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Dissertations / Theses on the topic 'Satisfaction des patients'

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Published: 4 June 2021
Last updated: 5 October 2024

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1

Hellbom, Maria. "Individual Support for Cancer Patients : Effects, Patient Satisfaction and Utilisation." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-5183-7/.

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Schirg, Glenn Richard. "Determining the patient satisfaction factors for hospital room service & the association of room service with the overall satisfaction with the hospital experience." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007schirgg.pdf.

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3

Wong, Sau-Yee, and 黃秀怡. "Determinants of patient satisfaction towards medication information inSOPD patients: DISMIS study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31972330.

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4

Frazier-Warmack, Victoria Maria. "Impact of Telephone Call on Patient Satisfaction in Adult Oncology Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3443.

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Patient satisfaction is an ongoing action in which hospitals and health care providers are constantly seeking strategies to improve their satisfaction ratings. In the ambulatory oncology infusion setting, patient satisfaction is also a key metric that is being monitored, but actual patient satisfaction is unknown. Guided by Lewin's change theory and King's theory of goal attainment, the aim of this project was to use a strategy of conducting follow-up telephones calls to determine if patient satisfaction improved in an ambulatory oncology setting. A descriptive comparative approach was used to evaluate patient satisfaction before and after a telephone follow-up intervention. Participants who were starting an initial or new chemotherapy protocol were randomized into the telephone follow-up (TFU) group or the control group. A TFU script was used to guide the telephone conversation with patients about their experience with the first chemotherapy visit. All participants (N= 62) completed the OUT-PATSAT 35 questionnaire before starting their chemotherapy and 72 hours after the chemotherapy. Demographic characteristics of participants did not differ from the general cancer population. T tests were used to determine whether satisfaction differed between the two groups and revealed that participants receiving the TFU had significantly greater satisfaction in all domains post treatment, compared to those who did not (t = 2.90, df = 15, p = .01), suggesting the TFU had a positive effect on patient satisfaction. Incorporating follow-up telephone calls as a standard of practice to persons receiving an initial or new chemotherapy protocol may contribute to improved patient satisfaction scores and positive social change through an improved sense of well-being in cancer patients.
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Nguyen, Thi Phi Linh. "Satisfaction des patients hospitalisés en France et au Viet Nam." Nancy 1, 2003. http://docnum.univ-lorraine.fr/public/SCD_T_2003_0239_NGUYEN_THI.pdf.

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6

Griskonis, Sigitas. "Patients' perceived satisfaction with hospital services." Thesis, Nordic School of Public Health NHV, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3250.

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ackground. There are a number studies related to patients’ satisfaction with health care. Since the Baltic States regained independence in 1990, a reform of the health care system took place in which a serious consideration is paid to health care quality. Patients' views are becoming increasingly important in the current health system. They provide information on effectiveness of healthcare and how it may be improved.The main objective of this study was to investigate inpatients experiences with the care and treatment given in Klaipeda hospitals in order to improve the quality of care and patients’ satisfaction. Material and methods. A cross-sectional survey with questionnaires was made. The subjects of the investigation were patients (from 18 years old), hospitalized in internal and surgery departments in different Klaipeda city hospitals. The survey questions were divided into sections that broadly followed the patient's experience in the hospital. The analyses included descriptive statistics, interrelationship analysis between the different characteristics, and multiple logistic regression to estimate Odds for each of the independent variables in the model.Results. The study shows that 60-80 % of the respondents were satisfied with different parts and aspects of health care services. Satisfaction with getting enough time for discussion with the doctor was higher for younger, male and employed patients. Those from the city needed more understandable explanation from doctor about health condition or treatment plan. Doctors listened more to male patients compare to female. Those results were statistically significant. Conclusions. Majority of the patients were satisfied with hospitalization order in Klaipeda hospitals. Better physician communication skills can improve patient satisfaction and clinical outcomes. Physicians could more effectively facilitate patient involvement by more frequently using partnership-building and supportive communication. Hospital cleanliness is quite important factor to overall satisfaction with hospital care. Waiting time is a significant component of patient satisfaction and depends from patients’ characteristics and their behavior. Different aspects of reception can influence patients’ satisfaction and must be considered. Information about continuity of the treatment were needed more for patients with an increased need for follow up, younger and living alone patients. It is important to provide the setting customers expect and create an environment that meets or exceeds customer needs for safety, security, support, competence, physical comfort, and psychological comfort.

ISBN 91-7997-146-6

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Wong, Sau-Yee. "Determinants of patient satisfaction towards medication information in SOPD patients DISMIS study /." Click to view the E-thesis via HKUTO, 2004. http://sunzi.lib.hku.hk/hkuto/record/B31972330.

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8

Fröjd, Camilla. "Cancer patients' satisfaction with doctors' care : consequences and contributing conditions /." Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [ditributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8267.

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9

Wikehult, Björn. "Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns." Doctoral thesis, Uppsala University, Department of Surgical Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9262.

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A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R2 was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R2 was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

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Abramson, Lisa Diane. "The relationship of patients' perceptions of physicians' communication style to patient satisfaction." PDXScholar, 1991. https://pdxscholar.library.pdx.edu/open_access_etds/4121.

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This thesis examines the relationship between physician communication style and patient satisfaction in the diagnostic medical interview. Patient satisfaction is a critical issue for health care organizations today. Health care organizations are coping with the recruitment and maintenance of patient consumers in a competitive and costly market. The literature indicates that effective communication between the physician and the patient is important to patient satisfaction. The physician needs to structure the medical visit in order to acquire medical information and, at the same time, invite communication with patients to determine their concerns and needs. Patient satisfaction may ensue if the patient perceives the physician as possessing a positive communication style.
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Young, Richard William Royce. "The satisfaction paradox." Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368353.

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Malkin, Lisa Sohl. "Patients' and significant others' satisfaction with nursing activities in oncology ambulatory settings." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558093.

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13

Moizan, Hervé. "Problèmatique éthique liée à l'utilisation des questionnaires de qualité de vie en cancérologie clinique des voies aéro-digestives supérieures : contributions d' un odontologiste." Paris 5, 2005. http://www.theses.fr/2005PA05N29S.

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La pathologie cancéreuse cervico-céphalique impose des thérapeutiques lourdes pour des bénéfices modestes en terme de taux de survie. De ce fait de nombreux auteurs s'intéressent à la qualité de vie (QDV) des malades. Cette évaluation de QDV, grâce aux outils spécifiques est conduite en recherche clinique lors des essais de phase III. Notre travail avait pour objectif de recenser les problèmes éthiques liés à l'utilisation de tels instruments en pratique clinique. L'évaluation de la QDV pose un problème épistémologique majeur. Elle se heurte à des difficultés méthodologiques propres : objectivité, pertinence, changements de référentiel. Les phénomènes d'intrusion, les processus d'ingérence et les attentes différentes des patients sont clairement ressentis. La mesure de QDV semble une démarche éthique justifiée et légétime mais impose une vigilance. La nécessité d'approches complémentaires est indispensable pour affiner à la fois les outils et les méthodes d'évaluation
Head and neck cancer requires intensive treatments, often with only a limited benefit in terms of survival. Many authors have tried to assess the quality of life (QoL) of these patients. QoL assessment by means of validated specific tools is essentially conducted in phase III clinical trials. This study was designed to evaluate ethical problems related to the use of these instruments in clinical practice. QoL assessment raises a major epistemological problem for practitioners and Ethics Committees and raises specific methodological difficulties : objectivity, relevance, changes of reference system. Intrusion phenomena (fatal prognosis), interference processes (sexuality, sprituality, body image) and various patient expectations are clearly experienced. QoL assessment appears to be an ethically justified and legitimate approach , but its practical application in clinical oncology requires extreme caution and complementary approaches to refine existing tools and methods of evaluation
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Petersson, Lena-Marie. "Group Rehabilitation for Cancer Patients: : Effects, Patient Satisfaction, Utilisation and Prediction of Rehabilitation Need." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis ; Univ.-bibl. [distributör], 2003. http://publications.uu.se/theses/91-554-5548-4/.

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15

Van, Lew Holly, and Debbie Wong. "Evaluation of Satisfaction and Self-Efficacy of Veteran Patients with Heart Failure in a Group Clinic Setting." The University of Arizona, 2006. http://hdl.handle.net/10150/624460.

