11 western provinces in China. Three in five patients (including outpatients and inpatients) were satisfied with rural medical services. The mean overall satisfaction scores were 3.61 ± 0.857 and 3.80 ± 0.829 (out of a maximum of 5) for rural outpatients and inpatients, respectively. The most satisfying domains for outpatients and inpatients were medical service attitude and illness explanation, and waiting time and medical expenses were the domains that outpatients and inpatients were least satisfied with. Satisfaction with medical technology (OR: 1.73; 95% CI: 1.57–1.92) and satisfaction with trust in physicians (OR: 2.05; 95% CI: 1.85–2.28) were identified as the strongest predictors of outpatients’ and inpatients’ overall satisfaction with rural medical services, respectively. This study might shed light on rural medical services management in China.
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Affiliation(s)
- Jinlin Liu
- Walter H. Shorenstein Asia-Pacific Research Center, Stanford University, Stanford, CA 94305, USA.
- Research Center for the Belt and Road Health Policy and Health Technology Assessment, Xi'an Jiaotong University, Xi'an 710049, China.
| | - Ying Mao
- Research Center for the Belt and Road Health Policy and Health Technology Assessment, Xi'an Jiaotong University, Xi'an 710049, China.
- School of Public Policy and Administration, Xi'an Jiaotong University, Xi'an 710049, China.
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Mulugeta H, Wagnew F, Dessie G, Biresaw H, Habtewold TD. Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis. BMC Nurs 2019; 18:27. [PMID: 31320836 PMCID: PMC6615179 DOI: 10.1186/s12912-019-0348-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Accepted: 06/16/2019] [Indexed: 11/10/2022] Open
Abstract
Background Patient satisfaction with nursing care has been considered as the most important predictor of the overall patient satisfaction with hospital service and quality of health care service at large. However, the national level of patient satisfaction with nursing care remains unknown in Ethiopia. Hence, the objective of this systematic review and meta-analysis was to estimate the level of patient satisfaction with nursing care and its associated factors in Ethiopia. Methods Studies were accessed through an electronic web-based search strategy from PubMed, Cochrane Library, Google Scholar, Embase, PsycINFO, and CINAHL by using a combination of search terms. The quality of each included article was assessed using a modified version of the Newcastle-Ottawa Scale for cross-sectional studies. All statistical analyses were done using STATA version 14 software for windows, and meta-analysis was carried out using a random-effects method. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for reporting results. Results Of 1166 records screened, 15 studies with 6091 patients fulfilled the inclusion criteria and were included in the meta-analysis. The estimated pooled level of patient satisfaction with nursing care in Ethiopia was 55.15% (95% CI (47.35, 62.95)). Patients who have one nurse in charge (OR: 1.08, 95% CI: 0.45–2.62, I2: 77.7%), with no history of previous hospitalization (OR: 1.37, 95% CI: 0.82–2.31, I2: 91.3%), living in the urban area (OR: 1.07, 95% CI: 0.70–1.65, I2: 62.2%), and those who have no comorbid disease (OR: 1.08, 95% CI: 0.48–2.39, I2: 91.9%) were more likely to be satisfied with nursing care compared with their counterparts although it was not statistically significant. Conclusion About one in two patients were not satisfied with the nursing care provided in Ethiopia and may be attributed to several factors. Therefore, the Ministry of Health should give more emphasis to the quality of nursing care in order to increase patient satisfaction and improve the overall quality of healthcare service in Ethiopia.
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Affiliation(s)
- Henok Mulugeta
- 1Lecturer of Nursing, Department of Nursing, College of Health Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia
| | - Fasil Wagnew
- 1Lecturer of Nursing, Department of Nursing, College of Health Science, Debre Markos University, P.O. Box 269, Debre Markos, Ethiopia
| | - Getenet Dessie
- 2Lecturer of Nursing, Department of Nursing, School of Health Science, College of Medicine and Health Science, Bahir Dar University, P.O. Box 79, Bahir Dar, Ethiopia
| | - Henok Biresaw
- 3Lecturer of Nursing, Department of Nursing, College of Health Science, University of Gondar, P.O. Box 196, Gondar, Ethiopia
| | - Tesfa Dejenie Habtewold
- 4Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands
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Ng JHY, Luk BHK. Patient satisfaction: Concept analysis in the healthcare context. Patient Educ Couns 2019; 102:790-796. [PMID: 30477906 DOI: 10.1016/j.pec.2018.11.013] [Citation(s) in RCA: 51] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Revised: 10/08/2018] [Accepted: 11/17/2018] [Indexed: 05/28/2023]
Abstract
OBJECTIVE Patient satisfaction had been the focus of many scientific studies worldwide. However, very few studies published had addressed the definition of the concept of patient satisfaction. Therefore this present concept analysis is to explore the attributes of the concept in the broader healthcare context. METHODS The Rodgers method, an inductive method of concept analysis, was selected to guide this concept analysis. RESULTS The attributes of patient satisfaction in the healthcare context identified were provider attitude, technical competence, accessibility, and efficacy. Perception in relation to expectation, patient demographics and personality, and market competition were regarded as prerequisites of patient satisfaction. Consequences of patient satisfaction identified in this analysis were: patient compliance, clinical outcomes, loyalty and referrals. CONCLUSION As healthcare is becoming an increasingly competitive marketplace, studying patient experience could certainly help practitioners to better encompass patient perspectives in service delivery and improve patient satisfaction. PRACTICE IMPLICATIONS To ensure the validity of patient satisfaction measurement and subsequently improve healthcare quality, practitioners should involve patients in identifying important factors relevant to each attributes of patient satisfaction.
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Affiliation(s)
- Janet H Y Ng
- Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China
| | - Bronya H K Luk
- School of Nursing, Tung Wah College, 31 Wylie Road, Homantin, Kowloon, Hong Kong, China.
