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Gilliand M, Bernier Emch A, Perrenoud B. Adults with intellectual disabilities' satisfaction regarding their hospitalization: A correlational descriptive study. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023:17446295231193461. [PMID: 37565271 DOI: 10.1177/17446295231193461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [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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Santos WJ, Hutchinson AM, Rader T, Graham ID, Watkins V, Candido LKD, Greenough M, Squires JE. Insights from using an outcomes measurement properties search filter and conducting citation searches to locate psychometric articles of tools used to measure context attributes. BMC Res Notes 2023; 16:34. [PMID: 36906571 PMCID: PMC10007786 DOI: 10.1186/s13104-023-06294-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 02/20/2023] [Indexed: 03/13/2023] Open
Abstract
OBJECTIVES To describe our experience with using a methodological outcomes measurement search filter (precise and sensitive versions of a filter designed to locate articles that report on psychometric properties of measurement tools) and citation searches to locate psychometric articles for tools that can be used to measure context attributes. To compare the precise filter when used alone and with reference list checking to citation searching according to number of records found, precision, and sensitivity. RESULTS Using the precise filter, we located 130 of 150 (86.6%) psychometric articles related to 22 of 31 (71.0%) tools that potentially measured an attribute of context. In a subset of six tools, the precise filter alone was more precise than searching with the precise filter combined with reference list searching, or citation searching alone. The precise filter combined with reference list checking was the most sensitive search method examined. Overall, we found the precise filter helpful for our project as it decreased record screening time. For non-patient reported outcomes tools, we had less success with locating psychometric articles using the precise filter because some psychometric articles were not indexed in PubMed. More research that systematically evaluates database searching methods is needed to validate our findings.
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Affiliation(s)
- Wilmer J. Santos
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
| | - Alison M. Hutchinson
- School of Nursing and Midwifery, Deakin University, Geelong, Australia
- Barwon Health, Geelong, Australia
| | - Tamara Rader
- Canadian Agency for Drugs and Technologies in Health, Ottawa, Canada
| | - Ian D. Graham
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
- Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada
- Faculty of Medicine, School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada
| | - Vanessa Watkins
- School of Nursing and Midwifery, Deakin University, Geelong, Australia
| | | | - Megan Greenough
- Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada
| | - Janet E. Squires
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada
- Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, Canada
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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. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND 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] [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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Romero-García M, Alcalà-Jimenez I, Martínez-Momblan MA, Laura de la Cueva-Ariza, Cuzco C, Alonso S, Benito-Aracil L, Delgado-Hito P. Psychometric properties of the Nursing Intensive Care Satisfaction Scale: A multicentre cross-sectional study. Aust Crit Care 2022:S1036-7314(22)00044-3. [PMID: 35490108 DOI: 10.1016/j.aucc.2022.03.012] [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: 12/06/2021] [Revised: 02/03/2022] [Accepted: 03/12/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Patient satisfaction with nursing care is an indicator of patient satisfaction with the hospital stay in general. The Nursing Intensive Care Satisfaction Scale is the only scale about patient satisfaction with nursing care received in an intensive care unit that incorporates the critically ill patient's perspective into its design and validation. We validated the scale nationally, incorporating intensive care units at public and private hospitals of different levels of complexity in Spain. OBJECTIVES The objective of this study was to validate in Spanish intensive care units the Nursing Intensive Care Satisfaction Scale, a patient-centred questionnaire that evaluates recently discharged intensive care patients' satisfaction with the nursing care they received. DESIGN We used a psychometric quantitative methodology and a descriptive cross-sectional design. SETTING AND PARTICIPANTS The study was conducted in intensive care units at level II and III public and private hospitals throughout Spain. The study population was all patients discharged from intensive care units from December 2018 to December 2019 from the 19 participating hospitals. We used consecutive sampling until reaching a sample size of 677 patients. The assessment instruments were given to patients at discharge and 48 h later to measure temporal stability. METHODS The validation process included the analysis of internal consistency (Cronbach's α coefficient), temporal stability (test-retest), construct validity through a confirmatory factor analysis, and criterion validity using the Pearson correlation coefficient and three criterion items that assessed similar constructs. RESULTS The reliability of the scale was 0.97, and the factors obtained values between 0.87 and 0.96. The intraclass correlation coefficient for the total scale was 0.83, indicating good temporal stability. Construct validity showed a good fit and a four-factor structure, in accordance with the theoretical model. Criterion validity presented a correlation that was between moderate and high (range: 0.46 to 0.57). CONCLUSIONS The Nursing Intensive Care Satisfaction Scale has good psychometric properties, demonstrating its ability to accurately measure patient satisfaction across a range of contexts in Spain. Continuous monitoring of satisfaction will allow nurses to identify areas for improvement that can increase the quality of care.