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Class of 2006 Abstract
Objectives: To evaluate the group clinic patients’ visit satisfaction and self-efficacy assessments at baseline and six months after the implementation of the heart failure group clinic. Additional outcomes of interest included health service utilization and medication management. Methods: This study utilized a pre-experimental design to compare patients’ clinic visit satisfaction and self-efficacy assessments at baseline and six months. Demographic variables, diagnoses, vitals, health service utilization and medication management data were obtained retrospectively from the computerized patient record system (CPRS). Results: Eleven patients met the inclusion criteria, agreed to participate and completed the informed consent. Mean age was 64.1 years (± 11.28); 100% were male; 45.5% were white, not of Hispanic origin. Health service utilization could not be compared using the planned analysis because of the limited data available for this outcome. Medication management trends included titrating angiotensin-converting enzyme inhibitors (n=1), titrating beta-blockers (n=6), and converting from non-preferred HF medications to ACC/AHA guideline recommended agents (n=3). The mean self-efficacy score increased at follow-up when compared to baseline data (7.4 ± 1.7 versus 6.4 ± 2.7, respectively) with no statistical significance shown between the two groups (p=0.12). Additionally, the mean patient satisfaction score increased at follow-up when compared to the baseline scores (74.5 ± 12.3 versus 71.0 ± 15.1 respectively); however, data analysis revealed no statistical significance (p=0.50). Conclusions: Our study demonstrated trends suggesting improved patient satisfaction and improved self-efficacy with a group clinic model in veteran patients with heart failure. Group clinic settings have the potential to optimize HF medication management in the setting of enormous demand for VA healthcare services and limited financial resources.
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Molin, Marie, and Christina Magnusson. "Den äldre människans behov av omvårdnad på akutmottagning : En litteraturstudie." Thesis, University of Gävle, Department of Caring Sciences and Sociology, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-5003.

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Inom akutsjukvården är en stor del patienterna 65 år och äldre, vilket innebär att en stor del av vården vid en akutmottagning omfattas av bemötande och omhändertagande av äldre patienter. Syfte: Syftet med denna studie var att belysa hur äldre personer beskriver att deras behov av omvårdnad blir tillgodosett av omvårdnadspersonal vid akutmottagning. Metod: Studien genomfördes som en litteraturstudie där 13 artiklar granskades. Resultat: Resultatet visade att många äldre hade en negativ upplevelse av sin vistelse på akutmottagningen. Många fick vänta länge och fick inte sina basala behov tillgodosedda såsom t.ex. mat och dryck. Äldre patienter kände sig oroliga, övergivna och rädda under väntetiden och önskade mer uppmärksamhet och en mer kontinuerlig uppföljning under väntetiden. Resultatet visade också att information till patienten var väldigt viktig. Fick de äldre på akutmottagningen information om vad som skulle hända, hur undersökningar skulle gå till och varför de fick vänta kände de sig nöjda och trygga. Det fanns enligt resultatet en hög respekt för sjuksköterskornas professionella kompetens och omvårdnadspersonalens uppträdande på akutmottagning värderades högre av äldre patienter än av yngre patienter.


In the emergency department a big part of the patients are 65 years old and older, which means that a great deal of the medical care at the emergency department consists of meeting and caring for older patients. The aim: The aim with this study was to enlighten how the older patients describe that nurses at the emergency department provide for their need of care. Method: The study was done as a study of literature where 13 articles were reviewed. Result: The result showed that several older patients had a negative experience of their stay at the emergency department. Many of them had to wait for a long time and did not get their needs provided for. Older patients felt worried, abandon and scared during their time waiting and wished for more attention and more continual checkups during waiting time. The result also showed that information to the patients where very important. If the older patients at the emergency department got information about what was going to happen, how the examinations should proceed and why they had to wait they got more satisfied and secure as patients. There was, according to the result, a high respect for the nurse’s professional competence, and the older patients valued the staff’s behaviour higher than the younger patients.

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Nizamova, Mika, and Zarah Barrett. "Vårdmiljöns betydelse för patientens välbefinnande." Thesis, Sophiahemmet Högskola, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3934.

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SAMMANFATTNING Bakgrund  Upplevelsen av hälsa och välbefinnande är beroende av hur miljön vi befinner oss i är utformad. Ett av sjuksköterskans ansvarsområden är att se efter att vårdmiljön uppfyller patientens behov. Vårdmiljön kan utformas av flera olika aspekter såsom ljud, ljus och natur vilka alla har förmågan att kunna skapa en känsla av trygghet. Sjukvårdsreformatorn F. Nightingale menade att den fysiska miljön var lika viktig som den psykiska och sociala omgivningen för att återfinna hälsa samt förebygga sjukdomar.  Syfte  Syftet med denna litteraturöversikt var att beskriva aspekter i vårdmiljön som främjar patientens välbefinnande.  Metod  Metoden som valdes för denna studie var en icke-systematisk litteraturöversikt. Databassökningar gjordes i PubMed, CINAHL, Academic Search Elite samt manuella sökningar. Ett urval av 17 vetenskapliga artiklar gjordes efter noggrann granskning. Artiklarna som användes var både kvalitativa och kvantitativa, dessa har kvalitetsgranskats med hjälp av Sophiahemmets Högskolas bedömningsunderlag. Integrerad dataanalys användes som metod.  Resultat  En hälsofrämjande vårdmiljö påverkar patientens välbefinnande och autonomi under tiden de vårdas på sjukhus. Det första intrycket vid besök på sjukhus är det som utgörs av den fysiska miljön. Vidare framkom att enkelrum ledde till minskat buller, bättre sömn samt stärkt socialt stöd och personlig integritet. Fönster och utsikt över naturen skapade en känsla av fridfullhet då naturen kunde hjälpa till att stärka patientens inre kraft genom distraktion. Naturligt ljus ökade välmåendet och förbättrade sömnen. En välkomnande vårdmiljö med ”mysighetsfaktor” och avskildhet ökade känslan av hemtrevlighet vilket förbättrar välbefinnandet hos patienterna och ökade dessutom närvaron av anhöriga vilka utgjorde ett stort stöd för patienterna.  Slutsats  Genom en ökad kunskap om vårdmiljöns betydelse för patientens välbefinnande, kan åtgärder vidtas för hur allmänna utrymmen utformas. Vårdmiljön kan antingen stödja eller hindra patientens återhämtningsprocess och har kapaciteten att främja patientens livskvalitet. Denna studie ger en inblick i vårdmiljöns betydelse och bidrar med lärdomar som vidare kan tillämpas i vårt framtida kliniska arbete inom professionen.  Nyckelord: Patienters nöjdhet, patientens acceptans av vård, patienter, miljödesign, vårdmiljö.
ABSTRACT Background  The design of the environment affects our experience of health and well-being. One of the nurse's responsibilities is to ensure that the care environment meets the patient's needs. The care environment can be designed by several different factors such as sound, light and nature. All with a capacity to provide a feeling of security. According to healthcare reformer F. Nightingale, the physical environment was equally important to the psychological and social environment in order to regain health and prevent disease.  Aim  The purpose of this literature review was to describe aspects of the care environment that promote the patient’s well-being.  Method  The method used was non-systematic literature review. Database searches were performed in PubMed, CINAHL, Academic Search Elite as well as manual searches. A selection of 17 scientific articles was made after careful review. The articles were of both quantitative and qualitative research methods, these have been quality checked with the help of Sophiahemmet University’s assessment data. They were analysed based on the integrated data analysis method.  Results  A health-promoting care environment affects the patient's well-being and autonomy while they are being cared for in hospital. The first impression when visiting a hospital is that of the physical environment. Furthermore, it turned out that single rooms led to reduced noise, better sleep and strengthened social support and personal integrity. Windows and views of nature created a feeling of peace as nature could help strengthen the patient's inner power through distraction. Natural light as well as artificial light increased the well- being and improved sleep. A welcoming care environment with a “cosiness factor” and privacy increased the feeling of homeliness, which improves the well-being of the patients and also increased the presence of relatives who constituted a great support for the patients.  Conclusion  Through increased knowledge on the importance of the care environment for the well- being of the patient, measures can be taken focusing on the design of public spaces in this environment. The care environment can either support or hinder the patient's recovery process and has the ability to promote the patient’s quality of life. This study provides an insight into the importance of the care environment and contributes with lessons that can be further applied in our future clinical work within the profession.  Keywords: Patient satisfaction, patient acceptance of health care, patients, environment design, health facility environment.
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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital." Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.

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There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.
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Harley, Beth. "Does decentralising the care of patients with chronic disorders result in altered patient satisfaction." Master's thesis, University of Cape Town, 1997. http://hdl.handle.net/11427/26549.

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Introduction: In 1994 the Bonteheuwel and Valhalla Park clinics in Cape Town started a pilot project for the care of patients with chronic disorders. Patients in Bonteheuwel and Valhalla Park with chronic disorders who were previously under the care of Day Hospital or Hospitals in other suburbs, can now receive treatment and follow-up at the local authority clinic. There are currently nearly two thousand patients under Bonteheuwel clinic and nearly two hundred patients under Valhalla Park Clinic. Aim: To see if decentralising the care of patients with chronic medical conditions to local clinic level results in altered patient satisfaction. Objective: To look at patient satisfaction with clinic care compared to satisfaction with care at the previous place of service through administration of a comparative questionnaire. Methods: Data was collected by administering a questionnaire to a systematic sample of patients. The questionnaire was administered to 271 clients at Bonteheuwel and 43 clients at Valhalla Park clinics whilst they were waiting to see the doctor or to collect medication. The questionnaire asked patients to assess the clinic service in comparison to their previous place of service by asking whether various aspects of the service are better at the clinic, were better at their previous place or service or are much the same. Patients were also asked what they like best and least about the clinic's service and that of their previous place of service. Results: Results showed a high level of satisfaction with the clinic service compared to the previous place of service, especially in terms of access, cost, surroundings and waiting times. 95% of patients at Bonteheuwel and 98% of patients at Valhalla Park preferred being under the care of the clinic rather than under the care of their previous place of service. Patients felt there was not much difference in the doctor's technical or communication skills at the clinic compared to their previous place of service. Some patients at Bonteheuwel Clinic voiced concerns about the lack of facilities available at the clinic and felt that the clinic needed to be expanded to become a day hospital. Conclusions: Decentralising the care of patients with chronic medical conditions to local clinic level has resulted in increased satisfaction of patients. With the restructuring of health services in the Western Cape at present, decentralising the care of patients with chronic medical conditions to local clinic level may be an option for some communities.
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Lund, Kim, and Linnéa Myrhage. "Att vara människa - inte en diagnos! : En litteraturstudie om vuxna människor med psykisk ohälsa." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-10747.

