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Tesis sobre el tema "Patient Satisfaction with Nursing Care"

Autor: Grafiati
Publicado: 4 de junio de 2021
Última modificación: 1 de febrero de 2022

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1

Baker, Kay Stouffer. "Home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care". Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276586.

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This descriptive correlational study describes the relationships among 30 home care clients' perceptions of nursing invasiveness, territorial control, and satisfaction with nursing care. The self-report data were collected using a Nursing Invasiveness Scale (NIS), Index of Patient Territorial Control Perceptions (IPTCP), and Patient Satisfaction Instrument (PSI). The subjects were males and females, aged 23 to 93 years, who were receiving home care nursing. Analysis of the data suggests that the subjects perceived a low level of invasiveness by home care nurses, "much control" within their homes (their primary territories), and were highly satisfied with their nursing care. There was a significant negative correlation (r = -0.79) between perceptions of nursing invasiveness and satisfaction with nursing care. The relationships between perceptions of nursing invasiveness and territorial control (r = -0.02) and between perceived territorial control and satisfaction with nursing care (r = 0.14) were not significant.
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2

Kendrick, Selma Jo. "Job burnout in nurses and patient satisfaction with nursing care". Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/558081.

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3

Haylett, Sharon. "Patient Satisfaction with Nursing Care Related to Hospital Magnet Designation". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6576.

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Many U.S. hospitals have historically failed to recognize nursing as essential to quality of care. Given the relationship between the patients' experiences, measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and government reimbursement, stakeholders now value the role of nurses in the care experience. Some hospitals have pursued Magnet designation, which is a rigorous and costly process, in order to promote patient satisfaction through nurse autonomy and retention. The purpose of this study was to understand whether non-Magnet hospitals received similar HCAHPS scores. Expectancy disconfirmation theory provides a framework to understand the components of patient satisfaction within the context of organizational structures and norms addressed by the Bourdieu theory of cultural health capital. A quantitative study was conducted using secondary data from a stratified random sample of 317 non-Magnet hospitals and a purposive sample of 317 Magnet hospitals. Chi-square tests of independence were performed; Magnet designation was significantly related to nurse communication, pain management, timely responsiveness of care, explanation of medication, and willingness to recommend. Magnet designation consistently had a higher proportion of 3-star and 4-star ratings compared to the tendency of non-Magnet hospitals to be more normally distributed across all five ratings. Study results, combined with the climate of patient consumerism, provide the social impetus for healthcare improvement specialists to promote social change through Magnet-like culture and protocols using an evidence-based practice outcome approach to champion better care experiences through empowerment of both patients and nurses to match expected care with delivered care.
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4

Singleton, Alsy R. "Patient satisfaction with nursing care : a comparison analysis of critical care and medical units". Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1061875.

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Patient satisfaction is an outcome of care that represents the patient's judgment on the quality of care. An important aspect of quality affecting patient's judgment can be attributed to patients' expectations and experiences regarding nursing care according to type of unit. The purpose of this study was to examine differences between patients' perceptions of satisfaction with nursing care in critical care units and medical units in one Midwestern hospital.The conceptual framework was "A Framework of Expectation" developed by Oberst in 1984, which asserted that patients have expectations of hospitals and health care professionals regarding satisfaction and dissatisfaction with care. The instrument used to measure patient satisfaction was Risser's Patient Satisfaction Scale, with three dimensions of patient satisfaction: (a) Technical-Professional, (b) Interpersonal-Educational, (c) Interpersonal-Trusting. The convenience sample included 99 patients50 from critical care units and 49 from medical wards. Participation was voluntary. The study design was comparative descriptive and data was analyzed using a t-test.The demographic data showed that the majority of patients had five or more admission. About one-third of the patients were 45-55, 56-65, 66-75, respectively. Findings related to the research questions were that: (a) 84 percent of the respondents rated overall satisfaction in the satisfactory to excellent range, (b) results of a t-test showed significant differences in overall patient satisfaction with patients being more satisfied with care in critical care units. Significant differences were found in three subscales with critical care being more satisfied. No relationship was found between patient satisfaction and age/and/or type of unit.Conclusions were that in both medical and critical care units patients were more satisfied with Technical-Professional and Interpersonal-Trusting than with Interpersonal-Educational. Also noted was that patients in the units where nurse-to-patient ratio was higher participants perceived that nurses had more time, energy and ability to meet patient expectation. Implications call for analysis of nurse/patient ratio in relation to patient satisfaction and nurses in relation to patient education as well as patient's perceptions of getting their needs met.
School of Nursing
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5

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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6

Galletta, Marie. "Is there a relationship between patient satisfaction with nursing care and the patient's willingness to return to that hospital for further care? /". Staten Island, N.Y. : [s.n.], 1989. http://library.wagner.edu/theses/nursing/1989/thesis_nur_1989_galle_is.pdf.

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7

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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8

Thomas, Carla D. "Transformational Leadership as a Means of Improving Patient Care and Nursing Retention". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2462.

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The Joint Commission (TJC) sets standards to assist healthcare organizations in improving performance. The hospital for which this project was developed did not meet national TJC benchmarks for patient satisfaction and nurse retention. Based on direct observation, discussion with staff, and results of the Multifactorial Leadership Questionnaire given to 39 staff nurses before this project was chosen, evidence suggested that the leadership style of the charge nurses was transactional, which is less effective than transformational leadership (TFL). Framed within the Plan, Do, Study, Act model, the purpose of this quality improvement project was to design an educational curriculum including didactic and competencies on TFL for unit charge nurses. A team approach was used for the project. Incorporating the American Organization of Nurse Executives recommendations on effective leadership, the curriculum encompassed the importance and management of TFL intertwined with the power, motivation, and characteristics of the transformational leader. Competencies governing TFL in practice were a significant part of the curriculum. The curriculum was evaluated by 4 content experts using a 12-item yes or no response for each of the criteria. One of the criteria was answered no in the learning objectives section and the design of the criteria was revised All other criteria were met. A recommendation was made for a change to the evaluation format for the leadership style identification portion of the curriculum. This project has important implications for social change as unit charge nurses strive to act on best practices in leadership, thus positively impacting the well-being and satisfaction of their patients and fellow nurses.
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9

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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10

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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11

Upright, Cheryl Ann. "Evaluating patient satisfaction in the care of ulcerating metastatic skin lesions". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28800.