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Yılmaz E, Karakaya E, Baydur H, Tekin İ. Effect of Transcutaneous Electrical Nerve Stimulation on Postoperative Pain and Patient Satisfaction. Pain Manag Nurs 2019; 20:140-5. [DOI: 10.1016/j.pmn.2018.06.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2017] [Revised: 05/13/2018] [Accepted: 06/18/2018] [Indexed: 11/22/2022]
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Sadeghi-Gandomani H, Masoudi Alavi N, Afshar M. Predictors of Patient Satisfaction with Nursing Care in an Orthopedic and Urologic Population. Galen Med J 2018; 7:e1305. [PMID: 34466448 PMCID: PMC8344054 DOI: 10.22086/gmj.v0i0.1305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2018] [Revised: 09/17/2018] [Accepted: 10/07/2018] [Indexed: 11/30/2022] Open
Abstract
Background: Patient satisfaction is a multi-dimensional concept that can be influenced by social, cultural, and economic factors. This study was designed to evaluate the determinants that could predict patient satisfaction with nursing care in an orthopedic and urologic Population at a selected surgical ward in Kashan, Iran during 2018. Materials and Methods: This cross-sectional study was performed on 250 male patients with orthopedic and urologic diagnosis that were hospitalized in men surgical ward of Shahid Beheshti hospital affiliated to Kashan University of Medical Sciences. Patients satisfaction was assessed by a researcher-made questionnaire. The data was analyzed by the independent t-test, analysis of variance, correlation, and multiple regression analysis statistical tests. Result: The mean score of patient satisfaction was 136.05±48.10 (possible range 45-225). The age, marital status, education, diagnosis, the length of stay in the hospital, and the verbal communication of nurses with patients showed a significant correlation with patient satisfaction (P<0.001). Regression analysis revealed that age (P=0.013), marital status (P<0.001), education level (P=0.038), the length of stay in hospital (P=0.002), and verbal communication (P<0.001) could make a meaningful model with patient satisfaction in surgical wards. Conclusion: Many personal and professional factors can determine patient satisfaction in orthopedic and urologic population. Verbal communication between nurses and patients is an important factor for patient satisfaction.
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Affiliation(s)
- Hamidreza Sadeghi-Gandomani
- Kashan University of Medical Sciences, Kashan, Iran.,Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran
| | - Negin Masoudi Alavi
- Trauma Nursing Research Center, Kashan University of Medical Science, Kashan, Iran
| | - Mohammad Afshar
- Trauma Nursing Research Center, Kashan University of Medical Science, Kashan, Iran.,Department of Operating Room, Faculty of Nursing and Midwifery, Kashan University of Medical Sciences, Kashan, Iran
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Sillero Sillero A, Zabalegui A. Satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. SAGE Open Med 2018; 6:2050312118818304. [PMID: 30574305 PMCID: PMC6295759 DOI: 10.1177/2050312118818304] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Accepted: 11/19/2018] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Although numerous studies have assessed patient satisfaction in diverse settings, in the realm of nursing surgical care, standardization of measurement for patient experience and satisfaction is lacking. Therefore, the aim of this study was to assess the satisfaction of surgical patients with perioperative nursing care. METHOD A descriptive cross-sectional survey was conducted. Sociodemographic characteristics and clinical data were recorded. Patient satisfaction was measured with a modified version of the La Monica-Oberst Patient Satisfaction Scale (LOPSS-12). RESULTS 150 patients (73 women, 49% and 77 men; 51%) completed the survey. The mean age was 63 years (standard deviation, 16 years). The mean overall satisfaction score on the La Monica-Oberst Patient Satisfaction Scale was 3.17 (standard deviation, 0.21). The scale showed adequate content validity (Lawshe's Content Validity Index was 0.76) and moderate reliability (Cronbach's alpha = 0.70). Two variables-patient sex and the presence of comorbidities-were significantly associated with overall satisfaction: men and patients with comorbidities were more satisfied with the care received. Patients with university studies were significantly more likely than patients with less education to consider nurses "impatient," but also considered the nurses' advice to be "useful." Patients with hospital-acquired complications were more likely to perceive nurses to be "more interested in completing tasks than in listening," although they also felt that nurses worked "conscientiously." CONCLUSION Overall, patient satisfaction with perioperative nursing care was good. This study identified several areas of nursing care in need of improvement, particularly the need to spend more time with patients and to keep them better informed about the perioperative process. The modified La Monica-Oberst Patient Satisfaction Scale is suitable for measuring surgical patient satisfaction with perioperative nursing care. The findings presented here may be of value to nursing administrators, educators, and nursing care providers to improve patient satisfaction and to develop strategies to prevent patient dissatisfaction.
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Affiliation(s)
| | - Adelaida Zabalegui
- Department of Nursing Research and Education, Hospital Clinic of Barcelona, Barcelona, Spain
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27
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Li Y, Huang K, Cheng Y, Tong Y, Mo J. Pain Management by Nurses in Level 2 and Level 3 Hospitals in China. Pain Manag Nurs 2018; 20:284-291. [PMID: 30425013 DOI: 10.1016/j.pmn.2018.08.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2017] [Revised: 07/01/2018] [Accepted: 08/12/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Pain management practice differs among hospitals in China; however, no studies have examined the association between hospital level and nursing practice of pain management. AIMS To evaluate the nursing practice of pain management in orthopedics wards of level 3 and 2 hospitals and compare the differences in pain management regulations, policies, and perceived barriers. DESIGN This was a cross-sectional descriptive study. SETTING This study was conducted during the 10th International Congress of the Chinese Orthopedic Association, November 19-22, 2015. PARTICIPANTS Subjects: The sample included 121 nurses from China. METHODS Quantitative research methods were used to assess pain management practice by 121 Chinese nurses as well as barriers to nursing practice. RESULTS Nurses in level 3 hospitals were more likely to evaluate patients' pain intensity (85.23% vs. 65.38%, p < .05) and quality (77.27% vs. 53.85%, p < .05) than those in level 2 hospitals. Compared with level 2 hospitals, level 3 hospitals were more likely to participate in the Painless Orthopedics Ward program (53.41% vs. 23.08%, p < .01), conduct pain management knowledge training (88.64% vs. 69.23%, p < .05), and establish pain management regulations (68.18% vs. 34.62%, p < .01). Level 2 hospital nurses reported a higher score for barriers than level 3 hospital nurses (3.27 vs. 2.45, p < .05). CONCLUSIONS Nurses from level 2 hospitals received less education on pain management and also paid less attention to and faced more restrictions for pain management than nurses from level 3 hospitals.