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Psykisk ohälsa är ett växande problem i samhället och allmänsjuksköterskan möter i sitt arbete dagligen människor med psykisk ohälsa. Dessa människor upplever sig ofta osynliga i samhället och upplever även förutfattade meningar i mötet med sjuksköterskan. Forskning idag utgår mindre ofta från perspektivet hos människor med psykisk ohälsa, vilket behövs för att omvårdnaden ska kunna utvecklas. Problematiken är att sjuksköterskan många gånger möter människor utifrån deras psykiska diagnos, istället för att möta dessa människor utifrån ett helhetsperspektiv. Examensarbetet beskriver hur vuxna människor med psykisk ohälsa kan uppleva mötet med sjuksköterskan. Två teman framkommer efter sammanställning av befintlig forskning. Vuxna människor med psykisk ohälsa upplever antingen sig sedda i mötet med sjuksköterskan eller en känsla av osynlighet. Känslan av att vara sedd uppkommer när sjuksköterskan bekräftar individen genom att vara öppensinnad. Sjuksköterskan lägger ner tid i mötet genom att lyssna och att försöka förstå personens situation. En känsla av osynlighet i mötet uppkommer när sjuksköterskan förminskar personen till en diagnos. De med psykisk ohälsa upplever hinder i relationen genom att sjuksköterskan utövar makt och behandlar dem som barn. De känner sig ensamma när sjuksköterskan inte har tid för dem och inte tyckts bryr sig om dem. Genom denna studie kan sjuksköterskan få en ökad förståelse för hur vuxna människor med psykisk ohälsa upplever mötet med dem. Ökad förståelse kan förbättra relationen mellan människor med psykisk ohälsa och sjuksköterskan. Det kan även leda till en ökad känsla av hälsa hos människor med psykisk ohälsa.
Background: Mental illness has in recent years increased in society. It has since centuries been seen as a shameful disease and mental illness has not been a high priority in health care. Aim: The aim of this study was to describe how adult humans with mental illness experiences the meeting with the nurse.Method: The method that was used was a literature based study with basis in analysis of qualitative research. 11 articles with a qualitative approach was analyzed. Result: The result showed two main theme. The first theme was a feeling of being seen in the meeting when an open dialogue was used and a relationship was created. The second theme was a feeling of invisible because they felt reduced to a diagnosis and encountered obstacles in the relation. Conclusion: Adult humans with mental illness could experience the meeting in different ways. A good meeting with the nurse could increase the human with mental illness trust in healthcare. It could improve the care and relationship between human with mental illness and the nurse.
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Havelick, Julia B. "Nurse-patient communication in oncology settings a phenomenological study of trust from patients' perspectives /." [Denver, Colo.] : Regis University, 2009. http://adr.coalliance.org/codr/fez/view/codr:112.

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Andersson, Boman Oskar, and Andreas Eriksson. "Upplevelser av information på akutmottagningar ur ett patientperspektiv: En litteraturöversikt." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-384650.

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Bakgrund: Tidigare forskning har visat på vikten av information för patienters vårdupplevelse och säkerhet. Ändå finns tydliga belägg för att informationen brister på akutmottagningar. Det är därför viktigt att sammanställa patienters upplevelser inom området. Syfte: Att undersöka patienters upplevelser av information på akutmottagningar. Metod: Deskriptiv design med litteraturöversikt som metod där 16 vetenskapliga kvalitativa originalartiklar analyserades. Resultat: Fem teman skapades: Initial vård på akutmottagningen; efterföljande väntetid; tillstånd och behandling; förståelse och minnesförmåga; samt avslutande vård på akutmottagningen. Både positiva och negativa upplevelser framkom. Mest framträdande var negativa upplevelser angående bristande information om saker som väntetider, tillstånd och behandling. Slutsats: Information är en viktig del av vården på en akutmottagning och denna studie belyser dess betydelse ur ett patientperspektiv. I resultatet framkom en mängd olika upplevelser som visar på problemområdets relevans. Behov av mer forskning specifikt gällande patienters upplevelser av information anses behövas. Genom att belysa patienters upplevelser har brister och även möjligheter till förbättringar synliggjorts, vilket kan vara av nytta för sjuksköterskor i sin profession.
Background: Previous research has shown the importance of information for the patients care experience and safety. Still there is clear evidence that information is lacking at emergency departments [ED]. It is therefore important to gather patient experiences on the subject. Purpose: To investigate patient experiences of information in emergency departments. Method: Descriptive design with a literature review as method where 16 scientific qualitative original articles was analyzed. Results: Five themes was created: Initial care at the ED; following waiting time; condition and treatment; understanding and ability to remember; and final care at the ED. Both positive and negative experiences emerged. Most prominently was negative experiences regarding lack of information about subjects such as waiting times, condition and treatment. Conclusion: Information is a crucial part of the care at the ED and this study highlights its importance from the patient perspective. A lot of different experiences emerged in the result that displays the relevance of the problem area. The need of further research regarding patient experiences of information is considered needed. Flaws and opportunities for improvement has also been revealed by highlighting patient experiences, which may be of use for nurses in their profession.
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Hsieh, Mei-hsia. "Evaluating the effect of a patient education brochure on patients’ expectations and satisfaction with emergency department service." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/37640/1/Mei-hsia_Hsieh_Thesis.pdf.

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Introduction: The purpose of this study was to assess the capacity of a written intervention, in this case a patient information brochure, to improve patient satisfaction during an Emergency Department (ED) visit. For the purpose of measuring the effect of the intervention the ED journey was conceptualised as a series of distinct areas of service comprising waiting time, service by the triage nurse, care from doctors and nurses and information giving Background of study: Research into patient satisfaction has become a widespread activity endorsed by both governments and hospital administrations. The literature on ED patient satisfaction has consistently indicated three primary areas of patient dissatisfaction: waiting time, nursing care and communication. Recent developments in the literature on patient satisfaction studies however have highlighted the relationship between patients. expectations of a service encounter and their consequent assessment of the experience as dissatisfying or satisfying. Disconfirmation theory posits that the degree to which expectations are confirmed will affect subsequent levels of satisfaction. The conceptual framework utilised in this study is Coye.s (2004) model of disconfirmation. Coye while reiterating satisfaction is a consequence of the degree expectations are either confirmed or disconfirmed also posits that expectations can be modified by interventions. Coye.s work conceptualises these interventions as intra encounter experiences (cues) which function to adjust expectations. Coye suggests some cues are unintended and may have a negative impact which also reinforces the value of planned cues intended to meet or exceed consumer expectations. Consequently the brochure can be characterized as a potentially positive cue, encouraging the patient to understand processes and to orient them in what can be a confronting environment. Only a limited number of studies have examined the effect of written interventions within an ED. No studies could be located which have tested the effect of ED interventions using a conceptual framework which relates the effect of the degree to which expectations are confirmed or disconfirmed in terms of satisfaction with services. Method: Two studies were conducted. Study One used qualitative methods to explore patients. expectations of the ED from the perspective of both patients and health care professionals. Study One was used in part to direct the development of the intervention (brochure) in Study Two. The brochure was an intervention designed to modify patients. expectations thus increasing their satisfaction with the provision of ED service. As there was no existing tools to measure ED patients. expectations and satisfaction a new tool was also developed based on the findings and the literature of Study One. Study Two used a non-randomised, quasi-experimental approach using a non-equivalent post-test only comparison group design used to investigate the effect of the patient education brochure (Stommel and Wills, 2004). The brochure was disseminated to one of two study groups (the intervention group). The effect of the brochure was assessed by comparing the data obtained from both the intervention and control group. These two groups consisted of 150 participants each. It was expected that any differences in the relevant domains selected for examination would indicate the effect of the brochure both on expectation and potentially satisfaction. Results: Study One revealed several areas of common ground between patients and nurses in terms of relevant content for the written intervention, including the need for information on the triage system and waiting times. Areas of difference were also found with patients emphasizing communication issues, whereas focus group members expressed concern that patients were often unable to assimilate verbal information. The findings suggested the potential utility of written material to reinforce verbal communication particularly in terms of the triage process and other ED protocols. This material was synthesized within the final version of the written intervention. Overall the results of Study Two indicated no significant differences between the two groups. The intervention group did indicate a significant number of participants who viewed the brochure of having changed their expectations. The effect of the brochure may have been obscured by a lack of parity between the two groups as the control group presented with statistically significantly higher levels of acuity and experienced significantly shorter waiting times. In terms of disconfirmation theory this would suggest expectations that had been met or exceeded. The results confirmed the correlation of expectations with satisfaction. Several domains also indicated age as a significant predictor with older patients tending to score higher satisfaction results. Other significant predictors of satisfaction established were waiting time and care from nurses, reinforcing the combination of efficient service and positive interpersonal experiences as being valued by patients. Conclusions: Information presented in written form appears to benefit a significant number of ED users in terms of orientation and explaining systems and procedures. The degree to which these effects may interact with other dimensions of satisfaction however is likely to be limited. Waiting time and interpersonal behaviours from staff also provide influential cues in determining satisfaction. Written material is likely to be one element in a series of coordinated strategies to improve patient satisfaction during periods of peak demand.
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Ahmed, Rukshana. "Do patients' expectations influence their satisfaction with complete dentures?" University of the Western Cape, 2016. http://hdl.handle.net/11394/5601.