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The purpose of this thesis was two-fold: first, to develop a Patient Satisfaction Questionnaire which reflects patient satisfaction with dressings used in the care of ulcerating metastatic skin lesions; and second, to evaluate patient satisfaction and patient preference with two types of dressings: Mesalt dressings and continuous wet saline dressings. The Patient Satisfaction Questionnaire was developed to measure patient satisfaction with dressing performance. Patients with ulcerating metastatic skin lesions were asked to identify important characteristics for evaluating patient satisfaction with dressings. These questions were validated and reviewed for clarity by the patients. A visual analogue scale was used as the response scale. Testing for reliability was limited. Mesalt dressings were compared to continuous wet saline dressings by evaluating patient satisfaction with pre-defined criteria. The criteria for evaluation included ease of application and removal, discomfort during and between dressing changes, control of odor, and patient preference. The study used a cross-over design in which each patient used one dressing for a month and the other dressing for the next month. Although 14 patients were involved in the study, only 10 were statistically analyzed. The remaining four patients were excluded because they were unable to complete a portion of each treatment. Two major findings were identified. First, regarding the Patient Satisfaction Questionnaire, patients with ulcerating metastatic skin lesions had numerous ideas about what should be asked to evaluate patient satisfaction with dressings. They considered the questionnaire to be an appropriate format and the questions generated by the investigator to be both important and understandable. Second, the findings of the study indicated that the Mesalt dressings received significantly more positive ratings when compared with continuous wet saline dressings for ease of application and odor control. Mesalt dressings were also significantly preferred to continuous wet saline dressings. The knowledge gained through this study is useful when helping patients decide which dressings to use in the care of ulcerating metastatic skin lesions. The Mesalt dressing appears to be a favorable choice, particularly when ease of application and odor control is important.
Applied Science, Faculty of
Nursing, School of
Graduate
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12

Field, Laura Ellen. "The Effect of the Implementation of Relationship-Based Care on Patient Satisfaction". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/579.

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The purpose of this project was to evaluate the effects of relationship-based care (RBC) on patient satisfaction. RBC is a caring model that promotes a caring and healing environment by establishing and maintaining therapeutic relationships between patient, self, and coworker. The Centers for Medicare & Medicaid Services links Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores with reimbursement to hospitals. It is essential to not only achieve high patient satisfaction scores in order to ensure full financial reimbursement, but also to ensure high quality, patient-centered care. The current project assessed samples from 2 medical surgical groups, one system-wide and the other only patients from a single inpatient unit with sample sizes approximately 2,900 and 250 respectively. Data were collected retrospectively 3 times using the Press Ganey webpage at pre implementation, 6 months, and 12 months post RBC training. Results from an ANOVA indicated only a slight increase in post intervention HCAHPS scores with no statistical significant improvement. However, this increase indicates a positive trend, suggesting that the implementation of RBC may have assisted in improving patient responses. This evaluation has implications for the continued implementation for the enhancement of patient-centered care. These findings suggest that a nursing care model provides a collective belief to define a specific attitude to deliver care, facilitate professional development, and improve outcomes. By following RBC, nurses share a similar philosophy toward a caring environment.
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13

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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14

Molin, Marie y 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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15

Glover, Gloria. "Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, and Quality of Care". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7142.

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The value-based purchase requirement of the Patient Protection and Affordable Care Act puts pressure on hospital leaders to control cost while improving quality of care. The resource dependency theory was the theoretical framework for this correlational study. Archival data from the Centers for Medicare and Medicaid Services collected from 166 acute care urban hospitals for the Fiscal Year 2016. Multiple linear regression analysis was used to determine the relationship between nursing salaries per patient day, cost of uncompensated care as a percentage of net patient revenue, percentage of net income from patient services, and overall patient satisfaction for quality of care received. The multiple regression analysis results indicated the model as a whole to significantly predict overall patient satisfaction for quality of care for the Fiscal Year 2016, F (3,162) = 13.788, p = .000, and R2 = .203. In the final model, all 3 independent variables significantly predicted overall patient satisfaction for quality of care. Nursing salaries per patient day and percentage of net income from patient services were significant positive predictors of overall patient satisfaction for quality of care. Nursing salaries per patient day (� = .366, t = 5.120, p = .000) accounted for a higher contribution to the model than percentage of net income from patient services (� = .169, t = 2.374, p = .019). The cost of uncompensated care as a percentage of net patient revenue displayed a significant negative relationship with overall patient satisfaction for quality of care (� = .176, t = €2.458, p = .015). The implications of this study for positive social change include the potential to enhance the quality of care for patients while maintaining local hospitals' financial viability.
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16

Parks, Luanne. "Interdisciplinary Bedside Rounding: Patient Satisfaction with Nursing Communication and Decreased Hospital Readmissions". ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1737.

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There is a lack of quality communication among health care professionals and patients in the hospital setting, which can negatively impact patient satisfaction and increase hospital readmission rates. Interdisciplinary bedside rounding (IBR) is a method of rounding that uses direct communication and discussion of the patient at the bedside, and the use of IRB may improve the quality communication among health care professionals and patients. The purpose of this program outcomes evaluation project was to evaluate whether IBR increased patient satisfaction with nursing communication and if IBR decreased hospital readmission rates. The Iowa model of evidence-based practice provided a framework that was used for this project. This program outcomes evaluation used a retrospective pre-post design to collect data 3 months prior to and 3 months following IBR on 1 medical surgical hospital unit. A convenience sample of 42 IBR patient participants was used. HCAHPS scores were used to evaluate patient satisfaction with nursing communication, with a percent of change comparison evaluated. Thirty day readmission rates were evaluated using a hospital based data set and a direct comparison of data was performed. Findings revealed that IBR did not improve patient satisfaction with nursing communication overall. In regards to hospital readmissions, 1% of the hospital readmissions were from the IRB group versus 10% hospital wide. Those who experienced IBR were less likely to return within 30 days. The use of the IBR program and resultant reduced readmission rates show promise for positive social change by improved patient outcomes and decreased health care costs for all.
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Ursin, Ronnie. "Level/Indicators of Job Satisfaction Among Unlicensed Assistive PersonnelEmployed in Acute Care". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1424367466.

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Snedecor, Cynthia. "Development of a Bedside Shift Report Policy and Guidelines to Assist Nurses with Patient Care". ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2239.

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In 2013, the Hospital Consumer Assessment of Healthcare Providers System (HCAHPS), a national, independent metric of patient satisfaction, revealed room for improvement at a teaching hospital in the southeastern section of the United States. This project reports the development and validation of a Bedside Shift Report (BSR) policy, practice guidelines, and associated documentation. Several initiatives, models, and theories informed thinking about this project. The work of Kurt Lewin and the Institute for Healthcare Improvement- Robert Wood Johnson Foundation's joint initiative, Transforming Care at the Bedside, both guided the project in terms of the process of institutional change. SBAR (Situation Background Assessment and Recommendation Technique) was the primary model upon which communication strategies were developed. PDSA (Plan-Do-Study-Act) served as a continuous quality improvement model to inform development of the implementation and evaluation plans. Using these concepts, models, and theories, a project team led by the DNP student reviewed relevant literature and considered institutional contexts and goals in order to develop a new institutional bedside-report (BSR) policy along with practice guidelines to inform operationalization of the BSR policy. Five scholars reviewed these products with expertise in relevant content areas in order to validate essential content; both policy and practice guidelines were revised in accordance with feedback. All related documentation needed to implement the products, along with both an implementation and an evaluation plan, were also developed by the project team. Improved nurse-patient communication holds significant potential to improve patient satisfaction and to promote positive social change across the institutional service population.
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19

Ellis, Audia L. "An Evaluation of Patient Satisfaction with Telephone Follow-up in an Urgent Care". Otterbein University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=otbn1429580017.