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Affiliation(s)
- Yunxia Li
- Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Kangmao Huang
- Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China
| | - Yan Cheng
- Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, China
| | | | - Jian Mo
- Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
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Grøndahl VA, Kirchhoff JW, Andersen KL, Sørby LA, Andreassen HM, Skaug EA, Roos AK, Tvete LS, Helgesen AK. Health care quality from the patients' perspective: a comparative study between an old and a new, high-tech hospital. J Multidiscip Healthc 2018; 11:591-600. [PMID: 30410346 PMCID: PMC6200069 DOI: 10.2147/jmdh.s176630] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
Purpose Previous studies show that the hospital environment and the behavior of health care personnel may predict patients’ perceptions of care quality. The aim of the study was to explore changes in perceived care quality from the patients’ perspective (QPP) when hospital services are relocated from an old to a new high-tech hospital and to describe what is important for patients in the high-tech hospital. Patients and methods A comparative cross-sectional design was used. The questionnaire QPP, which is based on a theoretical model of the quality of care comprising four quality dimensions, was used. Data were collected in 2015 (old hospital) and 2016 (new hospital), with 253 and 324 respondents, respectively, by consecutive sampling. Comparative statistics was used to test differences between patients’ care quality perceptions (perceived reality [PR] and subjective importance [SI]) (P≤0.05). Results The patients rated PR of all four quality dimensions (the care organization’s physical-technical conditions and sociocultural approach and the caregivers’ medical-technical competence and identity-oriented approach) higher in the new hospital. However, only the two quality dimensions concerning the care organization were rated significantly more highly. On an item level, five of the 27 items scored significantly higher on patients’ SI than on patients’ PR of the care in the new hospital, indicating a quality deficiency from the patients’ perspective. This comprised receiving effective pain relief, receiving examination and treatment within an acceptable waiting time, receiving useful information on self-care, receiving useful information on which doctors were responsible for their medical care, and having a comfortable bed. Conclusion The increase in care QPP was associated with improved environmental conditions, and no significant improvement in care quality was associated with the health care personnel. The results indicate that being in a high-tech environment does not improve patients’ perceptions of care quality provided by health care personnel. The results gave valuable information for quality improvement in clinical practice, based on the patients’ perspective.
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Affiliation(s)
| | - Jörg W Kirchhoff
- Faculty of Health and Welfare, Østfold University College, Halden, Norway,
| | | | | | | | - Eli-Anne Skaug
- Faculty of Health and Welfare, Østfold University College, Halden, Norway,
| | | | - Liv Solveig Tvete
- Faculty of Health and Welfare, Østfold University College, Halden, Norway,
| | - Ann Karin Helgesen
- Faculty of Health and Welfare, Østfold University College, Halden, Norway,
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Tocchioni V, Seghieri C, De Santis G, Nuti S. Socio-demographic determinants of women's satisfaction with prenatal and delivery care services in Italy. Int J Qual Health Care 2018; 30:594-601. [PMID: 29672762 PMCID: PMC6185688 DOI: 10.1093/intqhc/mzy078] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2017] [Revised: 03/07/2018] [Accepted: 03/29/2018] [Indexed: 01/24/2023] Open
Abstract
OBJECTIVE The aim of this study was to examine the extent to which socio-demographic variables affect women's satisfaction regarding antenatal and perinatal care. DESIGN To take into account the role of the context in shaping women's satisfaction, we used multilevel models, with women at the lower level, and the health districts of residence, or the hospitals in which the delivery took place, at the higher level. SETTING Tuscany (Italy). PARTICIPANTS The study is based on a representative survey focused on the satisfaction and experience of 4598 new mothers who gave birth in one of the 25 hospitals in Tuscany (Italy) in 2012. MAIN OUTCOME MEASURES Women's overall satisfaction in the prenatal period and their overall satisfaction during hospitalization for delivery. RESULTS Regarding pregnancy, women's satisfaction increased with age, and was generally higher among foreign women coming from non-Western countries and among highly educated women. Regarding delivery, age proved insignificant, whereas citizenship and education maintained the same association with satisfaction. Contrary to our expectations, the number of previous pregnancies turned out to be insignificant. CONCLUSIONS Our findings suggest that the quality of maternity services was perceived differently in different socio-demographic groups: women's expectations affected satisfaction, but in different ways, in various socio-demographic groups, both during pregnancy and at delivery. Keeping these socio-demographic factors into account in the analysis of satisfaction may help organisations to identify areas where pregnancy and delivery services can be better targeted and where increasing awareness among professionals in their everyday practice is most needed.
