Dissertations / Theses on the topic 'Patient satisfaction – Research'
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Fox, Jessica M. "The Effect of Patient Expectations on Patient Satisfaction." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1560350332980685.
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Fitzpatrick, Raymond Michael. "Conceptual, methodological and policy issues in patient satisfaction research." Thesis, Royal Holloway, University of London, 1988. http://repository.royalholloway.ac.uk/items/cf6fd5a1-5b74-448d-88b6-06cfca7352bb/1/.
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This thesis is concerned with current debates as to the value of patient satisfaction research. The thesis reports two surveys by means of which the scope of patient satisfaction research is considered. Conceptual and methodological problems in this field of research and alternative theories of the social process whereby patients evaluate health care are reviewed. The two surveys are presented in terms of an introduction to the particular field of medicine involved, the methods of enquiry used, survey responses and discussion of results. The first survey is of patients attending outpatient neurological clinics presenting with headache. This study was conducted with intensive interviews, one before the neurological consultation and a second at home, one month later. The problems of making sense of patients' accounts in terms of 'expectations' and 'satisfaction' are outlined. Instead different perceptions of the value of clinic visits are related to four different concerns felt by patients in relation to their headaches, concerns for reassurance, explanation, prevention and symptomatic treatment. The second survey is of patient satisfaction with outpatient care in a department of genito-urinary medicine. This survey was conducted with two questionnaires: one completed whilst patients waited in the clinic for theirconsultation, and a second which was mailed to patients one month later. Survey results are used to examine an interactionist model of patient satisfaction developed by Ben Sira. The data is examined by various methods to suggest limitations of and modifications to the original model. Finally the thesis assesses the contribution of the two surveys to an understanding of how patients evaluate medical care. Alternative models of patient satisfaction are reexamined. It is argued that some perspectives have too restricted a view of patients' abilities. The implications of the two surveys are reviewed in terms of the different interests researchers may have in surveying patients' views.
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Wu, Ning. "Measurement issues in evaluating provider performance in health services research /." View online version; access limited to Brown University users, 2005. http://wwwlib.umi.com/dissertations/fullcit/3174695.
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Collins, Karen A. "The meaning of patient satisfaction : re-assessing a qualitative psychological research methodology." Thesis, University of Sheffield, 2002. http://etheses.whiterose.ac.uk/2961/.
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In a move towards a more informed understanding of the concept of satisfaction, this study aims to explore how thirty dermatology patients describe what it means to be satisfied with their healthcare. This was undertaken by adopting a qualitative research approach, using an in-depth semi-structured interview methodology. It was conducted within the context of a randomised controlled trial of telemedicine in dermatology (RCT). A secondary aim was to evaluate the extent to which the methodological approach of the study (interpretative phenomenological analysis) was successful in eliciting such descriptions. The findings reveal patient satisfaction as being a complex and fluid construct underpinned by a range of values, beliefs, attitudes and experiences. Individual participant descriptions of satisfaction emphasise the importance of 1) receiving a diagnosis treatment and cure, 2) minimum waiting time for appointments and treatment 3) the need to receive adequate information and explanations 4) receiving individualised personal care and 5) the need for participants to feel as though they were being taken seriously and 6) the importance of practitioner characteristics/good communication. Perhaps the most significant observation was the sequential nature of satisfaction, which was defined, redefined and re-evaluated by participants throughout the interview process. This study also identified a continuum of satisfaction across patients' definitions of being 'satisfied' as opposed to 'very satisfied' with healthcare. The method of data analysis (interpretative phenomenological analysis-IPA) was a useful approach to guide the analysis identifying and exploring themes relevant to eliciting the meaning of satisfaction. However, limitations to this methodology were apparent over the course of the study, and alternative methodology, contextualised interpretative phenomenological analysis has been postulated. It is suggested that the journey for a definitive notion of patient satisfaction, can only be meaningfully directed by accepting some form of refinement of phenomenological methods as a means of adding sophistication to existing quantitative studies.
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Bjørngaard, Johan Håkon. "Patient satisfaction with outpatient mental health services - the influence of organizational factors." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Det medisinske fakultet, 2008. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-2227.
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Pasienttilfredshet med polikliniske tilbud i det psykiske helsevernet – betydningen av organisatoriske faktorer Pasientenes opplevelse og tilfredshet med behandlingstilbudet har i økende grad blitt vektlagt ved evaluering av tjenester til mennesker med psykiske lidelser. Systematiske målinger av brukererfaringer i det psykiske helsevernet skal inngå som en av flere kvalitetsindikatorer for spesialisttjenesten. Dette skal blant annet gi brukerne beslutningsgrunnlag for å kunne velge hvor man ønsker å behandles, fagfolkene innspill til egen kvalitetsutvikling og staten nødvendig styringsinformasjon. Hensikten med avhandlingen var å undersøke i hvilken grad organisatoriske forhold har betydning for pasientenes tilfredshet med behandlingstilbudet. Resultatene i avhandlingen bygger på analyser av data fra flere større undersøkelser med spørreskjema til pasienter om deres erfaringer med det psykiske helsevernet. Samlet sett viser resultatene at misnøye eller tilfredshet med tjenestetilbudet i liten grad var avhengig av hvor behandlingen fant sted. Det vil si at pasientene var fornøyd eller misfornøyd relativt uavhengig av hvor de ble behandlet. For eksempel blant pasienter i poliklinikker for voksne kunne bare om lag to prosent av variansen i tilfredshet knyttes til hvilken behandlingsenhet som sto for behandlingen. Resultatene viste også at ulike mål på den psykiske lidelsens alvorlighet var assosiert med pasienttilfredshet, noe som vil ha betydning ved sammenlikning av behandlingsenheter med til dels ulike behandlingsoppgaver. Avhandlingen viser at aggregerte mål for pasienttilfredshet har klare begrensninger som indikator på organisatorisk kvalitet. Det er grunn til å tvile på om gjennomsnittlig tilfredshet ved for eksempel en poliklinikk er egnet som styringsinformasjon. Det synes som om metoden i liten grad er egnet til å identifisere poliklinikker med dårlig kvalitet og det er også usikkert om de poliklinikkene som metoden beskriver som dårlige, faktisk er dårlige. Kandidat: Johan Håkon Bjørngaard, Institutt for samfunnsmedisin Veiledere: Jon Magnussen, Torleif Ruud og Svein Friis Finansieringskilde: Rådet for psykisk helse og Stiftelsen Helse og Rehabilitering
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Vietmeier, Anna C. "The Effects of Patient Expectation on Patient Perception." Youngstown State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ysu156034912164728.
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Grammer, Kyndal. "Rurality as a Moderator of Perception of Need for Medical Care and Patient Satisfaction." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etd/3866.