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20

Fuentes, Susanna. "Faktorer som påverkar patienters omvårdnadsupplevelse : En allmän litteraturöversikt". Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7948.

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Bakgrund: Sjuksköterskans roll i vården runt patienten är att vara omvårdnadsexpert. Vårdrelationen mellan patienten och sjuksköterskan är en viktig del av omvårdnaden. I sitt arbete har sjuksköterskan lagar och regler, riktlinjer och styrdokument att förhålla sig till. Omvårdnadsteorier föreslår olika system för hur en god omvårdnad ska bedrivas. Syfte: Att utforska vilka faktorer som påverkar patienters upplevelser av omvårdnad. Metod: Allmän litteraturöversikt. Uppsatsen är baserad på fyra kvalitativa och sex kvantitativa artiklar hämtade från Cinahl Complete, PsycINFO och PubMed. Artiklarna är kvalitetsgranskade och sammanställda efter resultatens likheter och olikheter. Resultat: Resultatet är presenterat i tre huvudkategorier, Demografiska faktorer, Kommunikation och Kompetens. En patient som får tydlig information, blir behandlad som en människa och som bemöts med vänlighet och respekt känner sig trygg och väl omhändertagen. En sjuksköterska som är kunnig och fingerfärdig och kan använda sig av sina personliga resurser för att få en god relation med patienten utstrålar professionalitet och självsäkerhet och har möjlighet att ge god omvårdnad till patienten Diskussion: Resultatet diskuteras utifrån patientupplevelsen, ramen för sjuksköterskeprofessionen och Joyce Travelbees teori om omvårdnadens mellanmänskliga aspekter
Background: The role of the nurse in caring for the patient is to be the nursing expert. The nurse-patient relation is an important part of nursing care. In her work the nurse has laws and regulations, guidelines and control documents to relate to. Nursing theories suggests different systems to carry out good nursing care. Aim: To explore which factors that affect the patient experience of nursing. Method: Literature review. The essay is based on four qualitative and six quantitative articles retrieved from Cinahl Complete, PsycINFO and PubMed. The articles were quality-reviewed and compiled based on their similarities and differences. Results: The result is presented in three main categories, Demographic factors, Communication and Competence. A patient who gets proper information, is treated like a human-being and with kindness and respect, feels safe and well taken care of. A nurse who is well educated and dexterous and who can use his or hers personal resources to get a good relation with the patient, emits professionality and self-confidence and has a possibility to give good nursing to the patient. Discussion: The result was discussed based on the patient experience, the scope of the profession of the nurse and Joyce Travelbee’s nursing theory
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21

Caster, Marcus Ellis. "Strategies to Improve Customer Care Services in Urgent Care Businesses". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6979.

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Healthcare industry owners who have unsatisfactory customer care services may experience a financial risk and create dissatisfied patients. The purpose of this case study was to explore customer care strategies that managers of urgent care businesses used to improve customer care services and patient satisfaction. The target population consisted of 1 urgent care manager from 3 separate urgent care clinics with the highest customer satisfaction ratings in Alabama. The urgent care managers were knowledgeable about effective customer care strategies that improved customer care services and patient satisfaction. Customer loyalty theory with emphases on customer behavior, customer attitude, repeat patronage, and loyalty was the conceptual framework for the study. Semistructured interviews and patient survey forms were the data sources. Data were analyzed using thematic analysis which identified similar codes, patterns, and themes. The 3 primary themes that emerged from thematic analysis were patient-focused care, social media outreach, and employee engagement. The implications of this study for positive social change include the potential to enhance the quality of healthcare experiences, which may empower individuals to seek medical care. The patients might become trusting of healthcare providers and become collaborators in responding to medical care requests by medical staff to improve their quality of life.
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22

Philip, Neena S. "Exploring holistic nurse manager roles with new patient satisfaction dimensions and expectations". Thesis, University of Phoenix, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3648302.

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The health care environment is transforming with new demands and expectations to improve patient outcomes including patient satisfaction. Health care organizations expect front line nurse managers to improve patient quality and satisfaction without a clear direction or meaningful understanding of the holistic role, functions, and competencies required to achieve organizational goals. The purpose of the qualitative transcendental phenomenological study was to explore the lived experiences and perceptions of the holistic and changing nature of the projected contemporary nurse manager’s roles, skills, practices, and dimensions aligned with the expectations for improving patient satisfaction. The exploration of the lived experiences and perceptions among 21 study participants, and data analysis using the modified van Kaam approach, led to the formulation of eight major themes that explained the nature of the experience with the phenomenon. The eight essential themes that encompass the context of the new contemporary and holistic role of the nurse manager to improve patient satisfaction include the following; (a) new expectations, (b) building a patient caring culture, (c) leader rounding, (d) healthy working environment, (e) staff engagement and empowerment, (f) change agent for continuous quality improvement, (g) impact of organization focus and culture, (h) challenges: sustainability of initiatives; lack of interdepartmental and interdisciplinary teamwork. The new proposed nurse manager role in transformation conceptual model aligns nurse manager contemporary and holistic role with transforming cultures for improved patient outcomes. The study findings are significant to health care organization, leaders, policy makers, and educators, in creating new patient caring and healthy working cultures for improved patient satisfaction.

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23

Allen, Marjorie. "Nurse to Patient Ratios Greater than 1|5 and the Effects on Nurse Satisfaction and Retention". Thesis, University of Mount Olive, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10807901.

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Inadequate nurse staffing levels by experienced Registered Nurses (RNs) are linked to higher rates of patient falls, infections, medication errors, and even death. As a result of massive reductions in nursing budgets, combined with the challenges presented by a growing nursing shortage, fewer nurses work longer hours and care for sicker patients. This situation compromises care and contributes to the nursing shortage by creating an environment that drives nurses from the bedside. The purpose of this small exploratory master’s thesis research study, which employed Husserl and Heidegger’s approach of phenomenology, examined the experiences of acute care RNs who regularly maintain nurse-to-patient ratios of 1:5 or greater during a 12-hour shift, and the impact these ratios have on nurse satisfaction and retention at a small rural community hospital in North Carolina through a basic qualitative research methodology. Purposive sampling was utilized, and the inclusion criteria required the participants to have an active unencumbered RN license and work in one of the acute care units at the hospital. If the RNs held any managerial or supervisory role at the hospital, they were excluded from the study. Semi-structured interviews using open-ended questions were utilized to collect rich, contextual data until data saturation occurred. Open and axial coding of the data documented in a code/theme frequency table, facilitated the discovery of central themes within the data including: the current system at work, what if it goes wrong, working with others, things nurses must do, and things nurses feel. The evidence from this basic qualitative study aligns with the published literature regarding the higher nurse-to-patient staffing ratios and supports making a proposal to the hospital’s administration for creating a patient acuity score that allows for a nurse staffing grid based on acuity, to improve patient safety and nurse satisfaction and retention.

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Anosike, Agatha A. "The Influence of Social Support on Perception of Nurse Caring and Patient Satisfaction among CHF Patients in the Emergency Department". Thesis, Adelphi University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3663094.