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Affiliation(s)
- Valentina Tocchioni
- Department of Statistics, Informatics, Applications ‘G. Parenti’, University of Florence, Viale Morgagni 59, Florence, Italy
| | - Chiara Seghieri
- Management and Health Laboratory, Institute of Management, Scuola Superiore Sant’Anna, Piazza Martiri della Libertà 33, Pise, Italy
| | - Gustavo De Santis
- Department of Statistics, Informatics, Applications ‘G. Parenti’, University of Florence, Viale Morgagni 59, Florence, Italy
| | - Sabina Nuti
- Management and Health Laboratory, Institute of Management, Scuola Superiore Sant’Anna, Piazza Martiri della Libertà 33, Pise, Italy
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Sharew NT, Bizuneh HT, Assefa HK, Habtewold TD. Investigating admitted patients' satisfaction with nursing care at Debre Berhan Referral Hospital in Ethiopia: a cross-sectional study. BMJ Open 2018; 8:e021107. [PMID: 29773703 PMCID: PMC5961596 DOI: 10.1136/bmjopen-2017-021107] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES The aims of the study were (1) to assess the level of patient satisfaction with nursing care and (2) to identify factors influencing patient satisfaction. DESIGN A hospital-based, cross-sectional study was conducted with 252 admitted patients in the medical, surgical and paediatric wards. SETTING Debre Berhan Referral Hospital, Debre Berhan, Ethiopia, with a catchment population of 2.8 million. PARTICIPANTS All patients admitted at least for 2 days and capable of independent communication were included. However, patients were excluded on any one of the following conditions: admitted for less than 2 days, cannot understand Amharic language, with critical illness or cognitive impairment that affects judgement, or inability to provide written informed consent. The mean age of the patients was 37.9 (SD=12.9) years, and half (50.4%) of them were male. PRIMARY OUTCOME MEASURE Patient satisfaction with nursing care, measured by the Newcastle Satisfaction with Nursing Scale, was the outcome variable. Using a mean split approach, patient satisfaction scores were dichotomised into 'satisfied' and 'unsatisfied'. RESULTS 49.2% of patients were satisfied with nursing care. Educational status and history of admission were significant factors influencing patient satisfaction with nursing care. Patients who had high educational status were 80% less satisfied compared with those who had no formal education (p=0.01, OR=0.2, 95% CI 0.1 to 0.7). Patients who had a history of admission were 2.2 times more satisfied compared with those who had no history of admission (p=0.02, OR=2.2, 95% CI 1.2 to 4.2). CONCLUSIONS About half the admitted patients were satisfied with the nursing care. Satisfaction differed significantly by patients' educational attainment and history of admission. This study provided evidence on patient satisfaction with nursing care in Ethiopia. This information may be useful in comparative studies of patient satisfaction and in identifying characteristics that may explain or predict patient satisfaction.
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Affiliation(s)
| | | | | | - Tesfa Dejenie Habtewold
- Department of Nursing, Debre Berhan University, Debre Berhan, Ethiopia
- Department of Epidemiology and Psychiatry, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
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Kol E, Arıkan F, İlaslan E, Akıncı MA, Koçak MC. A quality indicator for the evaluation of nursing care: determination of patient satisfaction and related factors at a university hospital in the Mediterranean Region in Turkey. Collegian 2018. [DOI: 10.1016/j.colegn.2017.03.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Abstract
AIMS AND OBJECTIVES To examine the level of satisfaction with nursing care from nurses' perspectives, as patients and/or as caregivers for hospitalised relatives. BACKGROUND Many studies that have examined patients' satisfaction with nursing care in Jordan and worldwide found high ratings of satisfaction with nursing care among patients. These ratings may be inflated because patients, as the recipients of care, are often unequipped to judge specific aspects of care, unless the patient is also a nurse. METHODS A descriptive cross-sectional design was used. Data were collected using the Patients Satisfaction with Nursing Care Quality Questionnaire. The total sample size was 231 registered nurses from eight hospitals in Jordan. All participating nurses had either experienced hospitalisation for a minimum of 24 hr for themselves or as caregivers for one of their close relatives, currently or within the last year. RESULTS The average age of participants was 31.7 (SD = 0.40) years. Most of the participants were female with <10 years of work experience. The average score for the level of satisfaction was 2.96 of 5, which reflects a moderate level of satisfaction with nursing care. None of the 19 items of the satisfaction scale exceeded the moderate level. The highest mean score of satisfaction level was 3.20 (SD = 1.17) for the skills and competence of nurses, while the lowest mean score was 2.68 (1.22) for the coordination of care after discharge. CONCLUSION Nurses as patients and/or caregivers evaluated the nursing care during their hospitalisation differently in comparison with public patients. The findings indicated that nurses perceived only moderate levels of satisfaction when undergoing experiences of hospitalisation. RELEVANCE TO CLINICAL PRACTICE The findings from this study may help nurses to become more alert for meeting the patients' needs as desired under the best practice.
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Affiliation(s)
| | - Muayyad M Ahmad
- Clinical Nursing Department, School of Nursing, University of Jordan, Amman, Jordan
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Sandsdalen T, Høye S, Rystedt I, Grøndahl VA, Hov R, Wilde-Larsson B. The relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. BMC Palliat Care 2017; 16:66. [PMID: 29212539 PMCID: PMC5719731 DOI: 10.1186/s12904-017-0240-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Accepted: 11/14/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Little is known about the combination of person- and organization- related conditions and the relationships with patients' perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity of clinical practice, and enhance individualized care. The aim was to investigate the relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. METHODS A cross-sectional study, including 191 patients in the late palliative phase (73% response rate) admitted to hospice inpatient care (n = 72), hospice day care (n = 51), palliative units in nursing homes (n = 30) and home care (n = 38), was conducted between November 2013 and December 2014, using the instrument Quality from the Patients' Perspective specific to palliative care (QPP-PC). Data were analysed, using analysis of covariance, to explore the amount of the variance in the dependent variables (QPP-PC) that could be explained by combination of the independent variables - Person- and organization-related conditions, - while controlling for differences in covariates. RESULTS Patients scored the care received and the subjective importance as moderate to high. The combination of person- and organization - related conditions revealed that patients with a high sense of coherence, lower age (person - related conditions) and being in a ward with access to and availability of physicians (organization-related condition) might be associated with significantly higher scores for the quality of care received. Gender (women), daily contact with family and friends, and low health-related quality of life (person-related conditions) might be associated with higher scores for subjective importance of the aspects of care quality. CONCLUSION Healthcare personnel, leaders and policy makers need to pay attention to person- and organization-related conditions in order to provide person-centered palliative care of high quality. Further studies from palliative care contexts are needed to confirm the findings and to investigate additional organizational factors that might influence patients' perceptions of care quality.