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Many individuals experience barriers to accessing medical care, especially in rural areas. Some barriers are attitudinal and represent perceptions of quality care. Patient satisfaction and perceived need for medical care are two such attitudinal barriers related to health care utilization, yet the relationship between these variables has not been explored. Using data from an online survey, the current study examined the association between these variables, and further, whether rurality status moderated this association. Results indicated a significant correlation between patient satisfaction and perception of need. Although the overall moderation model was significant, perception of need was not significantly associated with patient satisfaction, and rurality status did not significantly moderate the relationship. However, the covariates of sexual orientation and income did significantly predict patient satisfaction. This study highlights the complex associations of patient satisfaction, as well as the importance of social determinants of health in patients’ perceptions of quality of care.
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Jordan, Joanne Emma. "Conceptualising and measuring health literacy from the patient perspective." Connect to thesis, 2009. http://repository.unimelb.edu.au/10187/6776.
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The current patient-centred healthcare approach encourages individuals to assume greater roles in decisions about their health. The premise is that patients who are well informed about healthcare options are more likely to adhere to prescribed treatments and achieve better health outcomes. This approach assumes that patients have an adequate level of health literacy. While a range of definitions exist, health literacy is commonly defined as an individual’s ability to seek, understand and utilise health information to make appropriate health decisions.Health literacy is increasingly recognised as a complex multi-dimensional concept which involves interactions between individual abilities and broader environmental factors. However across definitions, there has been little consultation with patients to understand what is important to effectively seek, understand and utilise health information. The lack of a consensual understanding has led to debate as to what health literacy represents and how it should be measured. A range of measures exist with the predominant approach being the testing of individual literacy abilities. However measures do not assess the range of attributes described in definitions. Thus a considerable gap exists between how health literacy is defined and how it is measured. This thesis focused on addressing this gap. The objectives were to: (i) critically appraise existing health literacy measures (ii) develop a conceptual framework from the patient perspective and (iii) use this framework to develop a comprehensive measure of health literacy.
A multi-method qualitative and quantitative approach was used:
(1) Systematic review and appraisal of the content, development and psychometric properties of health literacy measures.
(2) In-depth consultations with patients across healthcare and disease continuums to develop a conceptual framework.
(3) Development of a new health literacy measure based on the conceptual framework using a classical test theory approach.
A critical appraisal of the literature revealed that the majority of health literacy measures are not based on a conceptual framework and none appeared to adequately measure a person’s ability to seek, understand and utilise health information. Content focussed primarily on reading, comprehension and numeracy skills and scoring was poorly defined. Only five of the 19 measures had evidence of acceptable reliability.
The conceptual framework of health literacy from the patient perspective identified 17 key elements: six individual abilities and 11 broader contextual factors that are important to seek, understand and utilise health information and expanded previous conceptualisations of health literacy. This informed the development of the Health Literacy Management Scale (HeLMS) which measures six generic and potentially modifiable abilities and three specific broader social factors. Overall the HeLMS measures an individual’s ability to seek, understand and utilise health information within the healthcare setting. The HeLMS consists of 29 items across eight domains. Rigorous psychometric testing demonstrates that it possesses strong construct validity and high reliability (coefficient α >0.80 for all eight domains).
This research provides unique contributions to the conceptualisation and measurement of health literacy. Limitations in the content and psychometric properties of previously developed measures have been identified through a systematic process. A conceptual framework derived from the patient perspective identifies a range of components that provide new insight into: (i) constructs that should be incorporated to measure health literacy and (ii) areas that need to be addressed to improve health literacy. The development of the HeLMS now allows for a more comprehensive assessment of health literacy. Information from the conceptual framework and the HeLMS are likely to be useful tools to inform the development of public health initiatives to enhance patient participation in the management of their health.
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Oliveira, Acacia Maria Lima de. "Satisfação do paciente com os cuidados de enfermagem : adaptação cultural e validação do Patient Satisfaction Instrument." [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/308893.
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Orientador: Edineis de Brito GuirardelloDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-04T03:23:24Z (GMT). No. of bitstreams: 1 Oliveira_AcaciaMariaLimade_M.pdf: 5400295 bytes, checksum: 9cdb377799ce85db56adcce9afe05b04 (MD5) Previous issue date: 2004
Resumo: Resumo o processo de hospitalização pode acarretar para o paciente um distanciamento do seu convívio familiar. O fato de permanecer, mesmo que temporariamente, em um ambiente estranho ao seu convívio, com normas e rotinas a que não está habituado e a expectativa com relação ao tratamento, podem gerar sentimentos de insatisfação com relação ao cuidado recebido. A satisfação do paciente com o cuidado de enfermagem, foi definida por RISSER (1975) como sendo o grau de congruência entre as expectativas do paciente e sua percepção sobre o cuidado recebido. Estudos sobre satisfação do paciente na cultura brasileira utilizam-se de uma abordagem genérica, de modo a não valorizar a satisfação do paciente com a assistência de enfermagem. Sendo assim, é importante utilizar instrumentos de medida específicos para avaliar a satisfação do paciente quanto aos cuidados de enfermagem. Considerando a inexistência de instrumentos para este fim, o presente estudo teve por objetivo traduzir e validar o Patient Satisfaction Instrument (PSI), desenvolvido por Hinshaw e Atwood (1982), para a cultura brasileira. É um instrumento composto de 25 itens que aborda situações do cuidado de enfermagem, agrupados em três domínios: Educacional, Profissional e Confiança. O procedimento metodológico de adaptação utilizado seguiu as etapas de: a) tradução do instrumento para a língua portuguesa; b) tradução de volta para a língua original; c) julgamento por um comitê de juízes e d) pré-teste da versão final do instrumento, o qual denominou-se Instrumento de Satisfação do Paciente (ISP). Participaram do estudo 211 pacientes, internados em clínicas médicocirúrgicas de dois hospitais do município de São Paulo. Na análise da confiabilidade do instrumento, obteve-se alta consistência interna para todos os itens do instrumento (a= 0,88) e para os domínios Educacional (a= 0,66) e Confiança a= 0,79). Apenas para o domínio Profissional, obteve-se um coeficiente alfa de Cronbach de 0,62. Quanto a validade de constructo, a análise de fator exploratória mostrou que, apesar da medida de adequação da amostra ter sido estatisticamente significante, (MSA= 0,84), o critério utilizado para selecionar fatores com auto valor maior que 1 demonstrou sete fatores que explicaram 62% variância total. Os resultados da análise de fator confirmatória mostraram que apenas o RMR, obteve valores aceitáveis (0,10). Os resultados desse estudo indicam que o PSI traduzido para a nossa cultura pode ser utilizado para medir satisfação do paciente. Entretanto, é necessário que este instrumento seja aplicado em outras populações com características semelhantes para testar os itens que não foram consistentes na amostra estudada
Abstract: The hospitalization process may keep the patient distant from their family. The fact of being in an unfamiliar setting, even for a short period, with established rules and routines that they are not used to and the expectations concerning the treatment, may bring about dissatisfactions. Patient Satisfaction with nursing care was defined by RISSER (1975) as the congruence degree between the patient expectations and their perception concerning the care provided. Studies on patient satisfaction in Brazil adopt a generic approach and do not give value to patient satisfaction with the nursing care. Based on that, it is important to use specific measurement instruments in order to assess the patient satisfaction with the nursing care. As there are no instruments with this purpose, the present study aimed at translating and validating the Patient Satisfaction Instrument (PSI) developed by Hinshaw and Atwood (1982) to the Brazilian culture. The PSI is constituted of 25 items that cover situations related to the nursing care grouped in three domains: Educational, Professional and Trust. The methodological procedure used were a) translation of the instrument into Portuguese; b) back-translation to English c) committee review; d) test of the pre-final version. 211 patients admitted in medical-surgical clinics in two hospitais in São Paulo city made part of the study. The analysis of its reliability scored high internal consistence in ali items (a=0.88), and for Educational domains (oc=0.66); and Trust (oc=0.79). Only for the Professional domain it scored Cronbach's alfa (oc=0.62). In relation to construct validity, the exploratory factor analysis showed that besides the adequacy measure of the sampling been statistically significant (MSA=0,84), the criteria used to select the factors with an eigenvalue of 1.00 or above demonstrate seven factors that explained 62% of the total variance. The results of confirmatory factor analisys showed that only the root mean-squared residual (RMR), met the criteria standards (0.10). The results of this study indicate that the PSI translated to Brazilian culture can be used to measure patient'satisfaction. However, it is necessary to point out that it is important to apply this instrument to other populations with characteristics similar to the ones in the present study in order to review the items which were not consistent in the studied samples
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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Sjöström, Malin. "Internet-based treatment of stress urinary incontinence : treatment outcome, patient satisfaction, and cost-effectiveness." Doctoral thesis, Umeå universitet, Allmänmedicin, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-84405.
