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Nurmeksela A, Kulmala M, Kvist T. Patient satisfaction - results of cluster analysis of finnish patients. BMC Health Serv Res 2023; 23:629. [PMID: 37312180 DOI: 10.1186/s12913-023-09625-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 05/31/2023] [Indexed: 06/15/2023] Open
Abstract
BACKGROUND Healthcare providers must understand patients' expectations and perceptions of the care they receive to provide high-quality care. The purpose of this study is to identify and analyse different clusters of patient satisfaction with the quality of care at Finnish acute care hospitals. METHODS A cross-sectional design was applied. The data were collected in 2017 from three Finnish acute care hospitals with the Revised Humane Caring Scale (RHCS) as a paper questionnaire, including six background questions and six subscales. The k-means clustering method was used to define and analyse clusters in the data. The unit of analysis was a health system encompassing inpatients and outpatients. Clusters revealed the common characteristics shared by the different groups of patients. RESULTS A total of 1810 patients participated in the study. Patient satisfaction was categorised into four groups: dissatisfied (n = 58), moderately dissatisfied (n = 249), moderately satisfied (n = 608), and satisfied (n = 895). The scores for each subscale were significantly above average in the satisfied patient group. The dissatisfied and moderately dissatisfied patient groups reported scores for all six subscales that were clearly below the average value. The groups significantly differed in terms of hospital admission (p = .013) and living situation (p = .009). Patients representing the dissatisfied and moderately dissatisfied groups were acutely admitted more frequently than patients in other groups and were more likely to live alone than satisfied and moderately satisfied patients. CONCLUSION The results mostly demonstrated high levels of patient satisfaction; however, the perceptions of minority populations of dissatisfied patients should be assessed to identify shortcomings in the care provided. More attention should be paid to acutely admitted patients who are living alone and the pain and apprehension management of all patients.
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Affiliation(s)
- Anu Nurmeksela
- Faculty of Health Sciences, Department of Nursing Science, University Lecturer University of Eastern Finland, P.O. Box 1627, Kuopio, 70211, Finland.
| | - Markus Kulmala
- Faculty of Sport and Health Sciences, University of Jyväskylä, Research Centre for Health Promotion, P.O. Box 35, Jyväskylä, FI-40014, Finland
| | - Tarja Kvist
- Department of Nursing Science, University of Eastern Finland, Kuopio Campus, P.O. Box 1627, Kuopio, 70211, Finland
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Alcalá-Jiménez I, Delgado-Hito P, Benito-Aracil L, Martínez-Momblan MA, Muñóz-Rey P, Otero-García I, Sánchez-Pamplona C, Romero-García M. National validation of the nursing Intensive-Care satisfaction scale: Research protocol. Nurs Open 2023. [PMID: 37157228 DOI: 10.1002/nop2.1777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 02/19/2023] [Accepted: 04/16/2023] [Indexed: 05/10/2023] Open
Abstract
AIM Validate the Nursing Intensive-Care Satisfaction Scale in ICUs throughout Spain. Identify the improvement strategies recommended by the patients and professionals. DESIGN Quantitative psychometric methodology and a cross-sectional descriptive correlational design. METHODS The study population will be all patients discharged from 19 participating ICUs in Spain. Consecutive sampling (n = 564). Once discharged from the ICUs, they will receive the questionnaire and then, after 48 hours it will be given to them again to analyse the temporal stability. To validate the questionnaire, the internal consistency (Cronbach's Alpha) and temporal stability (test-retest) will be analysed. RESULTS Improve the quality of nursing care by modifying, changing or strengthening behaviours, skills, attitudes or areas for improvement involved in the process.