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Affiliation(s)
- Tuva Sandsdalen
- Department of Health Studies, Faculty of Public Health, Inland Norway University of Applied Sciences, Post box 400, 2418, Elverum, Norway. .,Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden.
| | - Sevald Høye
- Department of Health Studies, Faculty of Public Health, Inland Norway University of Applied Sciences, Post box 400, 2418, Elverum, Norway
| | - Ingrid Rystedt
- Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden
| | | | - Reidun Hov
- Department of Health Studies, Faculty of Public Health, Inland Norway University of Applied Sciences, Post box 400, 2418, Elverum, Norway
| | - Bodil Wilde-Larsson
- Department of Health Studies, Faculty of Public Health, Inland Norway University of Applied Sciences, Post box 400, 2418, Elverum, Norway.,Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden
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Elayan RM, Ahmad MM. Assessment of the Quality of Nursing Care From Perspectives of Nurses Who Experienced Hospitalization as Patients. J Nurs Care Qual 2017; 32:369-74. [DOI: 10.1097/ncq.0000000000000259] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Palese A, Gonella S, Fontanive A, Guarnier A, Barelli P, Zambiasi P, Allegrini E, Bazoli L, Casson P, Marin M, Padovan M, Picogna M, Taddia P, Salmaso D, Chiari P, Frison T, Marognolli O, Canzan F, Ambrosi E, Saiani L. The degree of satisfaction of in-hospital medical patients with nursing care and predictors of dissatisfaction: findings from a secondary analysis. Scand J Caring Sci 2017; 31:768-778. [DOI: 10.1111/scs.12396] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2016] [Accepted: 09/09/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Alvisa Palese
- Department of Medical and Biological Sciences; Udine University; Udine Italy
| | - Silvia Gonella
- Department of Internal Medicine; Azienda Ospedaliero Universitaria Città della Salute e della Scienza; Turin Italy
| | - Anna Fontanive
- Department of Medical and Biological Sciences; Udine University; Udine Italy
| | - Annamaria Guarnier
- Azienda per i Servizi Sanitari Trento; National Health Service Trust; Trento Italy
| | - Paolo Barelli
- Azienda per i Servizi Sanitari Trento; National Health Service Trust; Trento Italy
| | - Paola Zambiasi
- Azienda per i Servizi Sanitari Trento; National Health Service Trust; Trento Italy
| | - Elisabetta Allegrini
- Azienda Ospedaliera Universitaria Integrata Verona; National Health Service Trust; Verona Italy
| | - Letizia Bazoli
- Fondazione Poliambulanza; National Health Service Trust; Brescia Italy
| | - Paola Casson
- Azienda Unità Sanitaria Locale n. 9; National Health Service Trust; Treviso Italy
| | - Meri Marin
- Azienda per i Servizi Sanitari n. 2 “Isontina”; National Health Service Trust; Gorizia Italy
| | - Marisa Padovan
- Azienda Unità Sanitaria Locale n. 6; National Health Service Trust; Vicenza Italy
| | - Michele Picogna
- Azienda per i Servizi Sanitari n.4 “Medio Friuli”; National Health Service Trust; Udine Italy
| | - Patrizia Taddia
- Istituto Ortopedico Rizzoli; National Health Service Trust; Bologna Italy
| | | | | | - Tiziana Frison
- Azienda Ospedaliero-Universitaria; National Health Service Trust; Padua Italy
| | - Oliva Marognolli
- Azienda Ospedaliera Universitaria Integrata Verona; National Health Service Trust; Verona Italy
| | - Federica Canzan
- Department of Public Health and Community Medicine; Verona University; Verona Italy
| | - Elisa Ambrosi
- Department of Public Health and Community Medicine; Verona University; Verona Italy
| | - Luisa Saiani
- Department of Public Health and Community Medicine; Verona University; Verona Italy
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Raadabadi M, Bahadori M, Ravangard R, Mousavi SM. Comparing the quality of nursing services between two public and private hospitals. International Journal of Healthcare Management 2017. [DOI: 10.1080/20479700.2017.1299669] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Mehdi Raadabadi
- Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Mohammadkarim Bahadori
- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ramin Ravangard
- School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Masood Mousavi
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
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Masino C, Lam TCM. Choice of rating scale labels: implication for minimizing patient satisfaction response ceiling effect in telemedicine surveys. Telemed J E Health 2016; 20:1150-5. [PMID: 25379838 DOI: 10.1089/tmj.2013.0350] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Lack of response variability is problematic in surveys because of its detrimental effects on sensitivity and consequently reliability of the responses. In satisfaction surveys, this problem is caused by the ceiling effect resulting from high satisfaction ratings. A potential solution strategy is to manipulate the labels of the rating scale to create greater discrimination of responses on the high end of the response continuum. This study examined the effects of a positive-centered scale on the distribution and reliability of telemedicine satisfaction responses in a highly positive respondent population. MATERIALS AND METHODS In total, 216 telemedicine participants were randomly assigned to one of three experimental conditions as defined by the form of Likert scale: (1) 5-point Balanced Equal-Interval, (2) 5-point Positive-Packed, and (3) 5-point Positive-Centered Equal-Interval. RESULTS Although the study findings were not statistically significant, partially because of sample size, the distribution and internal consistency reliability of responses occurred in the direction hypothesized. Loading the rating scale with more positive labels appears to be a useful strategy for reducing the ceiling effect and increases the discrimination ability of survey responses. CONCLUSIONS The current research provides a survey design strategy to minimize ceiling effects. Although the findings provide some evidence suggesting the benefit of using rating scales loaded with positive labels, more research is needed to confirm this, as well as extend it to examine other types of rating scales and the interaction between rating scale formats and respondent characteristics.