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Magister Scientiae Dentium - MSc(Dent)
Background: Most edentulous patients have expectations regarding complete dentures that are not only dependant on past experiences but also the information they received from others. These expectations may impact on the level of satisfaction the patient would have when receiving their complete dentures. When determining levels of satisfaction, factors such as comfort, speech, aesthetics, mastication, retention, fit / stability and occurrence of pain should be assessed. The dental student should be able to clinically apply theoretical knowledge to provide the patient with a stable and retentive denture that fulfils their expectations on function and aesthetics. Not much has been written regarding this link between patients' expectations and satisfaction with complete dentures at the University of the Western Cape, thus it warranted further investigation. Aim: The aim of this study was to determine whether patients' expectations influence their satisfaction with new complete dentures constructed by undergraduate dental students. Objectives:- 1. To determine the expectations of the edentulous patients prior to receiving new complete dentures. 2. To determine if patients’ expectations influences satisfaction with new complete dentures. 3. To investigate the influence of socio-demographic factors on patients' satisfaction wearing complete dentures. 4. To determine if the level of experience of the undergraduate student influences patient satisfaction. Methodology: This was an observational study using two questionnaires for data collection namely the Patient Expectation Questionnaire and the Oral Health Impact Profile- 20. Socio-demographic data was collected as part of the first questionnaire. Each participant was given an individual case number that corresponded on both questionnaires. This facilitated correlation between the expectations and satisfaction results of individual patients. Results: The age range for the majority of the patients was between 56-65 years. Females made up 72% of the sample with 85% of the sample of coloured ethnicity. Statistical analysis included reliability testing of the Patient Expectation Questionnaire and the Cronbach's Alpha of .773 was recorded, which indicates good reliability. Results following analysis of the Oral Health Impact Profile-20 showed high levels of satisfaction in most domains. The correlation between patients' expectations and satisfaction with new complete dentures was not proven using Pearson correlation. However, the comparison between the expectations questionnaire and Oral Health Impact Profile-20 frequency distribution showed positive results and most expectations of the patient were met or even exceeded for certain domains. Conclusion: Once analysis of both questionnaires was completed high levels of expectations were recorded and these expectations were met in most domains. Even though the statistical relationship between patient expectations and satisfaction was not proven, analysis of the questionnaires yielded positive results. No association was found between pre-treatment expectation and patient satisfaction with complete dentures. Some socio-demographic factors influenced patient satisfaction with complete dentures. High levels of patient satisfaction were recorded regardless of the clinical experience of the undergraduate dental student.
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Rådén, Emelie, and Jenny Wallenius. "Hur patienter med hiv upplever bemötandet från vårdpersonal." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-6326.

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Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles. Results:Two themes were found; to be discriminated and to be powerless and extradited. To be discriminated describes that patients in several cases been treated differently than others, by health professionals.To be powerless and extradited describes that patients are not allowed tobe involved in their care and they have distrust to health care providers.Conclusion:Patients with HIV experience discrimination, excessive precautions and ignorance which cause a care suffering. It is important that the nurse is aware of the deficiencies in the treatment to work towards a good care relationship.There is a great need for further research regarding to explore how patients with HIV experiencing the treatment from health professionals.
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Smith, Cheryl. "Patients’ Perceptions of Patient-Centered Care and the Hospital Experience Pre- and Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etd/3388.

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Florence Nightingale used the principles of patient-centered care as the foundation for nursing practice. Today, patient-centered care delivery is part of the healthcare reform process that extends interprofessionally throughout all settings of healthcare in the United States (U.S.). Patient satisfaction measurement is one primary determinant of effective patient-centered care. The standardized Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey and methods is a nation-wide tool used to measure patient satisfaction. However, this method of patient satisfaction assessment relies on recollections of patients’ hospital experiences and requires accurate memory and recall. This study sought to examine the effect of the memory-experience gap on patients’ perceptions of their hospital experiences and address this research question: Are there any statistical differences between in-hospital and two-week post-discharge perceptions of patient-centered care as measured with HCAHPS patient satisfaction ratings on (a) the composite scores for communication with nurses, communication with physicians, communication about medicines, pain management, staff responsiveness, (b) the individual scores for the hospital environment’s cleanliness and quietness, and the inclusion of patient and family preferences in the plan of care, and (c) the overall global rating score? The design was a non-experimental, prospective, descriptive correlational study. The setting was a 255-bed regional hospital that serves individuals from eight surrounding rural counties in southern middle Tennessee. The case-mix contained diverse individuals with multiple economic, environmental, physical, social and spiritual dynamics. A convenience sample of 82 adult patients ages 26 - 93 represented mainly Caucasian females with mostly cardiovascular and respiratory illnesses who had a minimum one-day stay.
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Devreux, Isabelle. "Relationship between staff satisfaction, productivity and patient satisfaction: a study in physical rehabilitation services." Doctoral thesis, Universite Libre de Bruxelles, 2012. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209609.

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La satisfaction du patient et du personnel sont considérés comme des indicateurs importants afin de mesurer la qualité dans le secteur hospitalier.

Dans les services de revalidation, les rencontres thérapeutes-patients présentent une valeur significative par le temps consacré, l'approche thérapeutique mais également la relation qui découle du processus de soin.

L'objectif de la recherche fut d'évaluer la satisfaction du personnel travaillant dans les services de revalidation physique (thérapeutes et techniciens ou assistants) et les différents variables démographiques ou liés à l'environnement du travail ainsi que la satisfaction des patients traités dans ces services.

Une analyse transversale par questionnaire a permis de mesurer la satisfaction au travail et les éléments de productivité dans les services de revalidation. Simultanément, une enquête concernant la satisfaction des patients a été réalisée dans ces mêmes départements. La recherche fut effectuée au sein de dix centres hospitaliers au moyen d'un questionnaire d'enquête commun basé sur le modèle " Effort- Reward Imbalance" ou “déséquilibre efforts-récompenses” et des informations complémentaires sur les conditions de travail ont étés collectées au moyen de questionnaires spécifiques. L’étude met en évidence des variables démographiques tells l'âge, la nationalité, le niveau d'éducation, ainsi que la charge travail et les types de cas traités comme facteurs significatifs influençant le stress au travail.

Les résultats confirment une corrélation positive entre le stress au travail par le déséquilibre Efforts-Récompenses et la performance quantitative (productivité) des thérapeutes en revalidation. Il est basé sur la satisfaction des thérapeutes en fonction des heures de travail, du nombre moyen de patients par jours ainsi que des mesures de productivité élevées du département. En ce qui concerne les récompenses perçues comme positives, le soutien du médecin et du superviseur apparaissent comme facteurs de motivation importants. Il a été également déterminé que les thérapeutes appréciaient la participation et l’expression de son opinion dans la gestion thérapeutique du patient. Bien qu’une corrélation entre la satisfaction des patients et le degré de stress au travail des thérapeutes n’ait pas été démontrée, ces deux mesures varient de manière significative en fonction des types d’hôpitaux et du degré de « Over-commitment » des thérapeutes dans leur travail.

Les déterminants essentiels de la satisfaction des patients en revalidation apparaissent toutefois liés à l’intervention du thérapeute tel que sa capacité à rassurer le patient ou la qualité de l’information liée au plan de traitement et doivent être considérés dans l’approche thérapeutique en revalidation.

Les résultats de l’étude ont permis de concevoir un modèle systémique de satisfaction et de stress au travail résumant les éléments liés de manière significative au déséquilibre des efforts et récompenses dans les services de revalidation physique et qui pourrait inspirer les directeurs ou gestionnaires hospitaliers a promouvoir une atmosphère de travail positive.