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Affiliation(s)
- Isidro Alcalá-Jiménez
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
- International Research Project: Proyecto HU-CI, Madrid, Spain
| | - Llúcia Benito-Aracil
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
| | - María Antonia Martínez-Momblan
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- Center for Biomedical Research in Mental Health Network (CIBERSAM), Madrid, Spain
| | - Pilar Muñóz-Rey
- Intensive Care Unit, Hospital Germans Trias i Pujol, Barcelona, Spain
| | - Irene Otero-García
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Cristina Sánchez-Pamplona
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
- International Research Project: Proyecto HU-CI, Madrid, Spain
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3
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Whelihan K, Modica C, Bay RC, Lewis JH. Patient and Staff Satisfaction and Experience While Transforming Health Center Systems. Risk Manag Healthc Policy 2022; 15:2115-2124. [PMID: 36386560 PMCID: PMC9664910 DOI: 10.2147/rmhp.s375983] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 10/31/2022] [Indexed: 06/27/2024] Open
Abstract
INTRODUCTION Patient satisfaction and experience are important measures of overall quality of care. In 2017, the National Association of Community Health Centers (NACHC) launched an initiative to facilitate changes across organizational systems within Federally Qualified Health Centers (FQHCs) with the goal of improving value-driven care. METHODS NACHC worked with eight health centers, four in Georgia and four in Iowa, along with their state Primary Care Associations, to apply the Value Transformation Framework (VTF). This framework distills evidence-based practices into practical knowledge for goal-driven systems change. It provides actionable steps to help health centers reach value-driven goals of improved health outcomes, improved patient and staff experience, reduced costs, and improved equity (referred to as the Quintuple Aim goals). This paper reports on the patient and staff experience when applying VTF systems changes to improve colorectal cancer screening rates. RESULTS Patient and staff satisfaction and experience remained highly rated even after extensive organizational changes were implemented as part of this project. Implementation of a systems-approach to organizational change, through application of the VTF, did not negatively impact patient or staff experiences. CONCLUSION Patient and staff satisfaction and experience were positive despite the application of the VTF and systems-wide organizational changes. These experience results were alongside improved cancer screening rates, as observed from full project results. Investigators are encouraged that the application of systems change using the VTF may result in the achievement of Quintuple Aim goals without disrupting the experience of patients and staff. Investigators recommend continued exploration of this transformation approach.
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Affiliation(s)
- Kate Whelihan
- Department of Public Health, A.T. Still University of Health Sciences, School of Osteopathic Medicine in Arizona, Mesa, AZ, USA
| | - Cheryl Modica
- Quality Center, National Association of Community Health Centers, Bethesda, MD, USA
| | - R Curtis Bay
- Department of Interdisciplinary Health Sciences, A.T. Still University of Health Sciences, Arizona School of Health Sciences, Mesa, AZ, USA
| | - Joy H Lewis
- Department of Public Health, A.T. Still University of Health Sciences, School of Osteopathic Medicine in Arizona, Mesa, AZ, USA
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4
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Dinsa K, Gelana Deressa B, Beyene Salgedo W. Comparison of Patients Satisfaction Levels Toward Nursing Care in Public and Private Hospitals, Jimma, Ethiopia. NURSING: RESEARCH AND REVIEWS 2022. [DOI: 10.2147/nrr.s380630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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5
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Effects of Hospital Decentralization Processes on Patients’ Satisfaction: Evidence from Two Public Romanian Hospitals across Two Decades. SUSTAINABILITY 2022. [DOI: 10.3390/su14084818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Patient satisfaction represents an essential indicator in assessing healthcare quality, as it is an extensive source of information regarding the healthcare provider’s ability to meet patients’ expectations and is a key predictor of patients’ behavioral approaches. The purpose of this study is to evaluate the degree of satisfaction of patients who have been admitted for inpatient hospitalization in two public hospitals located in the North-West of Romania, during two different periods of administration/management of healthcare services, in the context of an ongoing decentralization process of public healthcare services (initiated in 2010). An exploratory study was conducted in the period of April–December 2021, based on a patient satisfaction survey, through which the quality of in-hospital services was evaluated at present and up until 2010, by the hospitalized patients in both periods. In total, 208 survey responses were validated and analyzed. The chi-square test and t-test were used for statistical processing. The results of the survey revealed that the percentage of patients that evaluated the inpatient experience as excellent was significantly higher during the period when hospitals were administered by local authorities than during the period of centralized administration (68.27% vs. 28.37%; p < 0.001), both in medical care as well as in hospital hotel services (71.63 vs. 29.81%), respectively (56.25 vs. 27.40; p < 0.001). The results obtained from this survey indicate that the decentralization of hospital units has had a positive effect on the quality of inpatient medical services and highlight the need for formulating and finalizing a policy aimed at developing and enhancing medical services.