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Affiliation(s)
- Caterina Masino
- 1 Telehealth Program, UHN- University Health Network , Toronto, Ontario, Canada
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Oskay Ü, Güngör I, Basgöl S. Evaluation of Patients' Satisfaction With Nursing Students' Care on a Perinatology Ward. J Nurs Educ 2016; 54:696-703. [PMID: 26652805 DOI: 10.3928/01484834-20151110-06] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2014] [Accepted: 07/08/2015] [Indexed: 11/20/2022]
Abstract
BACKGROUND The aim of this study was to evaluate patient satisfaction with the care provided by nursing students on a perinatology ward. METHOD The sample for this descriptive study included 210 patients. Data were collected using an interview form and the Turkish version of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale-Short Form. RESULTS According to the mean scores for all subscales in the instrument, patients were highly satisfied with the care they received from the nursing students. Multivariate analysis revealed that the reason for hospitalization was found to be the most statistically significant factor affecting patient perceptions of quality of care. CONCLUSION A high level of satisfaction with the care provided by nursing students indicates that the students were able to meet the patients' needs, which may serve as an indicator of the quality of nursing education and quality of care provided by future nurses.
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Sandsdalen T, Grøndahl VA, Hov R, Høye S, Rystedt I, Wilde-Larsson B. Patients' perceptions of palliative care quality in hospice inpatient care, hospice day care, palliative units in nursing homes, and home care: a cross-sectional study. BMC Palliat Care 2016; 15:79. [PMID: 27553776 PMCID: PMC4995801 DOI: 10.1186/s12904-016-0152-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Accepted: 08/15/2016] [Indexed: 12/25/2022] Open
Abstract
Background Patients’ perceptions of care quality within and across settings are important for the further development of palliative care. The aim was to investigate patients’ perceptions of palliative care quality within settings, including perceptions of care received and their subjective importance, and contrast palliative care quality across settings. Method A cross-sectional study including 191 patients in late palliative phase (73 % response rate) admitted to hospice inpatient care, hospice day care, palliative units in nursing homes, and home care was conducted, using the Quality from the Patients’ Perspective instrument-palliative care (QPP-PC). QPP-PC comprises four dimensions and 12 factors; “medical–technical competence” (MT) (2 factors), “physical–technical conditions” (PT) (one factor), “identity–orientation approach” (ID) (4 factors), “sociocultural atmosphere” (SC) (5 factors), and three single items (S); medical care, personal hygiene and atmosphere. Data were analysed using paired-samples t-test and analysis of covariance while controlling for differences in patient characteristics. Results Patients’ perceptions of care received within settings showed high scores for the factors and single items “honesty” (ID) and “atmosphere” (S) in all settings and low scores for “exhaustion” (MT) in three out of four settings. Patients’ perceptions of importance scored high for “medical care” (S), “honesty” (ID), “respect and empathy” (ID) and “atmosphere” (S) in all settings. No aspects of care scored low in all settings. Importance scored higher than perceptions of care received, in particular for receiving information. Patients’ perceptions of care across settings differed, with highest scores in hospice inpatient care for the dimensions; ID, SC, and “medical care” (S), the SC and “atmosphere” (S) for hospice day care, and “medical care” (S) for palliative units in nursing homes. There were no differences in subjective importance across settings. Conclusion Strengths of services related to identity–orientation approach and a pleasant and safe atmosphere. Key areas for improvement related to receiving information. Perceptions of subjective importance did not differ across settings, but perceptions of care received scored higher in more care areas for hospice inpatient care, than in other settings. Further studies are needed to support these findings, to investigate why perceptions of care differ across settings and to highlight what can be learned from settings receiving high scores.
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Affiliation(s)
- Tuva Sandsdalen
- Department of Health Studies, Faculty of Public Health, Hedmark University of Applied Sciences, Postbox 400, 2418, Elverum, Norway. .,Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden.
| | | | - Reidun Hov
- Department of Health Studies, Faculty of Public Health, Hedmark University of Applied Sciences, Postbox 400, 2418, Elverum, Norway
| | - Sevald Høye
- Department of Health Studies, Faculty of Public Health, Hedmark University of Applied Sciences, Postbox 400, 2418, Elverum, Norway
| | - Ingrid Rystedt
- Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden
| | - Bodil Wilde-Larsson
- Department of Health Studies, Faculty of Public Health, Hedmark University of Applied Sciences, Postbox 400, 2418, Elverum, Norway.,Department of Health Science, Faculty of Health, Science and Technology, Discipline of Nursing Science, Karlstad University, 651 88, Karlstad, Sweden
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Alexiou E, Degl' Innocenti A, Kullgren A, Wijk H. The impact of facility relocation on patients' perceptions of ward atmosphere and quality of received forensic psychiatric care. J Forensic Leg Med 2016; 42:1-7. [DOI: 10.1016/j.jflm.2016.04.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 02/16/2016] [Accepted: 04/27/2016] [Indexed: 11/20/2022]
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Abstract
AIM A large number of studies have addressed the detection of patient satisfaction determinants, and the results are still inconclusive. Furthermore, it is known that contradicting evidence exists across patient satisfaction studies. This article is the second part of a two-part series of research with a goal to review a current conceptual framework of patient satisfaction for further operationalisation procedures. The aim of this work was to systematically identify and review evidence regarding determinants of patient satisfaction between 1980 and 2014, and to seek the reasons for contradicting results in relationships between determinants and patient satisfaction in the literature to design a further robust measurement system for patient satisfaction. METHOD This systematic review followed the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. The search was conducted in PubMed, CINAHL, and Scopus in October 2014. Studies published in full in peer reviewed journals between January 1980 and August 2014 and in the English language were included. We included 109 articles for the synthesis. RESULTS We found several number of determinants of patient satisfaction investigated in a wide diversity of studies. However, study results were varied due to no globally accepted formulation of patient satisfaction and measurement system. CONCLUSIONS Health care service quality indicators were the most influential determinants of patient satisfaction across the studies. Among them, health providers' interpersonal care quality was the essential determinant of patient satisfaction. Sociodemographic characteristics were the most varied in the review. The strength and directions of associations with patient satisfaction were found inconsistent. Therefore, person-related characteristics should be considered to be the potential determinants and confounders simultaneously. The selected studies were not able to show all potential characteristics which may have had effects on satisfaction. There is a need for more studies on how cultural, behavioural, and socio-demographic differences affect patient satisfaction, using a standardised questionnaire.
