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At least 19 recordsLinked to original sources

Jordanian nurses' job satisfaction, patients' satisfaction and quality of nursing care.

PURPOSE: To study nurses' job satisfaction, patients' satisfaction, and quality of nursing care in a Jordanian educational hospital. DESIGN: A descriptive cross-sectional comparative design was used. The total populations at the educational hospital where the study was conducted were: 200 nurses (response rate 60%), 510 patients (response rate 49%), and 26 head nurses (NHs) (response rate 92%). Mueller/McCloskey Satisfaction Scale (MMSS) 1990; Eriksen's (1988) scale of The Satisfaction with Nursing Care; and Quality of Nursing Care Questionnaire-Head Nurse of Safford & Schlotfeldt (1960) were used to measure the phenomena of interest. FINDINGS: Nurses were 'neither satisfied nor dissatisfied' in their jobs, nurses who work in wards reported a slightly better job satisfaction than nurses who work in critical care units. Patients reported that they were 'moderately' satisfied, and head nurses reported that nurses 'usually (practically)' provide a high of quality of nursing care. There were no significant differences between critical care units and wards in regard to patients' satisfaction and quality of nursing care. CONCLUSIONS: Jordanian nurses' job satisfaction is on the borderline, which arguably requires more interventions. Patients' satisfaction and quality of nursing care have to be enhanced to reach the levels of 'very satisfied' and 'always' consecutively.

Adult↗

Studying patient satisfaction: patient voices of quality.

The purpose of this qualitative research study was to describe the lived experience and satisfaction of 20 patients after discharge from two acute care rural hospitals. Issues involved in measuring patient satisfaction are discussed in this article. Results of the research are discussed within the themes of (1) knowledgeable watchfulness, (2) thoughtful presencing, and (3) hospital: home and homeless. One pattern, nursing as a bridge, was found throughout the interviews. The authors recommend incorporating qualitative components in the study of patient satisfaction to capture the subtle, invisible ways that nursing interventions can enhance patient satisfaction with quality health care.

Acute Disease↗

Rethinking patient satisfaction: patient experiences of an open access flexible sigmoidoscopy service.

The high morbidity and mortality rates for colo-rectal cancer in Teesside, UK, have led to the initiation of an open access service in two local National Health Service Trust hospitals. This paper reports the results of a pilot patient satisfaction study of the service using a combination of participant-observation, in-depth interviews and questionnaire methods. Although offering a standardised service, ethnographic study revealed interesting differences in practice and follow-up procedures between the two hospitals. Patients, both verbally and on paper, expressed high levels of satisfaction with the services offered at both hospitals, yet in-depth, qualitative research revealed a more complex picture. The evidence from this research will be used to argue that standard consumer satisfaction questionnaires of health provision are inadequate indicators of patients' experience of health care delivery.

Adult↗

The measurement of patient satisfaction.

Patient satisfaction is an important quality outcome indicator of health care in the hospital setting. The measurement of patients' satisfaction with nursing is particularly important since nursing service is often a primary determinant of overall satisfaction during a hospital stay. This article reports on a study designed to update and revise the definition of patient satisfaction for application with ambulatory surgical patients and to develop a questionnaire that captures this definition. The Patient Satisfaction Scale, which specifically focuses on patient satisfaction with nursing care and is used extensively by nursing researchers, was selected for factor analytical examination. Psychometric testing resulted in a 15-item scale with three underlying dimensions.

Ambulatory Surgical Procedures↗

Can healthcare providers at a university health clinic predict patient satisfaction?

Patient satisfaction in university health settings has received little research attention, and it is unclear whether the issue is being addressed in college health clinics. Because providers may make their own evaluations of patient satisfaction in the absence of other information, the authors conducted a study to determine whether healthcare providers at a university health clinic could accurately assess patient satisfaction. Ten providers completed a 10-item questionnaire immediately following the medical encounter to rate their perceptions of selected patients' levels of satisfaction. After seeing a healthcare provider, 201 patients completed a comparable questionnaire indicating how satisfied they were with the experience. Responses of providers and patients were compared, using a paired-sample t test. The results showed that providers' ratings were significantly lower than patients' ratings, indicating that providers were unable to judge patient satisfaction accurately. The results suggest that formal evaluations of patient satisfaction should be included in college health services.

Adolescent↗

Extraction of the third molar and patient satisfaction.

Patient satisfaction is an important outcome measure of health care. This study was designed to evaluate patient satisfaction with extraction of the third molar in relation to certain criteria involving structure, process, and outcome. A 16-item patient-satisfaction questionnaire was developed and mailed to 262 patients who had third molars extracted in a university-based clinical department during an 18-month period. The returned questionnaires were subjected to a factor analysis by means of the varimax method; the analysis yielded three "clusters" that we labeled "general satisfaction," "interpersonal satisfaction," and "satisfaction with cost." Two-tailed Student's t tests were used to relate the clinical data to each area of satisfaction. There were a total of six statistically significant interactions in the data matrix at the 0.05 level. Three of these pertained to general satisfaction and three to interpersonal satisfaction. The methods used in this study can be used to relate components of patient satisfaction to elements of dental care.