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Riviere M, Duprez V, Dufoort H, Beeckman D, Van Hecke A, Verhaeghe S. The development and psychometric validation of the interpersonal geriatric care relationship (InteGer) tool. J Adv Nurs 2021; 77:3571-3583. [PMID: 33951224 DOI: 10.1111/jan.14882] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 02/22/2021] [Accepted: 04/18/2021] [Indexed: 11/29/2022]
Abstract
AIM To develop and psychometrically test the Interpersonal Geriatric care relationship tool. BACKGROUND The quality of nursing care is highly influenced by the quality of the interpersonal care relationship, yet there are no tools available that capture the conceptual breadth of the interpersonal care relationship. DESIGN Instrument development and psychometric testing of the content and construct validity, factor structure and reliability. METHODS A four-phased validation procedure was conducted (January 2016-April 2019): defining the construct measured by the tool, tool development, content validation and psychometric evaluation. RESULTS The 30-item Interpersonal Geriatric care relationship tool was subjected to exploratory factor analysis. Four components (humanization, attentiveness, interest and accessibility) were extracted. The tool demonstrated discriminating power and good internal consistency. Cronbach's alphas for the components ranged between 0.69 and 0.84. CONCLUSION The Interpersonal Geriatric care relationship tool is a valuable measure that can be used by scientists, educators and healthcare professionals to benchmark the interpersonal care relationship culture in hospitals and optimize the quality of care.
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Affiliation(s)
- Melissa Riviere
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Department Health Care, VIVES University College, Roeselare, Belgium.,AZ Delta, General Hospital, Roeselare, Belgium
| | - Veerle Duprez
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
| | | | - Dimitri Beeckman
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden.,School of Nursing and Midwifery, Royal College of Surgeons in Ireland (RCSI, Dublin, Ireland
| | - Ann Van Hecke
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Nursing Department, Ghent University Hospital, Ghent, Belgium
| | - Sofie Verhaeghe
- Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Department Health Care, VIVES University College, Roeselare, Belgium
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Gonella S, Di Giulio P, Palese A, Dimonte V, Campagna S. Qualitative research on end-of-life communication with family carers in nursing homes: A discussion of methodological issues and challenges. Nurs Open 2021; 8:180-190. [PMID: 33318826 PMCID: PMC7729536 DOI: 10.1002/nop2.617] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2020] [Revised: 06/16/2020] [Accepted: 08/17/2020] [Indexed: 11/10/2022] Open
Abstract
Aim To identify and summarize the challenges of conducting qualitative research exploring end-of-life communication between healthcare providers and bereaved family carers in nursing homes. Design A descriptive qualitative study based on in-the-field-notes and research diaries collected during a primary study involving 32 bereaved family carers and 14 nurses across 13 Italian nursing homes in 2018-2019. Methods Two trained female nurses conducted semi-structured, in-depth, open-ended interviews and recorded "in action" (i.e. reflections reported as in-the-field-notes) and "on action" (i.e. retrospective reflections within the team reported immediately in the research diaries) narratives, with the aim of identifying challenges encountered during the research process. A content analysis process was performed to analyse the narratives collected. Results We identified three major categories of challenges: (a) obtaining approval from the ethical committee; (b) approaching nursing homes and family carers; and (c) dealing with participant-related impairments (i.e. memory, emotional, physical).