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Heart failure patients who visit the Emergency Department often because of chronic nature of their illness require a specific plan of care. Successful engagement requires that nurses identify and act on factors to facilitate transition across the care continuum. This study was undertaken to examine the relationship of three major quality care indicators: social support, perception of nurse caring, and patient satisfaction among patients with heart failure admitted to the emergency department. The study further explored the association of these indicators with demographic and illness variables of the study participants.

The Quality Caring nursing framework was used as the theoretical framework for the study. A total of 115 adult participants, 71 males and 44 females who were admitted in the emergency department of two public hospitals in the mid-Atlantic region of the United States were recruited. Data were collected using a survey package consisting of four instruments: the Medical Outcomes Study (MOS) Social Support Survey measuring perceived social support, the Caring Assessment Tool (CAT) measuring nurse caring, and the Consumer Emergency Care Satisfaction Scale (CESS) measuring satisfaction with care in the emergency department.

Although the major study hypotheses that high levels of social support would be associated with caring and with patient satisfaction were not supported, there were significant associations found between aspects of social support, caring measure and the demographic and illness measures such as marital status and the number the number of household members. Also, those who were employed perceived more social support than those who were unemployed and those who were retired had a significantly higher perception of caring.

These findings challenge nurse clinicians, educators, and administrators to further investigate the roles of social support, caring and patient satisfaction in multiple aspects of chronic illness.

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Schröder, Agneta. "Quality of care in the psychiatric setting : perspectives of the patient, next of kin and care staff /". Linköping : Linköping University, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8044.

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Steckler, Josephine. "Do elderly clients in an acute care hospital perceive they are treated with dignity and respect". Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28799.

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The purpose of this study was to investigate whether elderly clients in an acute care setting perceived themselves as being treated with dignity and respect, and whether clients with a higher socioeconomic status are more likely than clients with a lower socioeconomic status to be treated with dignity and respect. Sixty-two elderly clients who had been in hospital at least five days, were alert and oriented during their hospitalization, and could speak English were selected for the study. Using a convenience sampling technique, the clients were selected from medical and surgical units of two major teaching hospitals. They were interviewed within three days after discharge to respond to items on a questionnaire selected from the Medicus Quality Assurance Tool. The results of the study show that elderly clients may not perceive that they are consistently treated with dignity and respect. Older clients (75+ years) are less likely than younger older clients (65-74) to be treated with dignity and respect, and elderly clients with a lower socioeconomic status and women, are less likely to be treated with dignity and respect.
Applied Science, Faculty of
Nursing, School of
Graduate
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27

Baranto, Suheyla y Jonathan Gillberg. "Patientens upplevelse av möte med akutmottagningen : En litteraturstudie". Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-9849.

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Antalet besökare på akutmottagningar ökar runt om i landet och arbetsförhållandena för vårdpersonalen blir allt sämre. Triagesystemet används för att kunna sortera och prioritera akut sjuka patienter som är i behov av att omedelbart träffa läkare för bedömning. Den stora majoriteten av patienter som söker vård på en akutmottagning har dock inte livshotande tillstånd. De har således en lägre prioritering och står på så sätt inför en komplicerad situation med bristande information, okunskap och långa väntetider. Syftet med studien är att beskriva hur patienten upplever vården på en akutmottagning. Metoden författarna har valt att använda är litteraturstudie enligt Axelsons modell. Studien behandlar nio artiklar. De valda artiklarnas resultat sammanställs och bildar tillsammans teman och subteman i syfte att skapa en ny helhetsbild. I Resultat framkommer det att patienter upplever triageringen som positiv men att den efterföljande vården, med bland annat långa väntetider, bristande information och avsaknad av delaktighet, bidrar till en otrygg och frustrerande upplevelse för patienter av vården på en akutmottagning. Diskussionen belyser patientens upplevelse av triageringen och hur det kommer sig att just detta möte beskrivs som positivt av patienter. Vidare diskuteras den bristande informationen patienter upplever på akutmottagningar och hur detta påverkar patienten.
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Yau, Sui-yu. "Expectation and satisfaction of nursing care perceived by cardiac patients in Hong Kong /". View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36403258.

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Miller, Melissa Jean. "Telehealth Integration Influencing Success and Sustainability". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7240.

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Telehealth initiated a transformation in the realm of innovative strategies to meet the demands of an ever-changing health care system. Adapting provisions to new delivery care models such as telehealth is one way to improve access to care. The purpose of this project was to explore evidence of best practices in telehealth through an extensive, systematic literature review. The practice-focused question focused on identifying advantages of and barriers to the use of telehealth for improving patient satisfaction and quality of care. The plan-do-study-act cycle served as a model for accelerating quality improvement through improved systems of practice, and the Critical Appraisal Skills Program tool was used to identify factors in the literature that indicated the clinical effectiveness of telehealth and the contributions of information technology to patient outcomes throughout the care continuum. Applying Melnyk and Fineout-Overholt's model, which consists of 7 levels for grading evidence, 11 articles were identified as meeting the inclusion criteria. With respect to comparing telehealth services, this review identified areas for future research, including how telehealth can be used to bridge the gap between hospital and home with the integration of telehealth being integrated into routine care as a means to deliver medical, health, and educational services that contribute to improving patient outcomes. The implications of this project related to social change include supporting evidence that positive change is possible when modalities of health care delivery include the patient as part of care, benefiting both patient and provider.
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Johnson, Jeannie E. "Quality Improvement Project: Decreasing Patient Wait Times". Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1627511374637774.

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Hörnsten, Åsa. "Experiences of diabetes care - patients' and nurses' perspectives /". Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-258.

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Asplund, Sandra y Annina Riskula. "Hur patienter i livets slutskede upplever omvårdnaden på sjukhus : en litteraturöversikt". Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3757.