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Affiliation(s)
- Enkhjargal Batbaatar
- Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; Faculty of Economy and Business Sciences, University of Sannio, Benevento, Italy
| | - Javkhlanbayar Dorjdagva
- Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; The Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - Ariunbat Luvsannyam
- Department of Business Management, Ulaanbaatar University, Ulaanbaatar, Mongolia
| | | | - Pietro Amenta
- Faculty of Economy and Business Sciences, University of Sannio, Benevento, Italy
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42
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Abstract
The quality of ambulance services has an immense impact on patients' future well-being and quality of life. Patient satisfaction is one of the key metrics for evaluating the quality of this service. Yet, the patient satisfaction measurement may be limited in its ability to accurately reflect this service quality, and even reflect factors beyond the patient experiences. We analyze 10 years of survey data to reveal a number of factors that systematically bias ambulance satisfaction ratings. Taking into account these biases provides more robust comparison of ambulance performance over time or across different jurisdictions.
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Affiliation(s)
- Svetlana Bogomolova
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - P J Tan
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - S P Dunn
- a Ehrenberg-Bass Institute for Marketing Science , University of South Australia , Adelaide , Australia
| | - M Bizjak-Mikic
- b The Council of Ambulance Authorities , Victoria , Australia
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Abstract
Background Patient satisfaction is known to positively influence patients’ compliance with medical advice. In Africa, and specifically Uganda, this interaction has rarely been put to scientific inquiry. This study aimed to determine the level of patient satisfaction and identify factors influencing satisfaction with medical consultations among adults attending Mulago Assessment Centre. Methods This was a quantitative descriptive cross-sectional study where 384 respondents were interviewed using a structured questionnaire adapted from the Medical Interview Satisfaction Scale (MISS-21) with a four-point Likert scale. Patient satisfaction was measured using four dimensions namely: information provision, clinicians’ communication skills, perceived consulting time and patient’s confidence in the clinician. Respondents’ mean scores were categorised as satisfied or dissatisfied. Multivariate linear regression analysis assessed the effect of independent variables on the regression factor score of the dependent variable. Significance level was set at p < 0.05. Final data analysis was done using STATA version 11.0. Results Of the sample, 53.9% were satisfied with the medical consultation. Patients’ average scores showed lowest satisfaction for information provision (2.7 points) compared with communication skills (3.22 points), patient confidence in the clinicians (3.22 points) and consultation time (3.05 points). Being older, employed, living further away from the health centre and frequently visiting the centre were positively associated with patient satisfaction. Conclusions Patient satisfaction was largely affected by interpersonal factors. This highlights the need for training of clinicians on the importance of adequate information provision, good communication skills and technical competences like thorough examination of patients and relieving worries about illness during the consultation.
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Affiliation(s)
- Angella Kabatooro
- Department of Family Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Fred Ndoboli
- Department of Family Medicine, Makerere University College of Health Sciences, Kampala, Uganda
| | - Jane Namatovu
- Department of Family Medicine, Makerere University College of Health Sciences, Kampala, Uganda
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Köberich S, Feuchtinger J, Farin E. Factors influencing hospitalized patients' perception of individualized nursing care: a cross-sectional study. BMC Nurs 2016; 15:14. [PMID: 26937220 PMCID: PMC4774135 DOI: 10.1186/s12912-016-0137-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 02/24/2016] [Indexed: 11/30/2022] Open
Abstract
Background Individualized care is a cornerstone of patient-centered nursing care. To foster individualized care, influencing factors should be known. The aim of this study was to identify the individual and organizational factors influencing hospitalized patients’ perception of individualized care. Methods A cross-sectional study was conducted of 606 patients from 20 wards from five hospitals across Germany. Individualized care and potential influencing factors were assessed via structured questionnaires. To identify influencing factors, we applied a hierarchical linear model with two levels. Results Self-rated health, length of ward stay, educational level and shared decision-making process about nursing care were perceived to influence individualized care. A higher rating of health and longer ward stay correlated with improved perceptions of individualized nursing care. In addition, an educational level of nine or fewer years and a perceived shared decision-making process about nursing care positively influenced the perception of nursing care as being tailored to individual needs. Conclusions Several factors influence patients’ perception of individualized care. However, only the decision-making process can be actively influenced by nurses. Therefore, nurses should be encouraged to promote shared decision-making regarding patients’ nursing care. Trial number DRKS00005174 (Date of registration: 2013/08/01).
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Affiliation(s)
- Stefan Köberich
- Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstr. 21, 79106 Freiburg, Germany ; Pflegedirektion, Heart Center - University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
| | - Johanna Feuchtinger
- Quality and Development in Nursing Care, Medical Center - University of Freiburg, Breisacher Str. 62, Freiburg, Germany
| | - Erik Farin
- Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstr. 21, 79106 Freiburg, Germany
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45
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Yılmaz E, Birer Z, Baydur H. The Effect of Therapeutic Touch Performed During Cataract Surgery on Anxiety and Patient Satisfaction. J Clin Exp Invest 2016. [DOI: 10.5799/jcei.328682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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46
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Goh ML, Ang ENK, Chan YH, He HG, Vehviläinen-Julkunen K. A descriptive quantitative study on multi-ethnic patient satisfaction with nursing care measured by the Revised Humane Caring Scale. Appl Nurs Res 2016; 31:126-31. [PMID: 27397830 DOI: 10.1016/j.apnr.2016.02.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2015] [Revised: 11/25/2015] [Accepted: 02/13/2016] [Indexed: 10/22/2022]
Abstract
AIM To determine patients' satisfaction with nursing care during hospitalization. BACKGROUND Limited studies reporting patients' satisfaction with quality of nursing care in Singapore. METHOD A descriptive study was conducted in a tertiary hospital in Singapore. RESULTS Data were collected from 270 adult patients using the Revised Humane Caring Scale. Patients were moderately satisfied with the nursing care. There were significant differences of patients' level of satisfaction between/among socio-demographic subgroups including ethnicity, gender, reasons for admission and disciplines. Chinese patients were least satisfied with nursing care. The patients were most satisfied with 'Respecting patient's feeling' (mean=82.29, SD=14.50) and least satisfied with 'Communication and participation' (mean=62.00, SD=16.46). CONCLUSION Our results reinforced the need to pay more attention to patient information provision and effective communication, which could improve patient satisfaction. The multi-ethnic patients valued respect as an influential attribute in quality nursing care.