Patient and staff satisfaction are considered as important indicators to monitor quality in healthcare. In rehabilitation services the patient and therapist encounters are of significant value by the amount of time, the therapeutic approach but also the personal relations in the care process. The aim of the research was to evaluate the staff job satisfaction in physical rehabilitation services and the related variables as well as its correlations to patients’ satisfaction.

A cross sectional survey approach in the rehabilitation services has measured the job satisfaction and the related elements of productivity. Simultaneously a survey of the patients’ satisfaction was performed. As the research in the physical rehabilitation services was conducted in ten different health care facilities of the Jeddah region, a common assessment tool was utilized based on the Effort Reward Imbalance (ERI) model and complementary information were collected using specifically developed survey questionnaires. Socio-demographic variables such as age, nationality, work specialty, educational levels, as well as the caseload and workload appeared also as significantly influencing job satisfaction.

The findings confirmed a positive correlation between the Effort Reward Imbalance and the quantitative performance (productivity) of the rehabilitation staffs. It is supported by the level of job satisfaction of the therapists which is related to the number of patients per day, caseload, hours of work and high productivity measures. From the aspects of positive rewards, the role of the supervisor and doctors appear as important motivators. It was also found that therapists valued the fact of being given the opportunity to participate and discuss opinions in the patient management and quality improvement.

While no evidence confirmed a positive correlation between patients’ satisfaction about the rehabilitation treatments and the staff job satisfaction, both measured patients’ and staff satisfaction varied significantly according to the hospital type and the degree of Over-commitment.

Essential determinants of patients’ satisfaction appeared however related to the therapists' input, such as the ability to reassure or the quality of information given in the treatment plan and have to be taken into account when delivering the patients’ care.

All the results allowed the design of a systemic model of staff job satisfaction resuming the significant related elements of effort and reward in the rehabilitation services and could be utilized to inspire the hospital leaders, managers and executive directors to promote a healthy work life environment based on a valued human resources approach.


Doctorat en Sciences de la santé publique
info:eu-repo/semantics/nonPublished

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Junaid, Muhammad. "Patient participation in chronic illness management : a proposed framework for health care services." Electronic Thesis or Diss., Aix-Marseille, 2020. http://theses.univ-amu.fr.lama.univ-amu.fr/201124_JUNAID_963i204e192lfqf829nlfte_TH.pdf.

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La gestion de la santé, notamment en ce qui concerne les maladies chroniques, dépend de la participation des patients. La relation entre l'éducation des patients et la participation des patients est au cœur de cette recherche. L'étude a suivi un protocole de recherche mixte. 75 entretiens semi-directifs avec des médecins, patients et du personnel paramédical ont été menés. La participation et l'éducation sont apparues comme des variable d'ordre multidimensionnelles. L’anxiété du patient et les considérations psychologiques ont été identifiées comme des modérateurs potentiels. Ensuite, SEM été utilisés pour analyser les données d'enquête de 690 patients atteints de maladies chroniques comme le diabète et l'hypertension. Les résultats de l'étude révèlent que l'éducation est un déterminant important de la participation. Il y a par ailleurs un effet positif significatif de la participation sur le contrôle du patient de sa maladie et la satisfaction dans la vie. La participation médiatise pleinement la relation entre l'éducation et la satisfaction dans la vie tandis que la relations entre l’éducation et le contrôle du patient de sa maladie est médiatisé partiellement par la participation. Le contrôle du patient de sa maladie médiatise la relation entre la participation et la satisfaction dans la vie. L'anxiété et les considérations psychologiques modèrent positivement l'effet de l'éducation des patients sur la participation. Cette relation est plus forte lorsque l'anxiété et les considérations psychologiques sont élevées plutôt que faibles. La recherche conclut en donnant des orientations pour les futures recherches et les implications managériales
The management of health, particularly in chronic diseases is dependent on the participation of patients. The relationship of patient education with patient participation is key focus of this research. The study followed mix method research. Firstly, 75 semi structured interviews with doctors, patients and paramedical staff were conducted. Patient participation and patient education emerged as multidimensional constructs. The patient anxiety and psychological considerations of doctor were identified as potential moderators that may impact the relationship between patient education and patient participation. Later, SEM (Structural Equation Modeling) was used to analyze the survey data of 690 patients with chronic diseases. The results revealed that patient education is an important determinant of patient participation. There is significant positive effect of patient participation on patient control on illness, and satisfaction with life. Patient participation fully mediates the relationship between patient education and satisfaction with life, while the relationship between patient education and patient control on illness is partially mediated through patient participation. Patient control on illness mediates the relationship between patient participation and satisfaction with life. Anxiety and psychological considerations positively moderate the effect of patient education on patient participation. This relationship is more strong when anxiety and psychological considerations are high rather than low. The research concludes giving research directions and implications for practitioners
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George, Mercy. "Patient Navigation Program in Oncolgy Clinical Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5193.

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Cancer diagnoses affect millions of people in the United States each year. Today, cancer patients face many challenges when trying to navigate the complex healthcare system. Patient navigation programs were developed to address and overcome barriers patients may face as they make their way through the healthcare system. The purpose of this project was to provide an analysis and discussion of the current published literature to provide evidence for improving care coordination and patient satisfaction in the oncology clinical setting with a patient navigator program. The practice-focused question for this project asked if a patient navigator program for adult cancer patients improved patient outcomes. The systematic review, guided by Watson's theory of caring, included 11 studies published between 2010 and 2017 identified through Cochrane Library, CINAHL, ProQuest, PubMed, and Joanna Briggs Institute. Initially a total of 679 articles were identified; however the number reduced by removing duplicates and after review of titles and abstracts. The remaining articles were then evaluated by the level of evidence based on the Manly and Fineout-Overholt's guide on hierarchy of evidence. The results identified in this systematic review showed patient navigation can improve care coordination and patient satisfaction. This review offers findings on the impact of cancer care coordination and patient satisfaction, which may be used by healthcare leaders when determining how to improve cancer care and as a result may provide positive social change. If the organization implements a patient navigator program, it is expected that this change would benefit patients, families, healthcare providers and the organization.
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Fröjd, Camilla. "Cancer Patients’ Satisfaction with Doctors’ Care : Consequences and Contributing Conditions." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8267.

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The main aims were to: explore whether there is a relation between doctors’ ability to identify patients’ worry and wish for information and self-efficacy with regard to communicating with patients about difficult matters; describe which cues doctors consider when estimating patients’ worry and wish for information, and investigate whether there is a relation between patients’ satisfaction with doctors’ care and patients’ psychosocial function. Eleven doctors and 69 patients (of which 36 patients participated in the longitudinal study) with carcinoid tumours participated. Doctors’ self-efficacy, and ability to identify patients’ worry/wish for information were investigated at patients’ first admission. Doctors were interviewed about which cues they considered when estimating patients worry/wish for information. Patients’ satisfaction with care (CASC SF 4.0) and psychosocial function (EORTC QLQ-C30, HADS) were measured longitudinally, during the first year after diagnosis. Doctors reported higher self-efficacy when showing good ability to identify patients’ wish for information, than when showing less good ability, overestimated patients’ worry and underestimated patients’ wish for information. Doctors considered patients’ verbal behaviour and body language together with knowledge and experience when estimating patients worry and wish for information. Patients who met doctors showing good ability to identify their wish for information, reported a higher cognitive function than patients who met doctors showing less good ability. At all assessments patients expressed high satisfaction with doctor’ care and patients’ satisfaction did not change over time. Patients’ satisfaction with doctors’ care were related to their psychosocial function shortly after the first three admissions to specialist care. Patients with carcinoid tumours in some respects reported a worse HRQoL than the general Swedish population. Fatigue, diarrhoea, limited possibilities to work/pursue daily activities, and worry that the illness will get worse were among the most prevalent, and worst, aspects of disease- and treatment related distress.
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Beggs, Robert Thomas. "Predicting satisfaction with spouse responses among patients with rheumatoid arthritis." Thesis, University of British Columbia, 2013. http://hdl.handle.net/2429/44069.

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Despite an abundance of research demonstrating the importance of social support for health outcomes, much less is known about what causes a person to feel supported. Past research has focused on between-person analyses, meaning that the degree of within-person variance and the within-person covariates of satisfaction with support are largely unknown. The current study used a daily diary methodology to investigate both within- and between-person factors related to satisfaction with spouse responses. The sample was comprised of 69 married individuals with rheumatoid arthritis. Participants completed an initial background interview, followed by twice-daily telephone interviews for one week. The first research question addressed whether variance in satisfaction with responses was within- or between-person. Results showed that a significant portion of the variance was within-person in the morning (45%) and the evening (40%) interviews. The second question addressed whether within- and between-person variance in satisfaction with responses could be explained by illness-related variables (e.g., pain severity), personality, mood, and types of support provided by the spouse. Multilevel analysis revealed that esteem support was positively associated, and negative spouse responses were negatively associated, with both within- and between-person variance in satisfaction with responses. These effects were present in both concurrent and lagged analyses. Positive affect and pain had only concurrent associations with satisfaction with spouse responses. At the between-person level, age was positively associated, and marital dissatisfaction and fatigue were negatively associated with average levels of satisfaction with spouse responses. The third research question investigated factors related to the variance of a participant’s satisfaction with spouse responses over the course of the week (i.e., their lability in satisfaction with responses). Marital dissatisfaction and negative spouse responses were related to greater lability over the course of the week, whereas positive affect and positive spouse responses were associated with lower lability. Overall, the current study found a significant portion of explainable variance in satisfaction with spouse responses, both within- and between-participants. Future research should investigate cross-level interactions, as well as factors associated with satisfaction with support outside the marital relationship and among other populations.
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Schrader, Stuart. "A Relational Analysis of Patients' Perceptions of Physicians' Noverbal Immediacy & Patients' Satisfaction with Their Physicians." TopSCHOLAR®, 1988. https://digitalcommons.wku.edu/theses/2830.