Consumer Behavior↗

Correlation among physical impairments, pain, disability, and patient satisfaction in patients with chronic neck pain.

OBJECTIVE: To investigate the correlations among pain, physical impairments, disability, and patient satisfaction in patients with chronic neck pain. DESIGN: A longitudinal cohort study with 6-month follow-up. SETTING: Institutional practice. PARTICIPANTS: Subjects (N=218) with chronic neck pain. INTERVENTIONS: Subjects were treated with different physiotherapy modalities. MAIN OUTCOME MEASURES: Data were obtained for self-reported disability, verbal numeric pain scale, patient satisfaction, and 2 measures of physical impairments during the initial visit, at 6 weeks, and finally at 6 months. RESULTS: The correlation among 4 sets of measurements varied. Moderate correlation was noted between disability and patient satisfaction ( r range, .50-.65), and between disability and pain ( r range, .55-.63). A fair relationship was found between pain and patient satisfaction ( r range, .43-.48), but only weak relationships were found between physical impairments and pain ( r range, -.08 to -.25). The correlations tended to increase in the follow-up assessments. CONCLUSIONS: No strong correlations were found among disability, patient satisfaction, pain, and physical impairments although the correlations tended to increase in the follow-up assessments. The findings support the suggestion that clinicians should address as many relevant aspects of a presenting clinical entity as possible in the management of chronic neck pain.

Adult↗

Hybrid advanced Ilizarov techniques: analgesia use and patient satisfaction.

Patients involved in the initial Western application of the Ilizarov technique experienced frequent pain and could not tolerate the device. With "hybrid advanced" Ilizarov techniques, half-pins and other components are added to minimize these adverse reactions. In this study of advanced techniques, we determined patient satisfaction (with end results), device tolerance, pain levels, and need for analgesia. These techniques used at least 1 half-pin on each ring--except for the distal tibial ring, which had 3 transfixing wires--perpendicular to either another half-pin or a transfixing wire. Eighty-one consecutive patients treated with advanced techniques were prospectively studied until the treatment was completed and the device removed. All patients received intravenous analgesia while hospitalized. Narcotic and non-narcotic analgesia was available to all patients, and analgesia use was measured. In addition, patient satisfaction and pain level were recorded. All patients were satisfied with end results and tolerated the device prescribed by their physician. Mean postoperative hospitalization was 5.1 days. Upon discharge from the hospital, 3 patients (3.7%) with moderate pain used postoperative narcotics for a mean of 6 days (range, 1-11 d), and 41 patients (50.6%) with mild pain used over-the-counter non-narcotic analgesia or prescription antiinflammatory medication for a mean of 4.4 days (range, 1-35 d). The other 37 patients (45.7%) were comfortable and did not require analgesia. In general, patients undergoing hybrid-advanced Ilizarov techniques infrequently needed postoperative analgesia.

Adolescent↗

Patients' desires and expectations for medical care: a challenge to improving patient satisfaction.

Patients' desires and expectations for medical care warrant scrutiny because of their potential influence on health care use and patient satisfaction and their effects on patients' perceptions of quality of care. To determine if desires and expectations for selected elements of medical care and specialty referral differ between VA outpatients and non-VA outpatients, we conducted a cross-sectional survey of patients at a VA medical center site and 2 primary care sites of its university affiliate. Of 390 eligible patients at the VA medical center site, 270 (69%) consented to participate and returned completed self-administered questionnaires. At its university affiliate sites, 119 (73%) of the 162 eligible patients completed questionnaires. Overall, patient desire and expectation for elements of medical care and specialty referral were similar and high at all study sites. Desire ranged from 33% for a blood test to check for anemia to 80% for heart auscultation. Desire for specialty referral for hypothetical scenarios averaged 71% and 61% among VA Medical Center patients and university affiliate patients, respectively. Patient demographics and socioeconomic status were poor predictors of desire for care. These results suggest (a) that VA medical center outpatients' desires and expectations for preventive medical care are not significantly different from those of non-VA outpatients, (b) that desire is often high for both highly recommended care and care that is not generally recommended or is controversial, and (c) that high levels of desire are not limited to patients of higher levels of socioeconomic status. In an effort to improve satisfaction, it is important to examine ways in which to address patients' desires and expectations for medical care, even while faced with competing health care spending priorities.

Aged↗

Organizational factors, nurses' job satisfaction, and patient satisfaction with nursing care.

For this research study, the authors explored differences and relationships among the job satisfaction of registered nurses, patient satisfaction with nursing care, nursing care delivery models, organizational structure, and organizational culture. There were no differences in nurses job satisfaction or patient satisfaction with nursing care in different organizational structures or where different nursing care delivery models were used. A supportive environment was most important to the job satisfaction of nurses.