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Affiliation(s)
- Mien Li Goh
- Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Finland; Evidence Based Nursing Unit, National University Hospital, Singapore.
| | - Emily N K Ang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Cancer Institute Singapore, National University Health System, Singapore
| | - Yiong-Huak Chan
- Yong Loo Lin School of Medicine, National University Health System, Singapore
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Katri Vehviläinen-Julkunen
- Department of Nursing Science, University of Eastern Finland; Kuopio University Hospital, Kuopio, Finland
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47
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Voutilainen A, Pitkäaho T, Kvist T, Vehviläinen-Julkunen K. How to ask about patient satisfaction? The visual analogue scale is less vulnerable to confounding factors and ceiling effect than a symmetric Likert scale. J Adv Nurs 2015; 72:946-57. [PMID: 26689434 DOI: 10.1111/jan.12875] [Citation(s) in RCA: 194] [Impact Index Per Article: 21.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2015] [Indexed: 11/30/2022]
Abstract
AIMS To study the effects of scale type (visual analogue scale vs. Likert), item order (systematic vs. random), item non-response and patient-related characteristics (age, gender, subjective health, need for assistance with filling out the questionnaire and length of stay) on the results of patient satisfaction surveys. BACKGROUND Although patient satisfaction is one of the most intensely studied issues in the health sciences, research information about the effects of possible instrument-related confounding factors on patient satisfaction surveys is scant. DESIGN A quasi-experimental design was employed. A non-randomized sample of 150 surgical patients was gathered to minimize possible alterations in care quality. METHODS Data were collected in May-September 2014 from one tertiary hospital in Finland using the Revised Humane Caring Scale instrument. New versions of the instrument were created for the present purposes. In these versions, items were either in a visual analogue format or Likert-scaled, in systematic or random order. The data were analysed using an analysis of covariance and a paired samples t-test. RESULTS The visual analogue scale items were less vulnerable to bias from confounding factors than were the Likert-scaled items. The visual analogue scale also avoided the ceiling effect better than Likert and the time needed to complete the visual analogue scale questionnaire was 28% shorter than that needed to complete the Likert-scaled questionnaire. CONCLUSION The present results supported the use of visual analogue scale rather than Likert scaling in patient satisfaction surveys and stressed the need to account for as many potential confounding factors as possible.
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Affiliation(s)
- Ari Voutilainen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Taina Pitkäaho
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Tarja Kvist
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Katri Vehviläinen-Julkunen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.,Kuopio University Hospital, Kuopio, Finland
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48
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Abstract
The study aimed to identify methodological confounding factors affecting patient satisfaction survey results. The data gathered from CINAHL and PubMed databases consisted of 355 surveys published from 2006 to 2012. Linear regression and Bayesian models, with seven potential survey-related confounders together with patient age and gender as explanatory variables, were constructed. According to the linear model, up to 12% of the original variation in patient satisfaction was explained by confounding variables, not by the actual variation in satisfaction. The presence of an interviewer resulted in lower satisfaction levels, and the satisfaction results correlated negatively with the number of items in the questionnaire. According to the Bayesian model, if patients were over 60 years old and the questionnaire consisted mainly of positively phrased items, the probability of rating their experiences as very satisfied was 75%. The Bayesian and linear models endorsed each other and revealed specifically that the surveys reporting high patient satisfaction could be predicted on the basis of confounding variables. The following recommendations are given for constructing a patient satisfaction survey: use neutral rather than negatively or positively phrased items, and use enough items to increase the likelihood that the least satisfactory care components are also included in order to better enable comparisons across sporadic surveys.
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Affiliation(s)
- Ari Voutilainen
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Taina Pitkäaho
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Katri Vehviläinen-Julkunen
- Department of Nursing Science, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland
| | - Paula R Sherwood
- Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, USA
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49
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Dorigan GH, Oliveira HC, Guirardello EDB. PREDICTORS OF PATIENTS' EXPERIENCES AND SATISFACTION WITH NURSING CARE IN MEDICAL-SURGICAL WARDS. Texto contexto - enferm 2015. [DOI: 10.1590/0104-0707201500002520014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify predictors of experiences and patient satisfaction with nursing care and compare the psychometric properties of the Brazilian version and the original version of the Newcastle Satisfaction with Nursing Scales. This is a cross-sectional study with 351 patients in medical-surgical units of a teaching hospital. The multiple linear regression method was used for data analysis. Satisfaction with nursing care in general was the predictor for experiences (p<0.0001) and satisfaction (p<0.0001). Other predictors of satisfaction with nursing care were age (p=0.027), education level (p=0.024) and satisfaction with hospitalization (p=0.021). We conclude that the Brazilian version of the instrument demonstrated satisfactory reliability and validity. In addition, it is easier to use and less expensive.
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50
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Abstract
Lately, individualized nursing care and patient satisfaction are important and current issues being discussed. But there is not enough information for patients undergoing orthopaedic surgery. The aim of this study was to determine the individualized care perception and satisfaction in nursing care levels in orthopaedic surgery patients. This descriptive cross-sectional study was conducted with 156 patients who underwent orthopaedic surgery. Data were collected using the personal information form, the Individualized Care Scale, and the Newcastle Satisfaction With Nursing Scale. The Spearman correlation analysis and descriptive statistics were performed. The mean individualized care and satisfaction with nursing care scores were found to be close to the preset maximum value, and it was determined that an increase in the level of awareness about nursing interventions and the level of perceived individualized care caused an increase in satisfaction levels regarding nursing care. Nurses should recognize the importance of performing individualized care in order to increase the level of satisfaction with nursing care in orthopaedic surgery patients.
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