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This study examines the relationship between patients' perception of physicians' nonverbal immediacy and patients' satisfaction with their physicians. Using a newly designed scale tor measuring nonverbal immediacy and patients' satisfaction with their physicians, the researcher tested one hundred and eighty-nine patients of six southern, male, caucasian doctors to determine if a significant correlation exists between composite scores. These doctors practice in Southern Kentucky, specializing as internists, general practitioners, and family practitioners. Both scales use a composite measure based on the summation of all twelve questions within the scale. Data analysis included reliability coefficients, factor analysis, multiple regression analysis, Pearson correlations, distributions of composite scores, responses to individual questions, Eta analysis, and analysis of variance.
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David, Cheikha. "Demande de chirurgie esthétique et satisfaction en lien avec le fonctionnement psychosocial et émotionnel." Aix-Marseille 1, 2009. http://www.theses.fr/2009AIX10107.

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Le façonnage chirurgical du corps répond à une nécessité psychologique encore peu définie. Depuis quelques années, la demande de chirurgie esthétique et sa satisfaction subséquente sont l'objet d'investigations multiples. Des facteurs sont identifiés comme intervenant dans le processus. Mais on déplore un manque de conceptualisation, limitant par ce fait, les capacités explicatives du phénomène. Ainsi, une analyse qualitative et quantitative est menée auprès de 50 personnes avant et 6 mois après l'intervention (n=22). Elle s'inscrit dans une perspective multidimensionnelle où le contexte social, psychologique et émotionnel est mis en lien avec le discours. Nos résultats supportent la pertinence d'un modèle multifactoriel en étayant l'existence d'un mode de fonctionnement particulier de ces personnes. Différentes formes s'allient avec le niveau de satisfaction après intervention : élevé (n=12), moyen (n=7) et bas (n=3). Les capacités prédictives du comportement sont limitées, mais encouragent la mise en place de thérapeutiques, interface nécessaire entre le soma et la psyché, dont l'alliance dessert incontestablement la santé psychologique.
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Amro, Saleh. "Construction et validation d'un instrument de mesure de la satisfaction du patient : application au domaine de la pharmacie d'officine." Université Joseph Fourier (Grenoble), 2003. http://www.theses.fr/2003GRE18001.

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L'objectif est de développer un instrument standardisé d'évaluation de la satisfaction des patients en langue française et de l'appliquer au domaine officinal. Le questionnaire se compose de 29 questions fermées, de quelques questions ouvertes et de questions supplémentaires. Les questions proposées couvrent les domaines suivants : Satisfaction globale, qualité technique des services et des soins, explication, considération, environnement physique. Les choix de réponses au questionnaire varient de 1 (totalement d'accord) à 5 (pas du tout d'accord). Les items étaient présentés sous forme d'énoncés factuels dotés d'une échelle de Likert en cinq points. Puis nous avons analysé les questionnaires de satisfaction de la clientèle en pharmacie en étudiant son acceptabilité et ses propriétés psychométriques. Résultats : en résumé le taux de succès pour la validité convergente est de 100 % et il est de 83 % pour la validité discriminante. L'alpha de Cronbach est compris entre 0,87 et 0,88. Il s'agit du premier outil français standardisé et validé disponible pour l'évaluation de la satisfaction des patients a l'officine
A research program was undertaken to develop and validate a multidimensional measure of patient satisfaction with pharmacy services. A 29-item instrument (five-point Likert scale) was developed. Dimensions of satisfaction identified were Explanation (7 items), Consideration (8 items), Technical Competence (4 items), physical attributes (6 items), General satisfaction (4 items). Using psychometric methods to test the reliability and validity of the instrument. The response rate for the questionnaire was high (100%) and the rate of completion for each dimension was over 95%. The validity with the item coefficient >0. 6 for all scales. The reliability Cronbach's Alpha coefficient for all scales of >0. 70. The patient satisfaction with pharmacy services scale is a first and new instrument for measuring patient satisfaction with pharmacy services in France. It is easy to use, acceptable to patients, and fulfils stringent criteria of reliability and validity
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Villalona, Seiichi. "Looking Beyond Patient Satisfaction: Experiences of Spanish-Speaking Patients Seeking Non-Urgent Care in an Emergency Department." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7374.

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This exploratory mixed-methods study examines the experiences of Spanish-speaking patients seeking non-urgent care in an emergency department setting. Emphasis is placed on understanding variables that influence patient satisfaction among this particular special patient population. This study draws from the explanatory models of illness and perspectives of clinically applied anthropology in contributing to the limited body of scholarly work that utilizes ethnographic approaches in clinical spaces to investigate how patients experience seeking emergency care services. Health-related deservingness, social determinants of health, and health literacy are used as complementary frameworks in understanding the unique experiences of these patients. The combination of methodological approaches employed in this study included: participant observation (120+ hours), patient shadowing (40 hours, N=10), administration of a modified patient satisfaction survey (N=100), semi-structured interviews (N=25), and retrospective analysis of existing patient satisfaction data from the research site. Quantitative findings generally indicate high degrees of satisfaction among this particular patient population, with statistically significant differences when compared to English-speaking patients. Quantitative data also indicate how modality of communication with this patient population is important to consider in terms of patient comprehension and perceived levels of care/attention demonstrated by hospital staff. The qualitative findings from this project highlight the similarities in explanatory models of illness between this patient population and emergency medical providers. Qualitative data additionally elucidates many of the barriers Spanish-speaking patients face when seeking out non-urgent care such as: limitations in exercising individual autonomy when communicating with medical staff, self-blame for not being able to effectively articulate their symptoms and concerns, as well as lack of clarity in understanding follow-up care plans. The results from this study call for addressing issues pertaining to health literacy, specifically at the end of the clinical encounter when follow-up care and treatment plans are explained to patients.
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36

Rohrer, Irene Reiko. "An exploratory descriptive study : orthopedic patients' perceptions of satisfaction with nursing care in the emergency room." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29741.

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The purpose of this exploratory descriptive study was to determine orthopedic patients' perceptions of satisfying and/or dissatisfying nursing care behaviours during their emergency room experience. The conceptual framework selected for this study was based on Risser's (1975) criterion to evaluate patient satisfaction with nursing care. Risser's evaluative criterion consists of four dimensions which include: technical-professional behaviour, trusting relationship, inter-intrapersonal relationship, and educational relationship. The study was conducted in a large metropolitan hospital in the Vancouver area. The sample consisted of seven men and three women. Their ages ranged from 23 to 81 years. All subjects were admitted to the emergency room and subsequently transferred to an orthopedic ward as a result of an orthopedic injury and/or illness. An interview guide was designed by the researcher to collect retrospective data of subjects' perceptions of their emergency room experience. Data were collected through taped semi-structured interviews with all the subjects during their stay on the orthopedic ward. Data were analyzed by categorizing the identified nursing care behaviours under the four dimensions of Risser's (1975) evaluative criterion. The findings indicated that subjects were able to recall satisfying or dissatisfying nursing care behaviours. They appraised and/or commented on the nursing care behaviours which met their basic physical and psychosocial needs. The nursing care behaviours related to the trusting relationship dimension were an integral component of patient satisfaction. The role of the triage nurse was significant in influencing subjects' perceptions of satisfaction or dissatisfaction with nursing care. Overall, subjects expressed satisfaction with the nursing care behaviours in each of the four dimensions.
Applied Science, Faculty of
Nursing, School of
Graduate
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37

Robert, Valérie Mertes Paul Michel. "Satisfaction et vécu périopératoire des patients opérés sous anesthésie péribulbaire dans le service d'ophtalmologie A au CHU de Nancy." [S.l] : [s.n], 2003. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2003_ROBERT_VALERIE.pdf.

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38

Sidell, Nancy L. "The experience of community dwelling spouses of nursing home users : marital satisfaction, coping, and mental health /." The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487949508369401.

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39

Rofail, Diana. "Treatment satisfaction and dissatisfaction in patients with chronic low back pain." Thesis, Brunel University, 2010. http://bura.brunel.ac.uk/handle/2438/4616.