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Affiliation(s)
- Silvia Gonella
- Department of Biomedicine and PreventionUniversity of Roma Tor VergataRomaItaly
- Azienda Ospedaliero Universitaria Città della Salute e della Scienza di TorinoTorinoItaly
| | - Paola Di Giulio
- Department of Public Health and PediatricsUniversity of TorinoTorinoItaly
| | - Alvisa Palese
- Department of Medical SciencesUniversity of UdineUdineItaly
| | - Valerio Dimonte
- Azienda Ospedaliero Universitaria Città della Salute e della Scienza di TorinoTorinoItaly
- Department of Public Health and PediatricsUniversity of TorinoTorinoItaly
| | - Sara Campagna
- Department of Public Health and PediatricsUniversity of TorinoTorinoItaly
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Berlanda S, de Cordova F, Fraizzoli M, Pedrazza M. Risk and Protective Factors of Well-Being among Healthcare Staff. A Thematic Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E6651. [PMID: 32932588 PMCID: PMC7558609 DOI: 10.3390/ijerph17186651] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 09/04/2020] [Accepted: 09/10/2020] [Indexed: 12/04/2022]
Abstract
The purpose of this study was to identify physical and psychosocial working conditions to improve well-being at work among healthcare staff. This is a potent area of inquiry given the relationship between healthcare staff well-being and service quality and other key organizational characteristics. However, while numerous studies in this area have used a quantitative methodology, very few have applied qualitative methodologies gathering subjective descriptions of the sources of well-being, providing in so doing significant data to explore in depth the factors that influence well-being in healthcare systems. We gathered qualitative data analyzing open-ended questions about risk and protective factors of well-being at work. The sample was made of 795 professionals answering an online questionnaire. Answers were coded and analyzed using the thematic analysis with an inductive approach (data-driven). We identified four themes strongly affecting professional well-being in health-care staff: Interactions, Working Conditions, Emotional Responses to Work, and Competence and Professional Growth. Our findings suggest possible strategies and actions that may be effective in helping to calibrate case-specific support and monitoring interventions to improve health and well-being of healthcare staff. We also discuss the implications of the study and suggest possible avenues for future empirical research.
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Affiliation(s)
- Sabrina Berlanda
- Department of Human Sciences, University of Verona, 37129 Verona, Italy; (F.d.C.); (M.F.); (M.P.)
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9
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Barnicot K, Allen K, Hood C, Crawford M. Older adult experience of care and staffing on hospital and community wards: a cross-sectional study. BMC Health Serv Res 2020; 20:583. [PMID: 32586334 PMCID: PMC7318426 DOI: 10.1186/s12913-020-05433-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Accepted: 06/15/2020] [Indexed: 11/10/2022] Open
Abstract
Background Recent major concerns about the quality of healthcare delivered to older adults have been linked to inadequate staffing and a lack of patient-centred care. Patient experience is a key component of quality care - yet there has been little research on whether and how staffing levels and staffing types affect satisfaction amongst older adult hospital inpatients. This study aimed to evaluate the association between registered nurse and healthcare assistant staffing levels and satisfaction with care amongst older adult hospital inpatients, and to test whether any positive effect of higher staffing levels is mediated by staff feeling they have more time to care for patients. Methods Survey data from 4928 inpatients aged 65 years and older and 2237 medical and nursing staff from 123 acute and community medical wards in England, United Kingdom (UK) was collected through the Royal College of Psychiatrist’s Elder Care Quality Mark. The cross-sectional association between staffing ratios and older adult patient satisfaction, and mediation by staff perceived time to care, was evaluated using multi-level modelling, adjusted for ward type and with a random effect for ward identity. Results Higher numbers of patients per healthcare assistant were associated with poorer patient satisfaction (adjusted β = − 0.32, 95% CI − 0.55 to 0.10, p < 0.01), and this was found to be partially mediated by all ward staff reporting less time to care for patients (adjusted β = − 0.10, bias-corrected 95% CI − 1.16 to − 0.02). By contrast, in both unadjusted and adjusted models, the number of patients per registered nurse was not associated with patient satisfaction. Conclusions Older adult hospital patients may particularly value the type of care provided by healthcare assistants, such as basic personal care and supportive communication. Additionally, higher availability of healthcare assistants may contribute to all ward staff feeling more able to spend time with patients. However, high availability of registered nurses has been shown in other research to be vital for ensuring quality and safety of patient care. Future research should seek to identify the ideal balance of registered nurses and healthcare assistants for optimising a range of outcomes amongst older adult patients.
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Affiliation(s)
- Kirsten Barnicot
- Mental Health Services Research, City University of London, School of Health Sciences, Myddleton Building, 1 Myddleton Street, London, EC1R 1UW, UK. .,Division of Psychiatry, Imperial College London, London, UK.