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Background Stress urinary incontinence (SUI) is the leakage of urine when coughing, sneezing, or on exertion. It affects 10-35% of women, and can impair quality of life (QOL). First-line treatment is pelvic floor muscle training (PFMT). However, access barriers and embarrassment may prevent women from seeking care. There is a need for new, easily accessible ways to provide treatment. Aim To evaluate the treatment outcome, patient satisfaction, and cost-effectiveness of an Internet- based treatment programme for SUI. Methods We recruited 250 community-dwelling women aged 18-70 years, with SUI ≥1/week via our website. Participants were randomised to 3 months of PFMT with either an Internet-based programme (n=124), or a programme sent by post (n=126). We had no-face-to face contact with the participants, but the Internet group received individually tailored e-mail support from an urotherapist. Treatment outcome was evaluated after 4 months with intention-to-treat analysis. After treatment, we telephoned a strategic selection of participants (Internet n=13, postal n=8) to interview them about their experiences, and analysed the results according to grounded theory principles. We also performed a cost-utility analysis with a 1-year societal perspective, comparing the treatment programmes with each other and with a no-treatment alternative. To scrutinize our measure of QOL, we performed a reliability study of the ICIQ-LUTSqol questionnaire. Results Participants in both intervention groups achieved highly significant improvements (p<0.001) with large effect sizes (>0.8) in the primary outcomes symptom score (ICIQ-UI SF: mean change Internet 3.4 [SD 3.4], postal 2.9 [3.1]), and condition-specific QOL (ICIQ-LUTSqol: mean change Internet 4.8 [SD 6.1], postal 4.6 [SD 6.7]); however, the differences between the groups were not significant. Compared with the postal group, more participants in the Internet group perceived they were much or very much improved after treatment (40.9%, vs. 26.5%, p=0.01), reduced their use of incontinence aids (59.5% vs. 41.4%, p=0.02), and indicated satisfaction with the treatment programme (84.8% vs. 62.9%, p<0.001). Results from the interviews fell into three categories: about life with SUI and barriers to seeking care; about the treatments and the patient-provider relationship; about the sense of empowerment many women experienced. A core category emerged: “Acknowledged but not exposed.” The extra cost per quality-adjusted life year (QALY) gained through use of the Internet-based programme compared with the postal programme was €200. The extra cost per QALY for the Internet-based programme compared with no treatment was €30,935. The condition-specific questionnaire ICIQ-LUTSqol is reliable in women with SUI, with high degrees of agreement between overall scores (Intraclass correlation coefficient 0.95, p<0.001). Conclusion Internet-based treatment for SUI is a new, effective, and patient-appreciated treatment alternative, which can increase access to care in a sustainable way.
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Nordblad, Brita. "Finns en läkande vårdatmosfär? : En kvalitativ studie om betydelsen av vårdmiljö och bemötande för patienter." Thesis, Nordic School of Public Health NHV, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3105.
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Bakgrund: De medicinska insatser, omvårdnad och rehabilitering som erbjuds patienter i primärvård idag är vedertagna och vanligtvisevidensbaserade. Patienter kan få diagnos, behandling och ofta bot för många åkommor. En dimension som dock mindre ofta är tillvaratagen är effekterna av en genomtänkt fysisk miljö. Ett respektfullt bemötande i kombination med en genomtänkt vårdmiljö kan beskrivas som en god vårdatmosfär. Syftet med studien är att undersöka hur patienter upplever och uppfattar vårdatmosfären vid besök på en rehabiliteringsenhet i primärvård. Metod: Kvalitativaforskningsintervjuer och kvalitativ innehållsanalys Huvudresultat: En vårdatmosfär kan delas in i tre domäner: Fysisk miljö, Bemötande och Organisation. Inom domänerna finns ett antal kategoriermed variationer: Känsla av kontroll, Fysiska förutsättningar för att bli uppmärksammad, Subjektiva upplevelser av miljön, Kunskap om miljöns effekter, Uppmärksammar och bekräftar, Kommunicerar, Helhetssyn, Patienten i fokus, Delaktighet, Empati, Jämlikt möte, Att göradet ‖lilla extra‖, Innehåll och utbud, Tillgänglighet, Kontinuitet, Vårdkedjor och samverkan, Jämlik vård, Patientens rättigheter, Bemötandeandaoch förbättrings-och utvecklingsanda.Temat som framkommit är Att bli sedd, att vara värdefull. Slutsats: Till begreppet vårdatmosfär kan förutom vårdmiljö och bemötande, organisation läggastill. Organisationen ger förutsättningar eller kan försvåra. Ett tema håller samman alla kategorier och det är betydelsen av att bli sedd som ger budskap om att vara värdefulBackground: Medical treatment, care, and rehabilitation offered to patients in primary care settings are established and mostly evidence-based. Patients can receive diagnose, treatment and, quite often, cure. A dimension that receives less attention involves the effects of a carefully planned physical environment. Combined with a carefully planned environment, respectful interaction between patients and health professionals enhancesthe atmosphere of care settings. Aim: This study aimed to investigate how patients experience the atmosphere they encounter when visiting a rehabilitation unit within a primary care unit. Method: Qualitative research interviews and qualitative content analysisResults: The atmosphere in care settings encompasses three domains: physical environment, interaction between patients and health professionals, and the organization. Within these domains, categories include sense of control, physical conditionsfor to attract attention, subjective experience, knowledge of the effects of the environment, attention to and confirmation of the patient, communication, holistic view of the patient, patient in focus, participation, empathy, equality in the meeting, To do ―the little more‖, healthcare content, accessibility, continuity, cooperation, equal care, patient rights, spirit of interaction between patient and health professional, and spirit of improvement and development. The major themes that emerged were the patient’s need to be noticed and valued. Conclusion: Our results suggest that the organization should be added to the concepts of atmosphere in care settings. The organization can create and obstruct careconditions. The overarching theme of these categories is the patient’s need to be noticed and valued
ISBN 978-91-86739-27-0
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Haase, Rocco, Jennifer S. Kullmann, and Tjalf Ziemssen. "Therapy satisfaction and adherence in patients with relapsing–remitting multiple sclerosis: the THEPA-MS survey." Sage, 2016. https://tud.qucosa.de/id/qucosa%3A35540.