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This thesis explores treatment satisfaction and dissatisfaction in patients with chronic low back pain (CLBP). Chapters 1 and 2 provide background on CLBP, and treatment satisfaction and dissatisfaction. Chapter 3 presents study 1, the systematic review which identified research concerning treatment satisfaction and dissatisfaction in patients with CLBP. Findings indicated a need to define the concept, and establish appropriate measurement based on patient input and evidence to support the reliability and validity of items. Chapter 4 presents study 2, a qualitative study. Ten patients with CLBP taking medication and/or receiving physiotherapy were interviewed. A conceptual model of CLBP and a thematic map of treatment satisfaction and dissatisfaction were developed. Satisfaction was related to being 'happy' or 'pleased', and maintaining normal functioning. Treatment not working, causing discomfort, or negatively affecting health-related quality of life, as well as inconvenience of medication, lack of information, not feeling involved in treatment decisions, lack of trust and confidence in healthcare professionals, and being misdiagnosed or undiagnosed, were associated with dissatisfaction. Chapter 5 documents the development of the CLBP Treatment Satisfaction Questionnaire, based on patient input from study 2. Cognitive debriefing showed items were relevant and understood by patients. Chapter 6, study 3, explored the psychometric properties of the questionnaire. The longitudinal design involved data collection from 249 patients, some of whom participated in follow-ups. Results indicated that treatment satisfaction/dissatisfaction involves an appraisal of the following seven domains: 'Information Provided about Back Pain and Treatment', 'Burden of Back Pain', 'Impact of Back Pain and Treatment on Relationships', 'Satisfaction with the Treatment Process', 'Problems with Side Effects of Medication', 'Adherence to Physiotherapy', and 'Medication Acceptability'. Some evidence of reliability and validity are presented. This thesis concludes with Chapter 7, a discussion of the main findings of the studies, strengths and limitations, and recommendations for future research.
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40

Parrott, Roxanne Louise. "Physicians' verbal immediacy as a mediator of patients' understanding and satisfaction." Diss., The University of Arizona, 1990. http://hdl.handle.net/10150/185224.

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This study examines specific speech forms that comprise physicians' language use, and motives for use. A coding system combining work on verbal immediacy and conversational involvement was used to assess the language of 19 physicians during 58 videotaped interactions with patients. Physicians were found to use more nonimmediate than immediate speech. Information-giving was positively related to use of nonimmediate speech. Use of implicit nonimmediacy was positively related to physicians' perceptions of the medical community's consensus regarding a patient's condition and recommendations for treatment. Experience was positively related to use of spatial nonimmediacy and automatic phrases. Gender and experience interact to predict use of temporal, implicit, and qualified nonimmediacy. Inexperienced males used the least of these forms of speech, while experienced males used the most. No relationship was found between use of nonimmediate speech and patients' understanding, satisfaction, or met expectations. Implicit nonimmediacy was directly related to patients' behavioral intent to comply. Findings are reviewed for implications to both Communication and Medicine.
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41

Barlesi, Fabrice. "Evaluation de la santé perçue en oncologie thoracique : place dans l'aide à la décision." Aix-Marseille 2, 2006. http://www.theses.fr/2006AIX20681.

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Le cancer bronchique (CB) a un mauvais pronostique. Des efforts, soutenus par le Plan Cancer, sont faits pour améliorer la survie des patients et contrôler la toxicité des traitements. De plus, le patient est clairement placé au centre du dispositif de soins. Ainsi, au delà des mesures quantitatives classiques d’efficacité, des mesures qualitatives sont initiées. Nos travaux suggèrent (i) qu’il existe une volonté des médecins impliqués en oncologie thoracique pour s’investir dans ce domaine, (ii) que ces mesures fournissent des informations complémentaires aux mesures quantitatives, notamment dans le cadre de l’évaluation de la période post-opératoire après chirurgie pour cancer bronchique, (iii) qu’un des moyens d’influencer positivement la santé perçue pourrait reposer sur les modalités de l’information délivrée par les médecins aux patients, (iv) mais que ces mesures sont insuffisantes, à elles seules, pour évaluer la qualité des soins reçus
Lung cancer is associated with a poor prognosis. Efforts included a the “Plan Cancer” are done to improve patients survival and control treatment-related toxicities. In addition, patients have been clearly placed at the centre of health system. Then, besides classical quantitative assessment of treatments efficacy, qualitative measures have been initiated. Our works suggest that (i) doctors involved in thoracic oncology wish to include these measures into their practice, (ii) these measures provide additional information regarding post-operative course after thoracic surgery, (iii) a tool possibly influencing health perception might be represented by information delivered by doctors to patients, (iv) these measures are however not strictly related to the quality of health care
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Mornet, Chantal. "Le patient-client à l'hopital : contribution à la formulation d'une métamorphose." Lyon 3, 2000. http://www.theses.fr/2000LYO33028.

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Les gestionnaires des organismes de santé sont soumis à l'obligation d'évaluer la satisfaction du patient depuis l'ordonnance de 96. On ne peut décider que le service rendu est satisfaisant ou fixer ce qu'est la satisfaction d'un patient sans le questionner pour le laisser témoigner sur son expéreince. Nous avons donc une démarche qualitative avant de formuler un questionnaire d'évaluation. Le patient arrive avec certaines représentations qu'il confronte avec d'autres représentations construites pendant son hospitalisation. Le soignant constitue un élément prépondérant dans l'environnement du patient. Il s'agit d'une co-construction. Le patient est aussi "sujet" de son expérience : il n'est pas simplement rationnel et conforme à un rôle et met du sens dans sa décision de soins. Le concept sociologique de sujet plutôt que d'acteur exprime mieux cette complexité d'un patient. Porter ce regard nous amène à observer "l'expérience" du sujet et nous avons eu recours aux sciences cognitives pour les concepts de représentation et d'expérience. Mais cela pose des questions méthodologiques. On ne peut atteindre directement l'expérience du patient mais seulement son discours et les représentations qu'il met en oeuvre. Pour cela, l'analyse de contenu permet de mettre en évidence les représentations du patient utilisées pour construire son discours. L'enquête quantitative qui a suivi l'investigation qualitative n'est pas toujours convainquante et nous voulons plutôt modifier le statut de l'évaluation de la satisfaction du patient pour ne plus la voir comme un instrument de controle à posteriori mais comme un élément de management pour l'organisation des processus et l'élaboration des projets. D'un point de vue gestionnaire, nous nous situons dans des problématiques d'organisations apprenantes.
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Guittard, Laure. "Le dossier de santé détenu par le patient : attentes des acteurs, impact médical, relationnel et systémique." Lyon 1, 2006. http://www.theses.fr/2006LYO10297.

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Les conditions d’utilisation et d’accès au dossier du patient ayant profondément évolué, nous avons souhaité évaluer l’impact médical et systémique d’un dossier de santé, géré par le patient, et partagé avec les professionnels de santé. Prenant l’exemple de la prise en charge du cancer du sein, nous avons défini les attentes des acteurs et le format du dossier qui pourrait être confié à la patiente. Un essai randomisé multicentrique a ensuite été réalisé, comparant un groupe de patientes de référence, à un groupe bénéficiant du dossier expérimental. Le dossier élaboré est source d’adhésion et de satisfaction pour les patientes et les médecins. Il a représenté un outil de communication patient-médecin et intra-professionnels et a pu généré de l’anxiété chez certains types de patientes. La qualité de vie, la confidentialité des données ou la consommation de soins sont restées identiques dans les deux groupes. L’étude objective un nouveau format de dossier porté par les patients
The conditions of use and access to medical records became an important source of interest in the last decade. Our objective was to estimate the impact of a patient-held records, shared with health professionals. Using the example of breast cancer management, we identified practitioners and patients’ expectations and we defined the size of a medical records which could be held by each patient. The synthesis of these works allowed us to set up a randomized controlled trial comparing patients with the usual follow-up and patients holding this new records containing essential information for their follow-up. The patient-held records is a source of membership and satisfaction for the patients and health professionals. It was used as a tool of communication between physicians and patients but could also cause anxiety to some patients. The patient quality of life, the data confidentiality or the care consumption remained identical. A new concept of medical records was revealed by this study
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44

Oi, Katsuya. "Understanding the Role of Patient Activation in the Association between Patient Socio-Economic Demographics and Patient Experience." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/467.

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This study focuses on the association between patient characteristics, which include both demographic and contextual factors, and patients' experiences with health care. The pre-existing literature provides rich information about patients' various demographics related to patient experience. Despite the abundance of empirical evidence showing that patients' demographics do affect how they perceive their health care. However, there is little to no empirical knowledge explaining the significance of such factors. As the existing literature points out the need for taking into contextual factors such as patient's beliefs, attitudes, skills that are pertinent to dealing with health care, my study proposes patient activation as such a contextual factor that explains the association between patient demographics and patient experience. Findings suggest that patient activation is a strong predictor of two patient experience measures: patients' rating of doctor-patient communication and their self-reported difficulties in getting needed care. However, it is also observed that the mediating effects of patient activation vary by the two dimensions of patient experiences. Though this study demonstrates that promoting patient activation may be able to normalize how patients report the quality of doctor-patient interaction, further research is needed to address access to care issues.
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45

Sandmeier-Marquardt, Bridget. "Patients' self-concept, desire for information and uncertainty reduction." Scholarly Commons, 2000. https://scholarlycommons.pacific.edu/uop_etds/542.