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Affiliation(s)
- Marta Romero-García
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
| | | | - María Antonia Martínez-Momblan
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; Biomedical Research Networking Centre of Rare Diseases (CIBER-ER), Unit 747 ISCIII, Madrid, Spain
| | - Laura de la Cueva-Ariza
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
| | - Cecilia Cuzco
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Sergio Alonso
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Llúcia Benito-Aracil
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain.
| | - Pilar Delgado-Hito
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing. University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain; GRIN-IDIBELL, Institute of Biomedical Research, L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI. Collado Villalba, Madrid, Spain
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Ofili R, Nwajei A, Aigbokhaode A, Owolabi A, Owolabi M, Uzundu E. Influence of Patient Satisfaction on Medication Adherence among Adult Hypertensives Attending a Health Facility in a Resource-Limited Environment in Southern Nigeria. NIGERIAN JOURNAL OF MEDICINE 2022. [DOI: 10.4103/njm.njm_204_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Crowd-Sourced Reliability of an Assessment of Lower Facial Aging Using a Validated Visual Scale. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2021; 9:e3315. [PMID: 33552806 PMCID: PMC7858709 DOI: 10.1097/gox.0000000000003315] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2020] [Accepted: 10/24/2020] [Indexed: 12/24/2022]
Abstract
Reliable and valid assessments of the visual endpoints of aesthetic surgery procedures are needed. Currently, most assessments are based on the opinion of patients and their plastic surgeons. The objective of this research was to analyze the reliability of crowdworkers assessing de-identified photographs using a validated scale that depicts lower facial aging.
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Konno R, Kanzaki H, Stern C, Lizarondo L. Assisted bathing of older people with dementia: a mixed methods systematic review protocol. JBI Evid Synth 2020; 19:513-520. [PMID: 33141799 DOI: 10.11124/jbies-20-00160] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVE The objective of this review update is to determine the best strategies for assisted bathing or showering of older people with dementia. INTRODUCTION Bathing is a high-risk activity that can worsen agitated behavior in people with dementia, becoming a source of stress or burden for nurses and caregivers. Since a review was originally published in 2013, new studies have been conducted reporting on various interventions related to assisted bathing and showering. INCLUSION CRITERIA The review will consider people older than 60 years with dementia, their families, nurses, and formal caregivers. The quantitative component will consider studies that examine interventions aiming to reduce agitated behaviors during assisted bathing. The qualitative component will include studies reporting on experiences of assisted bathing of older people with dementia. METHODS This review update will follow the JBI mixed methods review approach. Published and unpublished studies will be identified from searches of the major international databases and relevant databases for gray literature. Two independent reviewers will carry out screening, critical appraisal, and data extraction. The extracted data will include details about the study characteristics, quantitative results, and qualitative findings relevant to the review. Where possible, quantitative data will be statistically pooled. Qualitative results will be synthesized using the meta-aggregation approach developed by JBI. Finally, the findings from both quantitative and qualitative components will be organized into a line of argument to produce an overall configured analysis. Where configuration is not possible, the findings will be presented in narrative form. SYSTEMATIC REVIEW REGISTRATION NUMBER PROSPERO CRD42020208048.