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Background: Improved clinical effectiveness and therefore positive modification of multiple sclerosis (MS) with basic therapy can be achieved by long-term regular intake of drugs as prescribed but investigations have shown that a high percentage of patients do not take their medications as prescribed. Objectives: We assessed the satisfaction and adherence of patients with MS with their current disease-modifying treatment under clinical practice conditions. We compared different facets of satisfaction as well as their internal relationship and identified predictors in an exploratory manner.
Methods: Therapy satisfaction in patients with relapsing–remitting multiple sclerosis (THEPAMS) was a noninterventional, prospective cross-sectional study performed throughout Germany in 2013 and 2014, and included patients with clinically isolated syndrome or relapsing–remitting MS. We applied a standardized approach to document satisfaction and adherence by patient-reported outcomes (Treatment Satisfaction Questionnaire for Medication) as well as by physician ratings.
Results: Of 3312 patients with a mean age of 43.7 years, 73.3% were women and the mean level of disability according to the Expanded Disability Status Scale was 2.29; 13.3% did not receive any medication at the time of documentation, 21.3% received interferon β1a intramuscularly, 20.7% had interferon β1a subcutaneously, 17.0% had interferon β1b subcutaneously and 23.7% had glatiramer acetate. Adherence rates varied between 60% (lifetime) and 96.5% (current medication). Differences between current medications were found for side effects and convenience scores but not for effectiveness, satisfaction and adherence. Higher global satisfaction and effectiveness were associated with fewer relapses, longer duration of medication, lower disability score and the absence of several side effects.
Conclusion: In a connected model of patient satisfaction, effectiveness, side effects, convenience and adherence, patients’ individual needs and concerns have to be addressed. Most differences were found with respect to side effects and convenience of treatment. Therefore, an improvement in these two domains seems to be the most promising proximate approach to elevate adherence levels.
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Prusky, Sharon, and University of Lethbridge Faculty of Education. "The impact of employing a clinical nurse educator on a nursing uni." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, 1994, 1994. http://hdl.handle.net/10133/62.
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The issues of job satisfaction for nurses and nurses' continuing clinical competence have become major concerns for the nursing profession as evidenced by a growing volume of research into these areas. Both job satisfaction and clinical competence of nurses can affect quality of care (of which patient satisfaction is one facet). This study focussed on the concepts of job satisfaction and clinical competence of nurses, and patient satisfaction-their interelationships, and how they were affected by the implementation of a Staff Development Nurse on one nursing unit in an active treatment hospital. A hospital-based Job Enhancement Project provided a unique opportunity to combine a dynamic real-life situation with an additional case study approach to examining the issues though interviews and documentation of the relationships among the nursing staff over an 18-month period of time. Both quantative and qualitative methods were used to gather pertinent information in addressing the research questions. Focus unit nursing staff questionnaires returned initially (13 of 27) and at the one-year mark (six of 27) of the Project, and interviews with six key participant nursing staff were used to survey nurses' perceptions of their own job satisfaction and clinical competence as well as their perceptions of their peers' job satisfaction and clinical competence. The patients admitted to the focus unit during the Project time frame were also invited to complete patient satisfaction surveys. The Staff Development Nurse and the Nursing Unit Manager were interviewed to give their perspectives. The Staff Development Nurse kept a journal of her work for the 18 month period, and so did the researcher. Frequencies, percentages, and content analysis of qualitative data provided the statistical and descriptive information for inerpretation. One finding in this study was that the Staff Development Nurse did have a positive influence on the clinical competence of some of the nursing staff on the focus unit, which may have in turn had a positive influence on nurses' perceptions of job satisfaction. The Staff Development Nurse was an immense support for the Nursing Unit Manager. However, the major finding in this study was that there were many other factors which influenced nurses' perceptions of job satisfaction, many of them which were beyond the control of the SDN. The SDN actually became a mitigating factor or a buffering agent in helping the nursing staff cope with these other factors. This study contributes to the growing body of research
on nurses'quality of working life and some of the influecing factors. It may also provide insights into the realtionships between nurses and patients, and the role definition of a nurse educator on one nursing unit.xiii, 246 leaves : ill. ; 29 cm.
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Richards, Suzanne. "Assessment of frail elderly patients in health services research : can informal proxy respondents be used as an alternative source of information when assessing patient satisfaction and health service resource use?" Thesis, University of Bristol, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369111.
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Austin, Stacy Theodora. "International and Domestic Student Health-Information Seeking and Satisfaction." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/804.
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This study examines two groups -international and domestic students at Portland State University (PSU) - in terms of their motivations to seek university-health services, and their satisfaction with university-health services. The Theory of Motivated Information Management (W. A. Afifi & Weiner, 2004) served as the foundation for this study to examine the preferences of students in terms of the ways they seek information about their health concerns. Differences in international and domestic students' anxiety, efficacy, and satisfaction with physicians were supported. International students reported more anxiety than domestic students. Domestic students reported being more efficacious than international students when talking to a medical provider about a current medical issue. Also, international students reported higher satisfaction with a medical provider at their last university health services visit. First, subjects were asked if they currently have a medical concern for which they might consider consulting a physician at PSU health services. If this scenario applied, subjects were asked to rate a variety of possible, theoretically informed motivations for seeking medical information by consulting a physician, to test the Theory of Motivated Information Management. Second, subjects were asked if they have previously consulted a physician at PSU health services. If this scenario applied, subjects were asked to provide satisfaction ratings of the physician and staff. The results contribute to the understanding of information-seeking processes and support the theory's effectiveness in this situation, explaining where international and domestic students are significantly different in regard to their responses.