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Bakgrund: När det konstaterats att livsförlängande behandling inte längre är meningsfullt övergår vårdandet till den senare fasen, livets slutskede. Livets slutskede innebär att döden är ofrånkomlig inom en snar framtid och målet med behandling är då att lindra lidande. God palliativ vård bygger på de fyra hörnstenarna symtomlindring, multiprofessionellt samarbete, relation och kommunikation samt stöd till närstående. Tillsammans med ett personcentrerat förhållningssätt kan de fyra hörnstenarna tillämpas av all vårdpersonal i syfte att tillföra patienter ett förbättrat välmående och ökad livskvalitet i livets slut. Syfte: Syftet med denna litteraturöversikt var att beskriva hur patienter som befinner sig i livets slutskede upplever omvårdnaden på sjukhus. Metod: Vald design till uppsatsen var litteraturöversikt och 15 vetenskapliga artiklar ligger till grund för resultatet. Vid artikelsökningen användes databaserna Public Medline [PubMed] och Cumulative Index to Nursing and Allied Health Literature [CINAHL Complete]. Resultatet sammanställdes genom en integrerad analys. Resultat: Resultatet delades upp i huvudkategorier som beskrev patienters upplevelse av sjukhusmiljön, mötet med sjuksköterskan, symtomlindring samt existentiella behov. Tillsammans med underkategorier visar resultatet att patienter som befann sig i livets slutskede över lag var nöjda även om brister kunde pekas ut. De brister som fanns handlade om hur patienter upplevde sjukhusmiljön där exempelvis flerbäddssalar påverkade livskvaliteten på ett negativt sätt. Patienter beskrev även hur sjukvårdspersonal på sjukhuset upplevdes som stressade och oengagerade vilket bidrog till att patienterna kände sig som en belastning. Slutsats: Kunskap om palliativ omvårdnad på sjukhus till de patienter som befinner sig i livets slutskede är, baserat på resultatet i denna uppsats, ett viktigt ämne att belysa. Med en ökad medellivslängd samt ny forskning och teknik för livsuppehållande åtgärder kommer behovet av palliativ omvårdnad efterfrågas i allt större utsträckning. Brist på kunskapen att förmedla god omvårdnad till människor i livets slutskede medför ett försämrat välmående och nedsatt livskvalitet för patienter i det sena palliativa skedet.
Background: When it has been established that life-prolonging treatment is no longer meaningful, care goes to the latter phase, the final stage of life. The final stage of life means that death is inevitable in the near future and the goal of treatment is to alleviate the suffering. Good palliative care is based on the four cornerstones of symptom relief, multi-professional collaboration, relationship and communication, and support for close relatives. Together with a person-centered approach, the four cornerstones can be applied by all health care professionals with the aim of providing patients with improved well-being and improved quality of life at the final stage. Aim: The purpose of this literature review was to describe how patients who are at the final stage of life experience nursing care in hospitals. Method: The chosen design for the essay was a literature review and 15 scientific articles which form the basis for the result. In the article search, the databases Public Medline [PubMed] and the Cumulative Index to Nursing and Allied Health Literature [CINAHL Complete] were used. The result was compiled by an integrated analysis. Results: The results were divided into main categories that described the patients' experience of the hospital environment, the meeting with the nurse, symptom relief, and existential needs. Together with the subcategories, the results show that the patients who were in the final stages of life were generally satisfied, although deficiencies could be identified. The shortcomings that could be pointed out were about how the patients experienced the hospital environment where, for example, multi-bed rooms negatively affected their quality of life. The patients also described how they experienced the hospital staff being stressed and disengaged, which contributed to the patient feeling like a burden. Conclusions: Knowledge about palliative care in hospitals for patients at the final stage of life is, based on the results of this paper, an important topic to elucidate. With an increased life expectancy as well as new research and technology for life-sustaining measures, the need for palliative care will be increasingly demanded. Lack of knowledge to convey good care to people at the final stage of life results in impaired well-being and reduced quality of life for patients who are in the late palliative stage.
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Arving, Cecilia. "Individual psychosocial support for breast cancer patients : Quality of life, psychological effects, patient satisfaction, health care utilization and costs". Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7929.

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Dorigan, Gisele Hespanhol 1986. "Adaptação cultural e validação do Newcastle Satisfaction with Nursing Scales para a cultura brasileira". [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/313540.

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Orientador: Edinêis de Brito Guirardello
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-18T18:46:39Z (GMT). No. of bitstreams: 1 Dorigan_GiseleHespanhol_M.pdf: 2201287 bytes, checksum: a895628fd19dfbc07ce9f9a01f7b081e (MD5) Previous issue date: 2011
Resumo: Este estudo teve como objetivos: traduzir e adaptar o Newcastle Satisfaction with Nursing Scales (NSNS) para a língua portuguesa do Brasil, avaliar sua confiabilidade, validade e praticabilidade. O NSNS tem a finalidade de avaliar as experiências e a satisfação do paciente com os cuidados de enfermagem e é composto por duas escalas: Experiências do paciente com o cuidado de enfermagem com 26 itens e Satisfação do paciente com o cuidado de enfermagem, com 19 itens. A escala de medida é do tipo Likert e a pontuação para cada uma das escalas varia de 0 a 100, quanto maior a pontuação, maior o nível de satisfação e mais experiências positivas vivenciadas pelo paciente com o cuidado de enfermagem. Para o procedimento metodológico de adaptação cultural foram seguidas as etapas de tradução, síntese, retro-tradução, avaliação por um comitê de especialistas e pré-teste. Para avaliação da confiabilidade e validade do NSNS considerou-se 351 pacientes provenientes de um hospital de ensino do interior do estado de São Paulo. Utilizou-se o programa SPSS® for Windows versão 15.0 para as análises descritivas e o software SmartPLS versão 2.0M3 para avaliação das propriedades psicométricas do instrumento. A validade de construto foi analisada por meio do método confirmatório de Modelagem de Equações Estruturais (MEE), utilizando-se o método de estimação Partial Least Squares - Path Modeling (PLS-PM) e a confiabilidade foi testada por meio do alfa de Cronbach e da confiabilidade composta. As etapas do procedimento metodológico de adaptação cultural foram realizadas satisfatoriamente e a avaliação pelo comitê de especialistas resultou em alterações para a maioria dos itens com modificações gramaticais simples, para assegurar a equivalência entre a versão original e a pré-final. Após o ajuste do modelo com a exclusão dos itens com baixa validade convergente, a escala de Experiências permaneceu com oito itens e a escala de Satisfação do paciente com o cuidado de enfermagem, com 18 itens. Apesar da complexidade da execução do processo de adaptação cultural e validação, a versão brasileira do NSNS demonstrou-se confiável e válida para ser utilizada em nossa realidade, além de ter demonstrado facilidade de compreensão pelos sujeitos. Este trabalho pertence à linha de pesquisa: Processo de cuidar em saúde e enfermagem
Abstract: This study has as objectives: to translate and adapt the Newcastle Satisfaction with Nursing Scales (NSNS) into Brazilian Portuguese, to evaluate the reliability, validity and usability of the instrument. The NSNS aims to evaluate the experiences and patient satisfaction with nursing care, and contains two scales: Experiences of Nursing Care Scale with 26 items and Satisfaction with Nursing Care Scale, with 19 items. A Likert-type scale was used as the form of measurement. The points assigned by each of the scales varies from 0 to 100, such that the number of points assigned corresponds to the level of satisfaction and to the quantity of positive experiences the patient has with respect to the nursing care. The procedure for culturally adapting the scale was divided into the following steps: translation, synthesis, backtranslation, evaluation by a committee of specialists and pretest. For evaluate the reliability and validity of the NSNS were included 351 patients of a teaching hospital in the state of São Paulo. The data was analyzed using the SPSS® for Windows version 15.0 program for the descriptive analysis and the SmartPLS version 2.0M3 software application for evaluate the psychometric properties of the NSNS. In order to evaluate construct validity, by means of confirmatory factor analysis, the statistical method known as Structural Equation Modeling (SEM) by Partial Least Squares - Path Modeling (PLS-PM) was used. Reliability was tested by means of Cronbach's alpha and composite reliability. The translation, synthesis, backtranslation and pretest steps were considered adequate, and the evaluation by a committee of specialists resulted in alterations of a majority of items, with simple grammatical modifications, so as to ensure the equivalence between the original version and the pre-final. After the adjust of model by excluding some items from the scales with low convergent validity, the Experiences of Nursing Care Scale resulting in a total of eight items and 18 items for the Satisfaction with Nursing Care Scale. In spite of the complexity of the execution of the cultural adaptation and validation process, the adapted version of the NSNS has proven itself both to be reliable and valid for use in our culture and to be easily understandable by the patients asked to answer its questions
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Blackwell, Heather. "Understanding the satisfaction with nursing care from patients' perspective in a private hospital setting in South Africa". Master's thesis, University of Cape Town, 2002. http://hdl.handle.net/11427/2939.