Adult↗

[Quality of psychiatric treatment. Determined by patient satisfaction].

Patient satisfaction with inpatient and outpatient psychiatric treatment in a community-oriented care organization was studied. The study included 155 psychiatric patients, who were invited to participate in a semi-structured interview one year following their first admission to a psychiatric hospital. The response rate was 65%. The patients were asked to evaluate the treatment provided during the first year following the first day of their admission. The level of satisfaction varied for different aspects of treatment. It was high with regard to global improvement, general satisfaction, and participation of relatives and low with regard to the quality of inpatient-care, extent of aftercare, coordination between services, information and influence on treatment. In the open-ended questions many patients expressed dissatisfaction with the amount of time available with the caregivers, especially the doctors. In general, satisfaction with specific areas of treatment was related to overall satisfaction.

Adolescent↗

Relationship between nurse caring and patient satisfaction in patients undergoing invasive cardiac procedures.

Cardiac patients (N = 73) undergoing interventional cardiology studies reported perceptions of nurse caring and patient satisfaction with care. A moderately strong relationship (r = 0.53, p = 0.01) between caring and satisfaction was found. Male and female subjects did not differ on perceptions of caring and patient satisfaction. Since caring is considered fundamental to the nature of nursing, practicing nurses must appreciate its connection to outcomes, such as patient satisfaction.

Adult↗

Obstetric patient satisfaction: asking patients what they like.

OBJECTIVE: This study was undertaken to determine pertinent attributes of women's hospital experience related to the delivery of their children and to use open-ended responses from women to develop a taxonomy for classifying patient satisfaction in obstetrics. STUDY DESIGN: By using clinimetric methods, we interviewed 67 obstetric patients during their postpartum hospital stays, asking open-ended questions about their satisfaction with care. Responses were transcribed, arranged into distinct groups, and organized as a taxonomy of patient satisfaction. RESULTS: The final taxonomy derived from patient responses was divided into six main axes related to physicians, nurses, other staff, special services, hospital attributes, and personal focus; a total of 51 individual items were identified related to patient satisfaction. These items have face validity, and many are not routinely included in assessments of patient satisfaction. CONCLUSION: A simple strategy of using open-ended questions leads to a clinically relevant and easily understood classification scheme for patient satisfaction with in-hospital obstetric services.

Female↗

Patient satisfaction with anaesthesia care: what is patient satisfaction, how should it be measured, and what is the evidence for assuring high patient satisfaction?

Patient satisfaction is a part of outcome quality. Many theories of satisfaction include patients' expectation. One definition of satisfaction is therefore the degree of congruence between expectation and accomplishment. The involvement of patients as well as experts is therefore an important step in the development of an instrument to measure patient satisfaction. Results of single-item ratings or overall satisfaction surveys are over-optimistic and do not represent the true indication of care. The construction of highly standardized (psychometric) questionnaires should include elements of content validity, criterion and construct validity, reliability and practicability. Based on the few available studies in anaesthesia, patient satisfaction is primarily determined by information and communication. There is great potential for improvement in this area. However, we do not know the best way to continuously improve patient satisfaction with anaesthesia care, or to what extent decisions should be shared between the anaesthetist and the patient.

Anesthesia↗

The hierarchical structure of geriatric patient satisfaction. An Older Patient Satisfaction Scale designed for HMOs.

This paper describes an instrument design effort aimed at measuring patient-satisfaction among older (65 years and over) subscribers of HMOs. The study was conducted in a multi-satellite prepaid group practice in Buffalo, New York. In order to be able to construct a satisfaction measure that would reflect the interests of the actual consumers of HMO-services, a series of four focused group interviews were held with 24 randomly selected elderly enrollees. The substantive content of these interviews was systematically analyzed for both topics and ideas, yielding a total of 173 distinct ideas about the perceived satisfaction with the services received expressed over 3,176 lines of narrative. From this substantive pool, sixty attitudinal statements were constructed with the ideas represented in these statements being proportional to the number of lines of transcribed discussion devoted to each topic. This 60-item Older Patient Satisfaction Scale (OPSS) was submitted to a systematic sample of 229 elderly HMO subscribers. They also were asked to complete two existing scales: the Ware PSQ, and the Larsen CSQ-8. Factor analysis performed on the OPSS-items yielded 14 primary factors of geriatric patient satisfaction, two second-order and one third order general factor. As the second-order factors accounted for the largest proportion of the common variance, those items of the original 60-item OPSS were identified that had highest loadings on these second-order factors, yielding 7 such items for one and 5 for the other. These scales had alpha-reliabilities of .83 and .80, respectively. It was also found that the OPSS had good convergent validity with the PSQ and CSQ-8. The overall psychometric properties identified for the OPSS, as well as the fact that it was constructed from a health-care consumer's perspective, makes it well suited for use with a unique and rapidly expanding geriatric patient population.

Aged↗