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Gangan, Nilesh. "Factors associated with Primary Medication Non-adherence and its effect on Health Service Utilization among Medicare Beneficiaries with Cardiovascular disease." University of Toledo Health Science Campus / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=mco1384537938.
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Turpin, Rebecca L. "Psychometric Testing of the Presence of Nursing Scale: Measurability of Patient Perceptions of Nursing Presence Capability of Nurses in an Academic Medical Center." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etd/3096.
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Introduction: Nursing presence occurs when nurses expend themselves on the behalf of a unique patient. This phenomenon requires further research to develop instruments. The Presence of Nursing Scale (PONS) measures the patient’s perspective (Kostovich, 2012). Psychometric testing of PONS-Revised using exploratory factor analysis is warranted to further develop a reliable and valid measure of nursing presence. Contextual workplace variables need exploration in inpatient settings for correlation with nursing presence.
Method(s): A convenience sample of 122 adult inpatients from ten acute-care nursing units in a Southeastern Magnet hospital were surveyed to conduct the first psychometric testing of this revised instrument using exploratory factor analyses. Seven research questions evaluated potential correlations between the PONS-R, patient satisfaction using nurse-sensitive measures of HCAHPS, nursing unit-specific workforce factors and patient demographic factors.
Results: PONS-R demonstrated high internal consistency reliability (r = .974), test-retest reliability (statistically significant at the .01 level) and divergent validity (p=.002). PONS-R compared to nurse HCAHPS measures was statistically significant at the .01 level, (r = .736). EFA revealed one factor (eigenvalues over 1), with a weak secondary factor centered on intimacy factors suggesting addition of items and repeated study with a larger sample size to further psychometrically develop the instrument. Unexpected negative correlations were found with unit-workforce factors including average RN experience level (r= -.185, significant at the .05 level), and average RN age (r = - .218). An unexpected positive correlation was found - percentage of Associate degree nurses (r = .269, statistically significant at the .05 level. The Triangle region was correlated with a higher PONS-R score (p = .038; n=4), otherwise no statistically significant correlations were found for PONS-R and patient demographics nor patient-specific variables such as estimated number of RN providing care, nor length of stay on the unit.
Discussion & Conclusions: Further psychometric testing is indicated with larger samples and perhaps with the inclusion of intimacy factor items. Additional correlational studies focused on other patient quality outcomes measures with expansion of nurse demographics is indicated to explore for confounding variables.
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Moreira, Tamires Machado. "Efeito das mensagens curtas de texto (mHealth) sobre fatores relacionados à atenção ao parto e nascimento: análise secundária de um ensaio aleatorizado por conglomerados." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/17/17139/tde-27082018-111300/.
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Introdução: Um dos objetivos mundiais para a melhoria da qualidade de vida da população é a redução da mortalidade materna. Visto que esta expressa não só contextos relacionados à saúde, mas também, epidemiológico, social e econômico. Uma maneira de promover mudança nas taxas de mortalidade materna é por meio do enfrentamento de barreiras para a melhoria do cuidado obstétrico. Países que já superaram a falta de serviços e de acesso à assistência obstétrica enfrentam problemas relacionados à qualidade da atenção ao parto e nascimento. Como por exemplo, danos a saúde materna e neonatal decorrentes de intervenções desnecessárias ou até desaconselhadas. A utilização da tecnologia móvel por meio de mensagens enviadas às gestantes tem se mostrado eficaz, com melhorias no cuidado durante o pré-natal e pós-parto. Esta dissertação foi desenvolvida por acreditar que o uso de mensagens enviadas às gestantes no pré-natal poderia modificar fatores relacionados à assistência ao parto. Objetivo: Avaliar se mensagens enviadas por celular às gestantes produz efeito sobre a satisfação das mulheres com o atendimento ao parto, sobre o uso de boas práticas no parto e sobre a percepção delas sobre a ocorrência de abuso, desrespeito e/ou maus-tratos durante o parto. Métodos: Esta é uma análise secundária de um ensaio aleatorizado por conglomerados em 20 unidades básicas de saúde (UBS) com maior número de seguimento pré-natal. As 20 UBS foram aleatorizadas (1:1) de forma balanceada, por meio de um software, formando um grupo Intervenção e um Controle, com dez UBS cada. Do grupo Intervenção origina o grupo que efetivamente recebeu a intervenção (grupo PRENACEL). A intervenção compreendeu o oferecimento de um pacote de mensagens enviadas para o celular das gestantes como um complemento ao pré-natal padrão da rede pública. Participaram do estudo mulheres com 18 anos ou mais, com até 20 semanas de gestação, que estavam em seguimento pré-natal nas UBS selecionadas. A coleta de dados foi realizada em quatro maternidades, e para o presente estudo, foram avaliadas mulheres que tiveram partos por via vaginal e sem gestações de alto risco. Os desfechos avaliados foram: a satisfação dasmulheres com o atendimento ao parto; o uso de boas práticas na assistência ao parto e a percepção das mulheres sobre a ocorrência de abuso, desrespeito e/ou maus-tratos. Resultados: Esta pesquisa foi composta por 241 mulheres no grupo Controle e 427 no grupo Intervenção, sendo 63 pertencentes ao grupo PRENACEL. Não houve diferença estatística entre os grupos em relação à satisfação ou uso de boas práticas. Nem sobre a percepção das mulheres sobre a ocorrência de abuso, desrespeito e/ou maus-tratos durante o parto. Encontramos alta satisfação das mulheres com o atendimento e alta frequência de uso de boas práticas durante o parto comparado ao cenário nacional. Já a percepção delas sobre ocorrência de abuso, desrespeito e/ou maus-tratos foi baixa. Conclusão: O uso de mensagens enviadas a gestantes no pré-natal não demonstrou efeito sobre os desfechos avaliados.Introduction: One of the world\'s goals for improving the population\'s quality of life is to reduce maternal mortality. This is because it expresses not only contexts related to health, but also epidemiological, social and economic. A way to promote change in maternal mortality rates it is by facing barriers to improve obstetric care. Countries that have overcome the lack of services and access to obstetric care face problems related to the quality of childbirth care. As for example, damage to maternal and neonatal health still occurs from unnecessary or non-advisable interventions. The use of mobile technology through messages sent to pregnant women has been shown to be effective, with improvements in antenatal and postpartum care. Objective: To evaluate whether messages sent by cell phones to pregnant women have an effect on women\'s satisfaction with delivery, on the use of good practices during childbirth and on their perception of abuse, disrespect and / or mistreatment during the delivery. Methods: This is a secondary analysis of a cluster-randomized trial in 20 Primary Health Care Units (PHCU) with a higher number of prenatal followup. The 20 PHCU were randomized (1:1) in a balanced manner, using software, forming an Intervention and a Control group, with ten UBS each. From the Intervention group, the group that actually received the intervention (PRENACEL group). The intervention included the provision of a package of messages sent to the pregnant women\'s cell phone as a complement to the prenatal standard of the public network. Participants were women 18 years of age or older, up to 20 weeks of gestation, who were undergoing prenatal follow-up at selected PHCU. Data were collected in four maternity hospitals, and for the present study, women who had deliveries vaginally and without high-risk pregnancies were evaluated. The outcomes evaluated were: the satisfaction of women with delivery; the use of good practices in childbirth care and women\'s perception of abuse, disrespect and / or mistreatment. Results: This study was composed of 241 women in the Control group and 427 in the Intervention group, of which 63 belonged to the PRENACEL group. There was no statistical difference between groups regarding satisfaction or use of good practices. Neither about the perception of women about the occurrence of abuse, disrespectand / or mistreatment during childbirth. We found high satisfaction of women with the attendance and high frequency of use of good practices during childbirth compared to the national scenario. Their perception of abuse, disrespect and / or mistreatment was low. Conclusion: The use of messages sent to pregnant women during prenatal care did not show any effect on the outcomes evaluated.