| | | | - Chloe Hood
- Royal College of Psychiatrists, London, UK
| | - Mike Crawford
- Division of Psychiatry, Imperial College London, London, UK.,Royal College of Psychiatrists, London, UK
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Bradby H, Lindenmeyer A, Phillimore J, Padilla B, Brand T. 'If there were doctors who could understand our problems, I would already be better': dissatisfactory health care and marginalisation in superdiverse neighbourhoods. SOCIOLOGY OF HEALTH & ILLNESS 2020; 42:739-757. [PMID: 32020646 PMCID: PMC7318273 DOI: 10.1111/1467-9566.13061] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
How people in community settings describe their experience of disappointing health care, and their responses to such dissatisfaction, sheds light on the role of marginalisation and underlines the need for radically responsive service provision. Making the case for studying unprompted accounts of dissatisfaction with healthcare provision, this is an original analysis of 71 semi-structured interviews with healthcare users in superdiverse neighbourhoods in four European cities. Healthcare users spontaneously express disappointment with services that dismiss their concerns and fail to attend to their priorities. Analysing characteristics of these healthcare users show that no single aspect of marginalisation shapes the expression of disappointment. In response to disappointing health care, users sought out alternative services and to persuade reluctant service providers, and they withdrew from services, in order to access more suitable health care and to achieve personal vindication. Promoting normative quality standards for diverse and diversifying populations that access care from a range of public and private service providers is in tension with prioritising services that are responsive to individual priorities. Without an effort towards radically responsive service provision, the ideal of universal access on the basis of need gives way to normative service provision.
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Affiliation(s)
| | | | - Jenny Phillimore
- Institute for Research into Superdiversity (IRiS)School of Social PolicyUniversity of BirminghamBirminghamUK
| | - Beatriz Padilla
- Department of SociologyUniversity of South FloridaTampaUSA
- Instituto Universitario de Lisboa (ISCTE‐IUL)LisbonPortugal
| | - Tilman Brand
- Department Prevention and EvaluationLeibniz Institute for Prevention Research and Epidemiology – BIPSBremenGermany
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Sustainable Management, Instable Legislation Regarding Wages, and Employee Satisfaction/Motivation in Two Romanian Hospitals. SUSTAINABILITY 2020. [DOI: 10.3390/su12030909] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
The aim of our study is to evaluate the employees’ level of satisfaction/motivation in two Romanian public hospitals in the context of numerous changes of the legislation concerning the level of payment of the employees working in the healthcare system, and to reveal the characteristics of a proper, sustainable management in this type of public healthcare unit. During 2015–2018, 4945 questionnaires were distributed to the staff of both hospitals, processed, and analyzed. In the Clinical County Emergency Hospital of Oradea, the analysis of the questionnaires showed a decrease in motivation (from 94.63% in 2017 to 79.14% in 2018). In the Timisoara County Clinical Emergency Hospital, for all the categories tested, there was a slight increase of the motivation. All the professional categories showed a degree of satisfaction with ascending evolution. Motivations of a different kind than the financial one, reinforced by the hospital’s management in recent years, have led to a general degree of employee satisfaction, 96.95% of them being satisfied that they work in the hospital. In the current unstable legislative context, financial motivation cannot be influenced by the management of public hospitals; therefore, the most appropriate measures that are needed must be geared towards increasing non-financial motivation.
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Gonella S, Canzan F, Larghero E, Ambrosi E, Palese A, Dimonte V. Hospital Volunteering Experiences Suggest that New Policies are Needed to Promote their Integration in Daily Care: Findings from a Qualitative Study. Zdr Varst 2019; 58:164-172. [PMID: 31636724 PMCID: PMC6778421 DOI: 10.2478/sjph-2019-0021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Accepted: 07/29/2019] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To explore Hospital Volunteers' (HVs) motivations and experiences, as well as the strategies they adopt to overcome challenging situations during volunteering and the needs they perceive. METHODS Eleven Italian HVs were purposively approached between January and July 2016, using face-to-face semi-structured interviews. The interviews were audio-recorded, transcribed verbatim and analysed using the descriptive phenomenological approach. RESULTS Hospital volunteering emerged as a complex experience characterised by five themes: (a) becoming a volunteer; (b) developing skills; (c) experiencing conflicting emotions; (d) overcoming role difficulties by enacting different resources and strategies; and (e) addressing emerging needs. CONCLUSIONS According to the findings, hospital policies aimed at promoting volunteer integration in daily care are needed and should be based on (a) a shared vision between the hospital and the volunteer associations regarding the HVs' role and skills; (b) the development of integrated models of care combining different workforces (i.e. professionals and volunteer staff); (c) appropriate training of HVs at baseline; (d) individualised continuous education pathways aimed at supporting HVs both emotionally and in the development of the required skills; and (e) tailored education that is directed to health-care staff aimed at helping them to value the service provided by HVs.