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This is a post-test only experimental design using an uncertainty reduction video to alleviate patient uncertainty, desire for information and increase self-concept to improve overall patient satisfaction with health care experience. The subjects were 80 cardiac consultation patients in a cardiology clinic in Northern California. Forty people were randomly assigned to a control group and forty people to the experimental group. A scale was given to each group which measured the patients' level of self-concept, level of uncertainties (medical setting, relational and illness), and desire for information. The experimental group received an uncertainty reduction video prior to filling out the questionnaire. The uncertainty reduction video was designed to debrief the patient on subjects that may be causing uncertainty for the patient. In conclusion, this study found that the uncertainty reduction video significantly reduced the patient's level of medical setting uncertainty. The study showed a relationship between medical setting uncertainty and relational uncertainty and a relationship between relational uncertainty and illness uncertainty. The study also indicated that patients have high levels of uncertainties in all uncertainty areas: illness, relational, and medical setting, and high a desire for information. However, the video did not show an ability to reduce a patient's level of relational or illness uncertainty. The study also did not show a relationship between self-concept and level of uncertainty and desire for information. Future areas of research suggest that for a similar study a series of illness specific videotapes may be more beneficial at reducing illness uncertainty. The patient's level of previous knowledge, its source, depth and credibility was also suggested for future research. Another area suggested for future research would be the correlation between uncertainties and anxieties.
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46

Moschetti, Karine. "Quelle place pour les préférences des patients dans la régulation du système hospitalier ?" Aix-Marseille 2, 2005. http://www.theses.fr/2005AIX24012.

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47

Campbell, Thomas A. "Relation of Healthcare Provider-Patient Interpersonal Impacts and Health Related Control Appraisals to Patients' Satisfaction and Compliance With Treatment." VCU Scholars Compass, 2005. http://hdl.handle.net/10156/1465.

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48

Törnkvist, Lena. "Care by districts nurses : management of patients with chronic-pain conditions, patient satisfaction and effects of pain advisers /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4762-7/.

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49

Gray, Beverley Ann. "The influence of service quality perceptions and customer satisfaction on patients' behavioural intentions in the healthcare industry." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/514.

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Healthcare today has become a competitive industry, not only locally, but on a global level as well. In the South African economy the healthcare sector presently offers healthcare seekers two options to satisfy their healthcare needs – either through private business enterprises in the private sector or public enterprises in the public sector. Likewise, in the healthcare sector's hospital environment, patients can receive treatment from either private or public hospitals. As private business enterprises offering a relatively 'pure', but generally unsought-after service, private hospitals compete aggressively to attract patients. Patients are a hospital's lifeblood and they rightfully expect a high standard of customer service throughout the stay. With today's consumers being better informed, more sophisticated and more demanding than in the past, experts agree that the key to survival in the service industry today, almost without exception, is the quality of the service. The cornerstone of the service industry is without doubt the ability to deliver superior service quality that results in customer satisfaction. And the healthcare industry is no exception. Most consumers will experience a need for healthcare services at some time in their lives, but in South Africa, escalating medical costs in general and private hospitals in particular, have made private healthcare increasingly more expensive for the majority of the country's healthcare seekers. This situation raises the question of customer service in the private hospital industry and how patients' perceive service quality and evaluate customer satisfaction after a hospital stay. There is a growing body of empirical evidence from United States studies to show that service quality and customer (patient) satisfaction positively influence patients' behavioural intentions to reuse the hospital or recommend it to others (word-of-mouth endorsements). However, in South Africa, empirical studies to investigate these relationships have not been adequately addressed. This study was therefore an attempt to address the lack of scientific evidence and debate in the area of patient satisfaction. Against this background, the primary objective of this study was to measure patients' perceptions of service quality and customer satisfaction with a private hospital experience and to estimate the effect that each of these constructs will have on future behavioural intentions. More specifically, the present study was an attempt to assess empirically the most important dimensions of service quality and transaction-specific customer satisfaction dimensions that drive both patient loyalty and ‘overall’ or cumulative satisfaction in the South African private hospital industry. For the purpose of this study, buying intentions was used as a surrogate measure of loyalty as measured by willingness to reuse the hospital and/or willingness to recommend it to others (word-of-mouth endorsements). Initial exploratory research was conducted with the aim of assessing the views of three private hospital stakeholder groups, namely former patients, doctors and management about what the quality of service and customer satisfaction meant to each individual interviewed. A service enterprise that specialises in patient satisfaction surveys in the US provided particularly useful information during this phase of the study. Several case studies of patient satisfaction programmes, mostly at US hospitals, provided additional insights in this area. The study was conducted nationally at private hospitals owned by one of South Africa's three major hospital groups. Five private hospitals in four major centres were selected on a non-probability convenience basis to participate in the study. The hospital group's senior management and the management at each selected hospital gave their full commitment to ensure that the survey was successfully conducted in their hospital wards. Data were collected by means of a quantitative study using a selfadministered, structured questionnaire. Patients had to meet certain qualifying criteria which included being of adult age, in the hospital for an operation and at least one overnight stay. A total of 3 800 questionnaires was distributed to patients on a random basis in selected wards at the five hospitals by senior hospital staff designated for this task. From this distribution, 425 questionnaires were returned of which a final sample of 323 could be statistically analysed. To confirm the internal reliability of the measuring instrument, Cronbach alpha coefficients were calculated for each of the factors identified by the exploratory factor analysis. In order to assess the discriminant validity of the measuring instrument used to measure both service quality and customer satisfaction, the items were subjected to an exploratory factor analysis. The factors that emerged after the exploratory factor analysis were then used as independent variables in the four subsequent multiple regression analyses to assess the study's four hypothesised relationships. The findings revealed that the service quality dimensions that impact positively on both loyalty and cumulative satisfaction are Empathy of nursing staff and Assurance. The customer satisfaction dimensions to impact positively on both loyalty and cumulative satisfaction are Satisfaction with the nursing staff, Satisfaction with meals, and Satisfaction with fees charged.
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50

Enjalbert, Line. "Evaluation de l’évolution du vécu des patients avant et après transplantation rénale : étude de l'invariance de la mesure." Thesis, Nantes, 2020. http://www.theses.fr/2020NANT1007.

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L’insuffisance rénale chronique terminale (IRCT) nécessite le recours à un traitement de suppléance : la dialyse ou la transplantation rénale. Aujourd’hui, il est reconnu que les traitements de l’IRCT ont un impact sur la qualité de vie (QdV) des patients. Or, les patients peuvent percevoir et interpréter différemment les questionnaires au cours du temps : ce phénomène est appelé response shift (RS). Ainsi, les évolutions observées de la QdV pourraient de pas refléter un réel changement de QdV, mais également une différence de perception des questionnaires par les patients au cours du temps (RS). La perception des questionnaires et le RS pourront également être différents entre les patients qui ont connu la dialyse ou non (préemptifs). Le premier objectif de cette thèse était l’évaluation et la comparaison de l’évolution de la QdV des patients préemptifs et dialysés sur liste d’attente pour une transplantation rénale. Le second objectif était la détection et la prise en compte du RS (avant et après la transplantation rénale), et de la non-invariance de la mesure entre groupes (patients dialysés et préemptifs). Pour répondre à ces objectifs, plusieurs travaux ont été effectués. Ainsi, nous avons pu identifier que la QdV des patients dialysés était en général inférieure à celle des patients préemptifs pendant la période sur liste d’attente. De plus, du RS a été détecté et nous avons observé que le niveau de QdV des patients, ajusté sur le RS, avait tendance à augmenter après la transplantation rénale. L’adaptation des programmes d’éducation thérapeutique spécifiques aux patients ayant vécu ou non une période de dialyse permettraient d’améliorer la QdV des patients
End-Stage Renal Disease (ESRD) requires renal replacement therapies: dialysis or kidney transplantation. Today, it is well-known that ESRD treatments impact the quality of life (QoL) of patients. Patients may perceive and interpret questionnaires differently over time: this phenomenon is called response shift (RS). Thus, observed changes in QoL may reflect not only a real change in QoL, but also a different perception of the questionnaires by patients over time (RS). The questionnaire’ perception and RS may also differ between patients who have experienced dialysis or not (preemptive). The first objective of this dissertation was to evaluate and compare changes in QoL for preemptive and dialysis patients on the waiting list for kidney transplantation. The second objective was detecting and taking into account RS (before and after kidney transplantation) and measurement non-invariance between groups (dialysis and preemptive patients). To meet these objectives, several works have been realized. Thus, we have identified that QoL of dialyzed patients was generally lower than that of preemptive patients during the waiting list period. Plus, RS has been detected, and we have observed that QoL level of patients adjusted on RS, tended to increase after kidney transplantation. Adaptation of specific therapeutic education programs for patients who have experienced dialysis or not would improve QoL of patients
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