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Batista, Clarissa Carneiro Leão. "Satisfação dos usuários de serviços de atenção básica de um município de médio porte, sob a perspectiva dos atributos essenciais da Atenção Primária à Saúde." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/22/22134/tde-29052018-151224/.
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A satisfação dos usuários é considerada um componente importante da qualidade assistencial e, por isso, tem ocupado cada vez mais um lugar destacado nos processos de avaliação dos serviços de saúde, especialmente na atenção básica. Esta pesquisa descritiva, de abordagem qualitativa, teve o objetivo de analisar a satisfação dos usuários quanto à assistência recebida em serviços de atenção básica de Passos-MG, sob a perspectiva dos atributos essenciais da Atenção Primária à Saúde. Teve como cenário 28 unidades de saúde, sendo 19 Unidades da Estratégia de Saúde de Família e 9 Unidades Básicas de Saúde convencionais. Para coleta dos dados, foram desenvolvidos 3 grupos focais. A amostra foi constituída por 23 usuários selecionados aleatoriamente. Os critérios de inclusão foram: ter idade mínima de dezoito anos, possuir cadastro na Unidade de Saúde, utilizar os serviços de sua Unidade de Saúde de referência há mais de um ano e não apresentar deficiência cognitiva. A análise dos dados foi feita por meio da análise de conteúdo de Bardin. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados foram descritos mediante três categorias empíricas: o modelo de atenção à saúde e os atributos essenciais da Atenção Primária à Saúde; o uso das tecnologias e a (in) satisfação dos usuários e a ambiência da Unidade de Saúde. Dispositivos como acolhimento, atenção centrada nos pacientes, uso de protocolos clínicos e mais humanização nos cuidados aumentam a satisfação. Os atributos acessibilidade, integralidade e coordenação da atenção estão predominantemente relacionados a insatisfações dos usuários. Pode-se concluir que os atributos de acesso e longitudinalidade satisfizeram os usuários da Atenção Básica. A pesquisa possibilitou um diagnóstico do município, a partir da (in)satisfação dos usuários, indicando a necessidade de se instituir como rotina das equipes de saúde à avaliação da satisfação dos usuários com a finalidade de se ter um retorno sobre as ações e serviços de saúde oferecidos para comunidadeThe users\' satisfaction is considered an important component of care quality and, therefore, increasingly has occupied a prominent place in the processes of evaluation of health services, especially in primary care. This descriptive research, qualitative approach, had the objective of analyzing the users\' satisfaction regarding the care received in primary care services of Passos- MG, from the perspective of the essential attributes of Primary Health Care. Had as its backdrop 28 health units, 19 units of the Family Health Strategy and 9 Basic Health Units. For data collection, have been developed 3 focal groups. The sample was composed of 23 randomly selected users. The inclusion criteria were: have a minimum age of 18 years, have register at the Health Unit, use the services of your healthcare unit of reference more than a year ago and did not present cognitive deficiency. The data analysis was performed by means of content analysis of Bardin. The research was approved by the Research Ethics Committee. The results were described by three empirical categories: the health care model and the essential attributes of Primary healthcare; the use of technologies and the (in) users\' satisfaction and the ambience of the Health Unit. Devices such as hospitality, attention focused on patients, the use of clinical protocols and more humanization in care increase satisfaction. The attributes of accessibility, comprehensiveness, and coordination of care are predominantly related to dissatisfaction of users. It can be concluded that the attributes of access and longitudinality satisfied users of Primary Care. The research made a diagnosis of the municipality, from the (in) user satisfaction, indicating the need to establish a routine of health teams to evaluation of user satisfaction with the purpose of having a return on the actions and health services offered to the community
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Marshall, Carol. "Modelling the shift in the balance of care in the NHS." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/20350.
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The concept of Shifting the Balance of Care was first introduced to NHS Scotland in 2005 through the Kerr Report. The key messages from the report were to: ensure sustainable and safe local services, which are supported by the right skills, change the emphasis of care into the community, provide preventative reactive care, and fully integrate the system to tackle the changes, use technology more effectively, and involve the public in finding solutions to change. Following the report, a framework was developed which highlighted and prioritised eight areas of improvement. These areas for improvement are the focus by which this research examines if Operational Research (OR), specifically OR models, can have a positive impact in Shifting the Balance of Care. The research utilises underlying OR methodologies and methods and provides evidence from the literature of the ability of nine selected models to facilitate the Shift in the Balance of Care. A contributing factor to the research is the barriers to implementation of OR models into the NHS. With reference to the literature, the common barriers to implementation of OR models are categorised and used to provide direction to modellers where implementation barriers are more prevalent in some models than in others. The research also provides empirical evidence of three selected models’ (the Lean Methodology, Process Mapping and Simulation, developed over two Case Studies) ability to address and influence the prioritised Improvement Areas, with the addition of a newly developed model: SoApt. The development of SoApt follows the Principles of Model Development derived as a guide to modellers who wish to develop a new model. SoApt is also empirically explored in a Case Study and provides some evidence of the models ability to aid Decision-makers, faced with limited budgets, to choose between options which will Shift the Balance of Care. OR methods and methodologies are examined to ascertain the Roles of Models for each model explored in the Case Studies. Examination of the Roles of Models against the Improvement Areas provided evidence of a models’ ability to address more than one of the priority areas and that models can be used together or sequentially. In addition, with reference to OR methods and methodologies, a theoretical Evaluation Framework is proposed which suggests the User and User Satisfaction is key to the evaluation of a model’s success; positive experiences of the User and Use of the model may help to eliminate some of the barriers to implementation.