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Affiliation(s)
- Silvia Gonella
- Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88-90, 10126Torino, Italy
| | | | - Enrico Larghero
- Facoltà Teologica dell’Italia Settentrionale - Sezione Parallela di Torino, Via XX Settembre 83, 10122Torino, Italy
| | | | - Alvisa Palese
- Universita degli Studi di Udine, Diportimento di Area Medica, Viale Colugna, 33100 Udine, Italy
| | - Valerio Dimonte
- Dipartimento di Scienze della Sanità Pubblica e Pediatriche, Università degli Studi di Torino, TorinoItaly
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Johnsson A, Wagman P, Boman Å, Pennbrant S. Striving to establish a care relationship-Mission possible or impossible?-Triad encounters between patients, relatives and nurses. Health Expect 2019; 22:1304-1313. [PMID: 31588667 PMCID: PMC6882259 DOI: 10.1111/hex.12971] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2019] [Revised: 08/28/2019] [Accepted: 09/03/2019] [Indexed: 11/27/2022] Open
Abstract
Background When patients, relatives and nurses meet, they form a triad that can ensure a good care relationship. However, hospital environments are often stressful and limited time can negatively affect the care relationship, thus decreasing patient satisfaction. Objective To explain the care relationship in triad encounters between patients, relatives and nurses at a department of medicine for older people. Design A qualitative explorative study with an ethnographic approach guided by a sociocultural perspective. Method Participatory observations and informal field conversations with patients, relatives and nurses were carried out from October 2015‐September 2016 and analysed together with field notes using ethnographic analysis. Result The result identifies a process where patients, relatives and nurses use different strategies for navigating before, during and after a triad encounter. The process is based on the following categories: orienting in time and space, contributing to a care relationship and forming a new point of view. Conclusion The result indicates that nurses, who are aware of the process and understand how to navigate between the different perspectives in triad encounters, can acknowledge both the patient's and relatives’ stories, thus facilitating their ability to understand the information provided, ensure a quality care relationship and strengthen the patient's position in the health‐care setting, therefore making the mission to establish a care relationship possible.
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Affiliation(s)
- Anette Johnsson
- Department of Health Sciences, University West, Trollhättan, Sweden.,School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Petra Wagman
- School of Health and Welfare, Jönköping University, Jönköping, Sweden
| | - Åse Boman
- Department of Health Sciences, University West, Trollhättan, Sweden
| | - Sandra Pennbrant
- Department of Health Sciences, University West, Trollhättan, Sweden
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14
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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] [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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Palese A, Gonella S, Grassetti L, Destrebecq A, Mansutti I, Terzoni S, Zannini L, Altini P, Bevilacqua A, Brugnolli A, Dal Ponte A, De Biasio L, Fascì A, Grosso S, Mantovan F, Marognolli O, Nicotera R, Randon G, Tollini M, Canzan F, Saiani L, Dimonte V. Multilevel National Analysis of Nursing Students' Perceived Opportunity to Access Evidence-Based Tools During Their Clinical Learning Experience. Worldviews Evid Based Nurs 2018; 15:480-490. [PMID: 30328676 DOI: 10.1111/wvn.12328] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/03/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Easy-to-access tools have been demonstrated to improve evidence-based practice (EBP) competences among nursing students. However, students' perception of access to EBP tools (e.g., clinical practice guidelines [CPGs], protocols) is unknown. AIMS To explore: (1) nursing students' opportunity to access EBP tools during their education, and (2) associated factors. METHODS A national cross-sectional study including all Italian nursing programs. Nursing students were deemed eligible according to the following inclusion criteria: Those who (1) were attending or just ended their practical rotation lasting at least 2 weeks at the time of the survey, and (2) expressed through written informed consent their willingness to take part in the study. Participants were asked about their perceived opportunity to access EBP tools during their most recent clinical learning experience (from 0 - not at all to 3 - always). A set of explanatory variables was collected at the individual, nursing program, and regional levels by using a questionnaire. RESULTS Nine thousand six hundred and seven (91.6%) out of 10,480 nursing students took part in the study. Overall, 4,376 (45.6%) students perceived not at all or only a small opportunity to access EBP tools during their most recent clinical rotation. In the multilevel analysis, factors promoting access were mainly set at the clinical learning environment level (high safety and nursing care quality, high self-directed learning opportunities, high quality of the learning environment, and being supervised by a clinical nurse). In contrast, male gender and lower academic class were associated with a lower perception of accessibility to EBP tools. A consistent variability in the perceived opportunity to access EBP tools emerged across regions. LINKING EVIDENCE TO ACTION Evidence-based decision-making is increasingly expected from nurses. Therefore, nursing faculties should safeguard and continuously improve students' competence regarding EBP, by implementing strategies mainly at the nursing program and regional levels.