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Helgesson, Pernilla y Benevides Berit Långström. "Patienters uppfattning av information vid utskrivningen från en urologisk vårdavdelning". Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-320224.

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The purpose of the study was to investigate the perception of given information at discharge from a urological ward at Akademiska sjukhuset, and to investigate whether the patients had searched for information themselves after discharge.   The study is an empirical cross -sectional study with descriptive design. All the patients inscribed as urologic patients, discharged to their home during month of March 2009, were asked to participate in the study (in total 82 patients), which led to 57 participants. The data collection method was an interview over the phone, with 20 structured questions. The interview form was sent by mail to the patients after the discharge from the ward, the authors thereafter called the participants at home and performed the interview within 10-20 days after discharge.   The most common concerns for surgical patients after discharge are wound care, pain management, daily activity, the detection of complications, handling symptoms, elimination and quality of life. This study shows that 72 % of the participants considered the given information as sufficient for handling their self-care at home. The lack of information experienced by the participants concerned daily activity, eventual complications that may occur and pain management. The majority of the discharge information was given in the patient room.   Postoperative complications that occur after discharge can be expensive for the society and is a cause of unnecessary suffering for the patient, therefore the patient need to understand what to be observant of after discharge. This requires that both doctors and nurses provide relevant information for each individual patient.
Syftet var att undersöka patienters uppfattning av information given vid utskrivning från en urologisk vårdavdelning på Akademiska sjukhuset samt att undersöka om patienterna själva sökt information efter utskrivningen.   Studien är en empirisk tvärsnittstudie med deskriptiv design. Alla patienter inskrivna som urologpatienter, som skrevs ut till hemmet från en urologisk vårdavdelning under mars månad 2009 tillfrågades att delta (sammanlagt 82 patienter), 57 patienter deltog. Som datainsamlingsmetod användes en telefonintervju med 20 strukturerade frågor. Frågorna skickades hem till patienterna efter hemgång och författarna ringde sedan upp patienterna i hemmet och genomförde intervjun.   De områden som kirurgiska patienter upplever störst bekymmer för efter utskrivning från sjukhuset är sårvård, smärthantering, daglig aktivitet, att upptäcka komplikationer, symtomhantering, elimination och livskvalitet. Studien visar att 72 % av deltagarna tyckte att den information de fått var tillräcklig för att sköta sin egenvård. Den information som saknats har varit inom områdena daglig aktivitet, eventuella komplikationer som kan uppstå och smärtlindring. Majoriteten av utskrivningssamtalen ägde rum på patientsalen.   Postoperativa komplikationer som uppträder efter utskrivning kan bli kostsamma för samhället och är källa till onödigt lidande för patienten, patienten behöver därför förstå vad denne skall vara uppmärksam på efter hemgång. Detta ställer krav på både läkare och sjuksköterskor att ge information som är relevant för varje individuell patient.
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Raines, Diane Smith. "The Impact of the Clinical Nurse Leader/Navigator on Clinical Outcomes and Patient Satisfaction". UNF Digital Commons, 2013. http://digitalcommons.unf.edu/etd/479.

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In an era of value based purchasing and healthcare reform, hospitals face the challenge of delivering high quality care in an environment of diminishing resources. This performance improvement project describes the use of master’s prepared nurses on medical surgical units to improve quality and patient satisfaction. The setting was five medical surgical units in a 200+ bed hospital in the southeastern United States. Declining resources necessitated an increase in the nurse to patient ratios on the units (from 5:1 to 6:1). The project involved the modification of the model of care through the change in nurse/patient ratios and the addition of master’s prepared nurses to coordinate and supplement the care of the staff RNs for complex patients. While inconclusive, the literature review confirmed the impact of master’s prepared nurses on quality metrics and did not conclusively confirm that delivering high quality, safe care was not possible with nurse/patient ratios of 1:6. The goal of the project was to determine if the presence of the master’s prepared nurse could mitigate the changes in ratios and produce high quality and satisfaction outcomes. Measures of success were drawn from archived standardized quality measures in the realms of service (HCAHPS questions), patient safety (CABSI, HAPU) and quality outcomes (core measures and 30 day readmissions). The project design was a retrospective, one-group pre-post design looking at two six-month intervals—before and after project implementation. Results demonstrated sustained or improved quality in six of ten measures. Highest positive impact was in readmissions and nurse sensitive indicators. The most negative results were in patient satisfaction. Modifying the model of care is an iterative process requiring continued evaluation and changes to improve outcomes. Results of this project supported the further evaluation of staffing and expansion of the number of master’s prepared nurses on medical surgical units.
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Boswell, Suzanne M. "The Effect of Closed versus More Liberal Visitation Policies on Work Satisfaction Beliefs and Nurse Retention". [Johnson City, Tenn. : East Tennessee State University], 2004. http://etd-submit.etsu.edu/etd/theses/available/etd-0405104-170949/unrestricted/BoswellS040704f.pdf.

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Thesis (M.S.)--East Tennessee State University, 2004.
Title from electronic submission form. ETSU ETD database URN: etd-0405104-170949. Includes bibliographical references. Also available via Internet at the UMI web site.
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Rheingans, Jennifer I. "Relationship between nurses' management of pediatric oncology patients' symptoms and job satisfaction". [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002199.

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Ayer, Gladeen A. "The Impact of a Nursing Case Management Model on Quality of Care as Defined by Length of Stay, Health Outcomes, and Patient Satisfaction". ScholarWorks, 1994. http://scholarworks.waldenu.edu/dissertations/5.

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The purpose of this research was to investigate the impact of a nursing case management model versus a traditional modified primary care model on quality of care. Quality of care in this study was defined (by the provider) as length of stay, (by the client) as patient satisfaction and (by the professional) as meeting outcomes of appropriate clinical standards of care. The study used a quasi-experimental design on the experimental (case managed) and control (modified primary care) groups. A non-random sample was selected for the patient population due to existing hospital protocol. The sample consisted of 100 patients (641 total patient days) who had elective orthopedic surgery and were hospitalized in an acute care setting. The objectives of this study were met by collection of demographic data, length of stay data, and related complications information. This information plus outcome measurement data was collected on an Outcomes Measurement form. Patient satisfaction data was obtained by telephone survey using the structured format of the Press Ganey Patient Satisfaction Survey. Data was analyzed with descriptive and inferential statistics. Frequencies were run on the data, as well as a "two-tailed" t-test for independent samples at the .05 level of significance. In the case managed group, a significant reduction in the mean length of stay over the Diagnosis Related Group (DRG) length of stay was realized (p < .05). There was not a significant difference in the control group of patients receiving modified primary care. There was not a statistically significant difference between the groups in the patients' perception of satisfaction. There were significant differences in health outcome being met in the case managed group. This study found that case managed patients undergoing an elective orthopedic surgical procedure in an acute care setting had a higher level of outcomes met with a reduced length of stay than non-case managed patients. Several implications for nursing, health care services and the health care reform are suggested from this study.
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Munro, Jacqueline Cecilia. "Nurse Manager Emotional Intelligence as a Predictor to Registered Nurse Job Satisfaction and RN Perceptions of the Practice Environment and the Relationship to Patient, Nursing and Hospital Outcomes". Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3259.