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Costa, Graciete Batista da. "Avaliação da satisfação dos utentes do Hospital de Dia de Especialidades Médicas do Hospital de Egas Moniz." Master's thesis, Universidade Nova de Lisboa. Escola Nacional de Saúde Pública, 2011. http://hdl.handle.net/10362/9257.
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RESUMO: A avaliação da satisfação dos utentes tem tido uma importância crescente na avaliação da qualidade em saúde e na orientação do planeamento e da gestão dos processos e dos recursos da saúde.
Os Hospitais de Dia, unidades funcionais que se assumem como uma alternativa moderna à hospitalização tradicional, com maior eficiência e ganhos na qualidade assistencial dos utentes, devem também ser capazes de se auto-avaliar, de forma a detectarem os aspectos menos correctos da sua actuação e a procurar o aperfeiçoamento permanente de todos os aspectos do seu funcionamento.
Este trabalho pretendeu avaliar o grau de satisfação dos utentes do Hospital de Dia das Especialidades Médicas do Hospital de Egas Moniz (HDEM), Centro Hospitalar de Lisboa Ocidental.
O estudo, que obteve parecer favorável por parte da Comissão de Ética e foi autorizado pelo Conselho de Administração do Centro Hospitalar Lisboa Ocidental, foi um estudo descritivo transversal, utilizando uma perspectiva quantitativa. A amostra seleccionada foi de conveniência, constituída pelos utentes que utilizaram o HDEM num período de 14 dias úteis, 3 a 24 de Junho de 2011.
As dimensões da satisfação que foram avaliadas foram a satisfação global, a qualidade global, a satisfação relativa aos profissionais de saúde, a satisfação relativa às instalações, a satisfação relativa aos serviços prestados e ainda a recomendação do serviço a familiares e amigos e os aspectos sócio-demográficos dos utentes do HDEM.
Foi construído um questionário com 39 itens (38 de resposta fechada e uma de resposta aberta), agrupados em 13 questões. Para a sua construção foram consultados muitos outros questionários destinados a avaliar a satisfação dos utentes com a prestação dos serviços de saúde. O questionário foi submetido à apreciação por investigadores e outros profissionais, aperfeiçoado e
pré-testado antes da sua utilização. A validação do questionário incluiu a determinação da consistência interna através do coeficiente alfa de Cronbach, que foi boa ou muito boa, e a determinação da validade, através do método de Kaiser-Meyer-Olkin (KMO), que foi boa ou muito boa.
A amostra foi constituída por 136 indivíduos, 61,8% dos quais eram do sexo feminino. O grupo etário mais representado foi o das idades entre os 35 e os 44 anos, seguido dos grupo etário entre os 45 e os 54 anos e entre os 55 aos 64 anos. A maioria dos participantes eram casados ou a viver em união de facto, tinham o ensino secundário ou uma licenciatura e eram trabalhadores no activo.
Os resultados do estudo permitiram concluir que os utentes do HDEM que fizeram parte do estudo apresentaram níveis elevados de satisfação em todos os aspectos avaliados. Os maiores níveis de satisfação dos utentes disseram respeito à actuação dos profissionais de saúde e os mais baixos, apesar de positivos, tiveram a ver com aspectos muito particulares das instalações físicas do HDEM, como as condições da sala de espera e as instalações sanitárias.
Outro aspecto que motivou algumas críticas por parte dos utentes foi o horário de funcionamento, tendo havido sugestões para o seu alargamento.ABSTRACT: The evaluation of customer satisfaction has been increasingly important in quality assessment in health and in guiding the planning of the processes and of the health resources. The Day Hospitals, that are assumed as a modern alternative to traditional hospitalization with greater efficiency and gains in quality of care, should be able to conduct self-evaluation, in order to detect defects in its performance and to search for continuous improvement. The objective of our study was the assessment of the degree of satisfaction of users of the Day Hospital of Medical Specialties, Hospital de Egas Moniz (HDEM). A authorization by the of the Institutional Review Board and by the Board of Directors of our institution was obtained previously. The study was a cross-sectional study using a quantitative approach. The sample was composed of patients who used HDEM within 14 days, 3 to 24 June 2011. The dimensions of satisfaction that were assessed were: overall satisfaction, overall quality, health care satisfaction, satisfaction relative to facilities, satisfaction on services provided and also: the recommendation of the service to friends and family and socio-demographic aspects. A questionnaire with 39 items (38 closed-response and 1 open-response), grouped into 13 questions, was constructed. Other questionnaires used to assess user satisfaction with the provision of health services were consulted previously. After its completion, the questionnaire was reviewed by health researchers and other professionals; improved and pre-tested before use. The validation of the questionnaire included the determination of internal consistency by Cronbach's alpha, which was good or very good, and the determination of validity through the method of Kaiser-Meyer-Olkin (KMO), which was good or very good. The sample consisted of 136 individuals, of whom 61.8% were female. The most represented age group was 35-44 yrs, followed 45-54 and 55-64 yrs. Then majority of the participants were married or living in union, had college or university degrees and were employed. The results demonstrated that the patients of the HDEM have high levels of satisfaction in all aspects evaluated. The highest levels of satisfaction were obtained with the actions of health professionals and the lowest, although positive, were obtained with some aspects of the physical facilities of the HDEM. Another aspect that caused some criticism from participants was the horary, and there were suggestions for its extension.
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Rejzer, Courtney Brynne. "The influence of the acute care nurse practitioner on healthcare delivery outcomes : a systematic review /." Full-text of dissertation on the Internet (211 KB), 2009. http://www.lib.jmu.edu/general/etd/2009/Honors/Rejzer_CourtneyB/rejzercb_honors_11-11-2009.pdf.
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Inchauspe, Juciane Aparecida Furlan. "Aplicabilidade dos resultados da pesquisa de satisfação dos usuários pela enfermagem no Hospital de Clínicas de Porto Alegre." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/71955.