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Affiliation(s)
- Alvisa Palese
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Luca Grassetti
- Department of Medical Sciences, University of Udine, Udine, Italy
| | | | - Irene Mansutti
- Department of Medical Sciences, University of Udine, Udine, Italy
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Meng R, Li J, Zhang Y, Yu Y, Luo Y, Liu X, Zhao Y, Hao Y, Hu Y, Yu C. Evaluation of Patient and Medical Staff Satisfaction regarding Healthcare Services in Wuhan Public Hospitals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15040769. [PMID: 29673134 PMCID: PMC5923811 DOI: 10.3390/ijerph15040769] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Revised: 04/08/2018] [Accepted: 04/13/2018] [Indexed: 01/18/2023]
Abstract
Satisfaction evaluation is widely used in healthcare systems to improve healthcare service quality to obtain better health outcomes. The aim of this study was to measure employee work satisfaction and patient satisfaction status in Wuhan, China. A cross-sectional study was conducted in 14 medical institutions. The final valid sample comprised a total of 696 medical staff and 668 patients. The overall satisfaction levels of medical staff and patients were 58.28 ± 14.60 (10.47–100.00) and 65.82 ± 14.66 (8.62–100.00), respectively. The factors affecting medical staff satisfaction, ranking in sequence from most to least satisfied, were: the work itself, working environment and atmosphere, hospital management, practicing environment, and job rewards. Patient satisfaction factors, from most to least affecting, were ranked as follows: physician-patient relationship and communication, service organization and facilities, continuity and collaboration of medical care, access to relevant information and support, and healthcare and related services, respectively. The overall satisfaction evaluation of medical staff was average. Healthcare policy makers and medical institution management staff should focus on job rewards and working environment. This would allow them to increase their work happiness and sense of belonging, which in turn would allow them to provide better medical services to patients. The overall patient evaluation was satisfactory, with patients satisfied at all levels of the satisfaction evaluation.
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Affiliation(s)
- Runtang Meng
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, 185 Donghu Road, Wuhan 430071, China.
| | - Jingjing Li
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Rd.NE, Atlanta, GA 30322, USA.
| | - Yunquan Zhang
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, 185 Donghu Road, Wuhan 430071, China.
| | - Yong Yu
- School of Public Health and Management, Hubei University of Medicine, 30 South Renmin Road, Shiyan 442000, China.
| | - Yi Luo
- School of Nursing, Ningbo College of Health Sciences, 51 Xuefu Road, Ningbo 315100, China.
| | - Xiaohan Liu
- Department of Medical Statistics and Epidemiology, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd.2, Guangzhou 510080, China.
| | - Yanxia Zhao
- Department of Medical Statistics and Epidemiology, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd.2, Guangzhou 510080, China.
| | - Yuantao Hao
- Department of Medical Statistics and Epidemiology, Guangdong Key Laboratory of Health Informatics, Health Information Research Center, School of Public Health, Sun Yat-Sen University, 74 Zhongshan Rd.2, Guangzhou 510080, China.
| | - Ying Hu
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, 185 Donghu Road, Wuhan 430071, China.
- Global Health Institute, Wuhan University, 8 South Donghu Road, Wuhan 430072, China.
| | - Chuanhua Yu
- Department of Preventive Medicine, School of Health Sciences, Wuhan University, 185 Donghu Road, Wuhan 430071, China.
- Global Health Institute, Wuhan University, 8 South Donghu Road, Wuhan 430072, China.
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