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The purpose of this study was to determine if the level of Nurse Manager (NM) emotional intelligence (EI) predicted registered nurse (RN) job satisfaction and RN perceptions of the practice environment. In addition, relationships to patient, nursing, and hospital outcomes were explored. Participants included RNs (N=659) and NMs (N=38) from 53 nursing units at eight hospitals located in the southeast region of the United States. A cross-sectional, correlational research design was used to test the hypotheses. Pearson product-moment correlation coefficients, simple linear and multiple regression statistics were conducted to analyze the data. Level of NM EI had a positive, not significant relationshp to RN job satisfaction and RN perceptions of the practice environment. A direct, positive significant relationship was observed between the variables NM EI and patient satisfaction with nursing care. There was a positive, significant relationship noted between the variables RN job satisfaction and RN perceptions of the practice environment. The indirect relationships between the level of NM EI and patient, nursing and hospital outcomes were not significant. There was a direct significant, positive relationship noted between the variables RN perceptions of the practice environment and patient satisfaction with nursing care. In addition, the interaction between RN job satisfaction and RN hours of care had a positive, significant relationship with unit level pressure ulcer rates. This study indicated that units with higher RN hours of care have increased pressure ulcer rates. In addition, results illustrate a marked increase in pressure ulcer rates on those units with higher levels of job satisfaction. In this study, pressure ulcer rates depended on the level of RN job satisfaction.
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LaRock-McMahon, Catherine. "Factors Influencing Emergency Registered Nurse Satisfaction and Engagement". Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10973779.

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Employee satisfaction and engagement have a direct impact on customer satisfaction. Dissatisfaction and disengagement lead to an increased intent to leave a job, poor patient outcomes, and decreased productivity. The retention and recruitment of qualified staff becomes an urgent priority to ensure safe and prudent patient care. The purpose of the qualitative research study was to better understand the beliefs, attitudes, perceptions, and reasons for emergency department registered nurses (ED RN) satisfaction and engagement in the workplace focusing on Herzberg’s, Vroom’s, Yetton’s, Maslow’s, Benner’s, and Kahn’s motivation and engagement theoretical frameworks. The qualitative case research study focused on satisfaction and engagement elements using structured interviews of 21 ED nurses from three hospitals of varying sizes and capabilities and included three generational cohorts of Baby Boomer, Generation X, and Millennial RN. Interview analysis showed distinct similarities and differences in nurse satisfaction and work engagement with a consistency in job engagement with no distinct differences among generations. Distinct findings included persistent lack of staff resources, poor communication from leaders, and compassion fatigue among staff. Findings reflected strong interpersonal relationships, teamwork, autonomy, and a strong sense of accomplishment among nurses. Findings indicate that satisfied nurses have improved outcomes, produce happier customers, and feel a sense of accomplishment in the job performed. The positive social impact of this study is in providing guidance on retaining ED RN to provide adequate staffing levels for safe, quality healthcare.

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Sjöling, Mats. "Experiences of abandonment and anonymity among arthroplastic surgery patients in the perioperative period : some issues concerning communication, pain and suffering". Umeå : Kirurgisk och perioperativ vetenskap, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-509.

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Nizamova, Mika y 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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Kronevik, Samuel y Pethra Rydder. "Personcentrerat vårdklimat på akutvårdsavdelning : En kartläggning av sjuksköterskors och patienters upplevelser". Thesis, Linköpings universitet, Avdelningen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-127627.

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Bakgrund: Personcentrerad vård är aktuellt i svensk sjukvård. Patientlag 2014:821 stärker kravet på information, delaktighet och samtycke från patienten. Personcentrerad vård leder till ökad patienttillfredsställelse och delaktighet. Sjukvården effektiviseras och vårdkvalitén ökar. Det kan finnas utmaningar i att arbeta personcentrerat på akutvårdsavdelning då dessa patienter kan uppleva hjälplöshet och sårbarhet vid akut sjukdom.   Syfte: Syftet med studien var att kartlägga upplevelsen av personcentrerat vårdklimat hos sjuksköterskor och patienter på akutvårdsavdelning.   Design: Prospektiv tvärsnittsstudie   Metod: Kvantitativ ansats med enkätstudie. Sjuksköterskor och patienter på akutvårdsavdelning tilldelades mätinstrumenten Person-centred Climate Questionnaire staff och patient version.   Resultat: I studien inkluderades 59 sjuksköterskor samt 121 patienter. På den sexgradiga skalan värderar sjuksköterskor personcentrerat vårdklimat lägre (4,16) och patienter högre (4,99) (p<0,001). Manliga patienter värderar personcentrerat vårdklimat högre än kvinnliga patienter (p=0,001). Sjuksköterskor som arbetat länge på avdelningen värderar personcentrerat vårdklimat lägre (rs= -0,26; p=0,05). Sjuksköterskor med högre utbildningsnivå värderar subkategorin säkerhet lägre (rs= -0,27; p=0,04). Vid en längre patientvårdtid värderas personcentrerat vårdklimat lägre (rs= -0,24; p=0,01).   Konklusion: Den viktigaste slutsatsen är generellt positiva resultat gällande personcentrerat vårdklimat på akutvårdsavdelning. Studiens resultat understryker att vården kan utvecklas för att förbättra det personcentrerade vårdklimatet för patienter på akutvårdsavdelning, med särskilt fokus på kvinnliga patienter.
Background: Person-centred care is of current interest in Swedish health care. The Patient Act (2014:821) strengthens the requirement for information, participation and consent of the patient. Person-centred care increases patient satisfaction and participation. It also leads to increased quality of care and is more efficient. Patients on acute care wards may experience helplessness and vulnerability during acute illness and it could be challenging to achieve person-centred care.   Aim: The aim of the study was to survey person-centred climate by nurses’ and patients’ on acute care ward.   Design: Prospective cross-sectional study   Method: Quantitative approach with survey. Nurses and patients was given the instruments Person-centred Climate Questionaire staff and patient version.   Results: The study included 59 nurses and 121 patients. On the six-graded scale nurses value person-centred climate lower (4,16) and patients higher (4,99) (p<0,001). Male patients value person-centred climate higher than female patients (p=0,001). Nurses that worked long time on the ward value person-centred climate lower (rs=-0,26; p=0,05). Nurses with higher education value the subscale Security lower (rs=-0,27; p=0,04). Patients with longer hospital stay value the person-centred climate lower (rs=-0,24; p=0,01).   Conclusion: The main conclusion is generally positive results in terms of person-centred climate on acute care ward. The study’s results underline that there is room for improving healthcare on acute care wards, with particular focus on female patients.
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Thacker, Lauren E. "Relationship-Based Care: Primary Nursing as a Practice and Outcomes to Evaluate Effectiveness". The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1397642758.