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Affiliation(s)
- Rie Konno
- School of Nursing, Hyogo University of Health Sciences, Hyogo, Japan
| | - Hatsumi Kanzaki
- School of Nursing, Hyogo University of Health Sciences, Hyogo, Japan
| | - Cindy Stern
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia
| | - Lucylynn Lizarondo
- JBI, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA, Australia
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Romero-García M, de la Cueva-Ariza L, Benito-Aracil L, Lluch-Canut T, Trujols-Albet J, Martínez-Momblan MA, Juvé-Udina ME, Delgado-Hito P. Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centred instrument. J Adv Nurs 2018; 74:1423-1435. [PMID: 29444339 DOI: 10.1111/jan.13546] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2018] [Indexed: 01/03/2023]
Abstract
AIM The aim of this study was to develop and validate the Nursing Intensive-Care Satisfaction Scale to measures satisfaction with nursing care from the critical care patient's perspective. BACKGROUND Instruments that measure satisfaction with nursing cares have been designed and validated without taking the patient's perspective into consideration. Despite the benefits and advances in measuring satisfaction with nursing care, none instrument is specifically designed to assess satisfaction in intensive care units. DESIGN Instrument development. METHODS The population were all discharged patients (January 2013 - January 2015) from three Intensive Care Units of a third level hospital (N = 200). All assessment instruments were given to discharged patients and 48 hours later, to analyse the temporal stability, only the questionnaire was given again. The validation process of the scale included the analysis of internal consistency, temporal stability; validity of construct through a confirmatory factor analysis; and criterion validity. RESULTS Reliability was 0.95. The intraclass correlation coefficient for the total scale was 0.83 indicating a good temporal stability. Construct validity showed an acceptable fit and factorial structure with four factors, in accordance with the theoretical model, being Consequences factor the best correlated with other factors. Criterion validity, presented a correlation between low and high (range: 0.42-0.68). CONCLUSIONS The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
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Affiliation(s)
- Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Laura de la Cueva-Ariza
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Llucia Benito-Aracil
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Teresa Lluch-Canut
- Public Health, Mental Health and Perinatal Nursing Department, University of Barcelona, Barcelona, Spain
| | - Joan Trujols-Albet
- Sant Pau Biomedical Research Institute (IIB Sant Pau), Center for Biomedical Research in Mental Health Network (CIBERSAM), Santa Creu i Sant Pau Hospital, Barcelona, Spain
| | | | - Maria-Eulàlia Juvé-Udina
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
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Charalambous A, Adamakidou T. Construction and validation of the quality of oncology nursing care scale (QONCS). BMC Nurs 2014; 13:48. [PMID: 25598704 PMCID: PMC4296533 DOI: 10.1186/s12912-014-0048-4] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2014] [Accepted: 12/11/2014] [Indexed: 11/17/2022] Open
Abstract
Background There is scarcity of questionnaires specifically on the quality of the nursing care provided to patients diagnosed with cancer. The available questionnaires have been developed without attributing a holistic approach to the care provided with important patient’s needs remaining without assessment. The main aim was to develop a self-administered cancer specific questionnaire exploring patients’ views on quality nursing care provided in oncology settings. Methods The development of the scale proceeded through three phases. As part of the first development phase areas of concern and items of interest were identified through a literature review. The second phase included a pilot study of the QONCS and a subsequent validation phase through a multicentre study in 3 hospitals, 4 departments and 418 patients diagnosed with cancer and receiving care as inpatients. The study was designed to select items, identify dimensions, measure reliability, content and construct validity. Results The QONCS consisted of 34 items. A factorial analysis grouped the items into five categories that define quality nursing care: a) Being supported and confirmed, b) Spiritual caring c) Sense of belonging, d) Being valued and e) Being respected. Cronbach’s alpha was 0.95 for the entire questionnaire. The factor solution explained 68.53% of the variance. Conclusions QONCS appears to measure with adequate reliability and validity the attributes of quality nursing care within the oncological settings and to patients with a variety of cancer diagnoses and at different phases of the cancer trajectory. The instrument is quick to disseminate and easy to complete, making it a suitable instrument for nursing professionals to evaluate patients’ self-perceived quality of nursing care as a mean to promote the quality of the care provided in oncological settings.