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Osborne, Michelle. "EXPLORATION OF THE RELATIONSHIP BETWEEN PAIN INTENSITY, COMFORT LEVEL AND PATIENT SATISFACTION AMONG ORTHOPEDIC PATIENTS FOLLOWING KNEE SURGERY ON POSTOPERATIVE DAY ONE". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1430142885.

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Rocha, Elyrose Sousa Brito. "Qualidade do cuidado de enfermagem: satisfação do cliente hospitalizado". Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-31102011-083131/.

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Estudos apontam melhorias nos índices relativos aos cuidados de enfermagem após implantação da Gestão da Qualidade Total (GQT) em instituições de saúde (ANTUNES, 1997; BALSANELLI; JERICO, 2005; LIMA; ERDMANN, 2006; MATSUDA; ÉVORA e BOAN, 2000). Este fato foi a principal motivação para avaliarmos a qualidade do cuidado de enfermagem a partir da satisfação do paciente em instituições que adotam modelos gerenciais diferentes. Para tanto, realizamos um estudo exploratório e descritivo utilizando o Instrumento de Satisfação do Paciente (ISP), composto por 25 itens agrupados em três domínios: área técnicaprofissional, confiança e área educacional. Os dados foram coletados em um hospital privado com a GQT implantada e em um hospital filantrópico que não adota esta estratégia. Neste estudo, o ISP obteve alta consistência interna na análise de confiabilidade, com coeficientes alfa de Cronbach ?=0,91 para o Hospital A e ?=0,88 para o Hospital B. Na análise de confiabilidade dos domínios Educacional, Confiança e Técnico-profissional também obtivemos coeficientes satisfatórios (?=0,77; ?=0,84; ?=0,74 para o Hospital A; ?=0,77; ?=0,70; ?=0,71 para o Hospital B). O nível de satisfação foi analisado em relação aos dados sócio-demográficos e características de internação dos pacientes. Os resultados obtidos demonstram altos níveis de satisfação nas duas instituições, sendo mais elevados no hospital que não adota a GQT. A análise da influência de características sócio-demográficas e de internação sobre a satisfação do paciente produziu resultados divergentes entre as duas instituições e em relação a outros estudos sobre o tema. As discordâncias encontradas indicam a necessidade do aprimoramento de métodos que levem em consideração o efeito de aspectos contextuais sobre a satisfação do paciente hospitalizado.
Studies have indicated improvements in the indices related to nursing care since the implementation of the Total Quality Management (TQM) in health institutions (ANTUNES, 1997; BALSANELLI; JERICO, 2005; LIMA; ERDMANN, 2006; MATSUDA; ÉVORA e BOAN, 2000). This fact was the primary motivation for evaluating the quality of nursing care, concerning patient satisfaction, in institutions that adopt different management models. For this, an exploratory and descriptive study was carried out using the Patient Satisfaction Instrument (PSI), composed of 25 items grouped into three domains: technical-professional area, confidence and educational area. Data were collected in a private hospital where the TQM had been implemented and in a philanthropic hospital that had not adopted this strategy. In this study, the PSI obtained high internal consistency in the reliability analysis, with Cronbach\'s coefficient ?=0.91 for Hospital A and ?=0.88 for Hospital B. In the reliability analysis of the domains Educational, Confidence and Professionaltechnical, satisfactory coefficients were also obtained (?=0.77, ?=0.84, ?=0.74 for Hospital A, ?=0.77, ?= 0.70, ?=0.71 for Hospital B). The satisfaction level was analyzed in relation to the socio-demographic data and hospitalization characteristics of the patients. The results obtained showed high levels of satisfaction in the two institutions, the highest being in the hospital which had not adopted the TQM. The analysis of the influence of sociodemographic and hospitalization characteristics on patient satisfaction produced results divergent between the two institutions and in relation to other studies on the subject. The discrepancies encountered indicate the need for improved methods that take into consideration the effect of contextual factors regarding hospitalized patient satisfaction.
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Ghaly, Marina Adele. "Client outcomes in a community health setting". Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277274.

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A descriptive design was used to describe five client outcome scales as potential measures of quality care in home health care: discharge status, client satisfaction, medication adherence, general symptom distress and caregiver strain. The conceptual model used necessitated three separate samples: a discharged sample of 20 clients, an active client sample of 14 subjects and a caregiver sample of three subjects for a total of 37 subjects. Structured interviews and questionnaires were used; descriptive statistics were applied to scores. The most notable indicator of quality of care, the medication adherence scale, showed all clients taking medications as prescribed. The primary reason for discharge showed that the client could manage without further services. Clients reported that they were somewhat satisfied or very satisfied with services. Caregivers reported a low perceived level of stress. The scales measuring discharge status and symptom distress need further investigation to determine if they are true indicators of the concept of quality care.
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Johnsson, Malin y Jenny Wästervall. "Då stannar vi kvar : Litteraturöversikt över sjuksköterskors yrkestillfredsställelse". Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-15936.

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Bristen på sjuksköterskor är ett växande problem över hela världen. Bristen på respekt och en dålig lön får många att välja en annan yrkesväg. Men trots alarmerande uppgifter angående bristen på personal samt dåliga arbetsförhållanden fortsätter många att utbilda sig till sjuksköterskor. Vad är det då som gör att arbetet som sjuksköterska lockar och varför stannar de kvar inom yrket; dessa övergripande frågeställningarna gav upphov till uppsatsen. Syftet med studien är därför att beskriva faktorer i det dagliga vårdarbetet som bidrar till att sjuksköterskor upplever yrkestillfredsställelse. En litteraturöversikt med både kvalitativa och kvantitativa artiklar har använts. Resultatet redovisas under huvudtemat När yrket ger mening, präglas av kollegial gemenskap och är i samklang med livet i övrigt – då stannar vi kvar. Detta huvudtema har fyra teman; Meningsfullhet, Lagarbete, Autonomi och Livsharmoni. Slutsatsen är att det mest värdefulla inom yrkesutövningen är det patientnära arbetet då sjuksköterskan får använda sin fulla potential och professionella expertis inom det vårdvetenskapliga området. Även samspelet med patienten anses som värdefullt och givande. Är vården väl utförd skapar det tillfredställelse hos patienten vilket bidrar till en känsla av bekräftelse hos sjuksköterskan. Något som även anses som viktigt är det kollegiala samarbetet mellan sjuksköterskor eftersom detta skapar trygghet och arbetsglädje. De faktorer som lyfts fram som viktiga är samma oavsett land, kultur och etnicitet. Sjuksköterskor strävar efter samma mål oberoende av om vården utförs i ett rikt eller fattigt land.
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