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Affiliation(s)
- Andreas Charalambous
- Cyprus University of Technology, 15th Vragadinou Street, 3041 Limassol, Cyprus ; University of Turku, Turku, Finland
| | - Theodoula Adamakidou
- Department of Nursing Technological Educational Institute (TEI) of Athens, Athens, Greece
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Gu X, Itoh K. Factors Behind Dialysis Patient Satisfaction: Exploring Their Effects on Overall Satisfaction. Ther Apher Dial 2014; 19:162-70. [DOI: 10.1111/1744-9987.12246] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Xiuzhu Gu
- Department of Industrial Engineering and Management; Graduate School of Decision Science and Technology; Tokyo Institute of Technology; Tokyo Japan
| | - Kenji Itoh
- Department of Industrial Engineering and Management; Graduate School of Decision Science and Technology; Tokyo Institute of Technology; Tokyo Japan
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Charalambous A, Efstathiou G, Adamakidou T, Tsangari H. Adult cancer patients satisfaction of nursing care: a cross-national evaluation of two Southeastern European countries. Int J Health Plann Manage 2013; 29:e329-46. [PMID: 24254548 DOI: 10.1002/hpm.2225] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 06/10/2013] [Accepted: 10/04/2013] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE To assess and compare the perceived patient satisfaction with the nursing care in two European countries. METHODS This was a multicenter cross-national descriptive study. The study included various centers both specialized and general that provide cancer care. The data were collected from hospitalized cancer patients in Greece and Cyprus with the Greek version of the Risser Patient Satisfaction Scale. The scale assessed patients' satisfaction on three distinct dimensions namely "Technical-professional", "Interpersonal-educational" and "Interpersonal-trusting". RESULTS The analyses revealed that there are significant differences in the total scale (p < 0.05) and the interpersonal-trusting subscale (p < 0.001) between the two countries. In order to gain an in-depth understanding of these findings, the qualitative analysis revealed that the following main themes contributed to the way the patients experienced their hospitalisation: 'safety', 'fear', 'lack of information' and 'continuity of the care'. The patients attributed increased importance to the interpersonal-trusting aspects' influence on their satisfaction. Based on the qualitative data, this was attributed to two main themes namely 'individuality' and 'humane care'. CONCLUSIONS The European environment offers an ideal setting to examine satisfaction variations among patients. Although the findings demonstrated a positively skewed attitude by the patients towards the care provided by the nurses in both countries, these findings also revealed significant differences. The patients' experiences were explored in light of variations in culture, health systems and the actual differences in quality as perceived by patients.
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Lee DTF, Choi KC, Chan CWH, Chair SY, Chan D, Fung SYK, Chan ELS. The impact on patient health and service outcomes of introducing nurse consultants: a historically matched controlled study. BMC Health Serv Res 2013; 13:431. [PMID: 24152979 PMCID: PMC4016548 DOI: 10.1186/1472-6963-13-431] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Accepted: 10/22/2013] [Indexed: 11/10/2022] Open
Abstract
Background The position of nurse consultant (NC) was introduced in Hong Kong by the Hospital Authority in January 2009. Seven NCs were appointed in five clinical specialties: diabetes, renal, wound and stoma care, psychiatrics, and continence. This was a pilot to explore the impact of the introduction of NCs on patient health and service outcomes. Methods The present paper describes a historically matched controlled study. A total of 280 patients, 140 in each cohort under NC or non-NC care, participated in the study. The patient health and service outcomes of both cohorts were evaluated and compared: accident and emergency visits, hospital admissions, length of hospital stays, number of acute complications, number of times of treatment or regimen altered by nurses according to patient’s condition, glycated haemoglobin A1c (HbA1c) levels, urea and urea-to-creatinine ratios, and number of wound dressings for patients in corresponding specialty units. A patient satisfaction instrument was also used to assess the NC cohort. Results The study showed that patients under NC care had favourable patient health and service outcomes compared with those under non-NC care. The NC cohort also reported a high level of patient satisfaction. Conclusions The study demonstrates that the introduction of NCs in specialty units may have a positive impact on patients’ health and service outcomes. The high level of patient satisfaction scores indicates that patients appreciate the care they are receiving with the introduction of NCs.
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Affiliation(s)
| | - Kai Chow Choi
- The Nethersole School of Nursing, 7/F, Esther Lee Building, The Chinese University of Hong Kong, Shatin, Hong Kong, SAR, China.
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