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Estudo qualitativo do tipo exploratório-descritivo acerca da aplicabilidade do resultado da pesquisa de satisfação como ferramenta de avaliação da qualidade dos serviços de saúde. O objetivo geral do estudo consistiu em analisar a utilização dos resultados da pesquisa de satisfação dos usuários pelas chefias de enfermagem das unidades de internação de um hospital universitário. Os objetivos específicos foram relatar os resultados da pesquisa de satisfação dos usuários das unidades de internação; descrever a opinião das chefias acerca da contribuição que a pesquisa de satisfação implantada no hospital traz para o atendimento ao usuário; conhecer as estratégias utilizadas pelas chefias de enfermagem a fim de ter acesso aos resultados da pesquisa de satisfação, bem como o modo pelo qual os resultados são transmitidos à sua equipe de trabalho; e, por fim, identificar as ações implementadas nas unidades a partir dos resultados da pesquisa de satisfação. Os dados foram coletados em duas etapas no Hospital de Clínicas de Porto Alegre. A primeira consistiu em análise documental, com base em consulta dos dados do sistema de informações gerenciais do referido hospital, que possibilitaram conhecer os resultados da pesquisa de satisfação das unidades de internação, objetos de investigação, no período de outubro de 2011 a março de 2012. Os achados demonstram que os usuários estão, em geral, satisfeitos com os cuidados de enfermagem e com o atendimento prestado durante a sua internação. A outra etapa da coleta consistiu em entrevistas semiestruturadas, realizadas em maio e junho de 2012, com 14 enfermeiras, cujos dados obtidos foram submetidos à técnica de análise de conteúdo temática e agrupadas em quatro categorias: a comunicação como forma de transmissão das informações para a equipe de enfermagem; a contribuição da pesquisa de satisfação do usuário para o atendimento em saúde; mudanças implementadas nas unidades a partir dos resultados da pesquisa; a influência da pesquisa de satisfação na avaliação de desempenho da equipe de enfermagem. Os resultados apontam que a pesquisa de satisfação do usuário é verificada de diversas formas pelas enfermeiras, as quais procuram também repassar à sua equipe de trabalho. A comunicação tem uma função primordial, pois favorece a troca de informações e a interlocução dentro da equipe de enfermagem. A pesquisa é entendida pelas enfermeiras como uma ferramenta de escuta, que continuamente capta a voz do usuário. Quanto às mudanças já implementadas nas unidades, as enfermeiras relataram que já foram realizadas modificações advindas de reinvindicações, as quais envolvem o ambiente, a estrutura e outros aspectos relacionados à rotina da unidade. Um ponto levantado pelas enfermeiras refere-se à influência do resultado da pesquisa de satisfação na gestão de desempenho da equipe de enfermagem, a qual é utilizada para identificar como está sendo a atuação de cada profissional no trabalho, gerenciando os elogios e críticas vinculados à equipe. Acredita-se que os estudos sobre a satisfação do usuário são fundamentais para garantir a avaliação da qualidade do serviço oferecido pelas instituições, além de auxiliar gestores na tomada de decisões, bem como fornecer um panorama do serviço.This is a descriptive, exploratory, qualitative study about the applicability of satisfaction survey results as a tool for evaluating the quality of health service. The general objective of this study consisted in analyzing the use of the satisfaction survey results by chief nurses from the intern units of a university hospital. The specific objectives were: to report intern unit user’s satisfaction survey results; to describe the chief nurses’ opinions about the contribution that the satisfaction survey implanted in the hospital brings to user service; to know the strategies used by the chief nurses in having access to the satisfaction survey results, as well as the way the results are transmitted to the work team; and, finally, to identify the actions implemented in the units, based on the satisfaction survey results. Data collection was carried out at the Clinics Hospital of Porto Alegre/Hospital de Clínicas de Porto Alegre in two stages. The first consisted of documental analysis, based on consulting the hospital’s managerial information data, which made it possible to know the satisfaction survey results of the intern units, objects of investigation, during the period of October 2011 to March 2012. The findings demonstrate that users are, in general, satisfied with the nursing services and with the attendance given them while admitted to the hospital. The other stage of data collection consisted of semi-structured interviews, given in May and June of 2012, with 14 nurses, whose obtained data were submitted to the technique of thematic analysis and grouped in four categories: communication as a form of transmitting information to the nursing team; the contribution that the user satisfaction survey has on health services; alterations based on survey results, implemented in the units; influence that the satisfaction survey has upon the evaluation of the nursing team’s performance. The results show that the user satisfaction survey is checked in a variety of ways by the nurses, whom also seek to repass these results to their immediate team. The communication has a main function since it favors the exchange of information and dialogue within the nursing team. Nurses understand the survey to be a listening device, that continuously captures the user’s voice. In reference to the changes already implemented in the units, the nurses reported that they were made in result of the claims involving environment, structure and other aspects related to the unit’s routine. A point raised by the nurses refers to the influence that the satisfaction survey results have on the nursing team’s performance management, which uses it to identify the ongoing performance of each working professional, administering compliments and criticisms related to the team. It is believed that the studies about user satisfaction are fundamental to guarantee the evaluation of service quality offered by the institutions, besides to assist supervisors on making decisions, as well as to provide a service panorama.
Estudio cualitativo del tipo exploratorio-descriptivo sobre la aplicabilidad del resultado de la encuesta de satisfacción como herramienta de evaluación de la calidad de los servicios de salud. El objetivo general del estudio consistió en analizar el uso de los resultados de la encuesta de satisfacción de los usuarios por las jefaturas de enfermería de las unidades de hospitalización de un hospital universitario. Los objetivos específicos fueron los de relatar los resultados de la encuesta de satisfacción de los usuarios de las unidades de hospitalización; describir la opinión de las jefaturas sobre la contribución que ésta trae para la atención al usuario; conocer las estrategias usadas por las jefaturas de enfermería con el propósito de tener acceso a los resultados de la encuesta de satisfacción, así como el modo por el cual los resultados se transmiten a su equipo de trabajo; y, por fin, identificar las acciones implementadas en las unidades a partir de los resultados de la encuesta de satisfacción. Los datos fueron colectados en dos etapas en el Hospital de Clínicas de Porto Alegre. La primera consistió en un análisis documental, basado en consulta a datos del sistema de informaciones gerenciales del referido hospital, que posibilitaron conocer los resultados de la encuesta de satisfacción de las unidades de hospitalización objetos de investigación, en el período de octubre del 2011 a marzo del 2012. Los descubrimientos demuestran que los usuarios están, por lo general, satisfechos con los cuidados de enfermería y con la atención prestada durante su hospitalización. La otra etapa de la colecta consistió en entrevistas semiestructuradas, realizadas en mayo y junio del 2012, con 14 enfermeras, cuyos datos obtenidos se sometieron a la técnica de análisis de contenido temático y agrupadas en cuatro categorías: la comunicación como forma de transmisión de las informaciones para el equipo de enfermería; la contribución de la encuesta de satisfacción del usuario para la atención en la salud; cambios implementados en las unidades a partir de los resultados de la encuesta; la influencia de ésta en la evaluación del desempeño del equipo de enfermería. Los resultados apuntan que la encuesta de satisfacción del usuario se ve de distintas formas por las enfermeras, las cuales también buscan repasar su equipo de trabajo. La comunicación tiene una función primordial, ya que favorece el intercambio de informaciones y la interlocución dentro del equipo de enfermería. La encuesta es entendida por las enfermeras como una herramienta de escucha, que continuamente capta la voz del usuario. En relación a los cambios ya implementados en las unidades, las enfermeras relataron que ya se han realizado modificaciones a partir de reinvindicaciones, las cuales involucran el ambiente, la estructura y otras relacionadas a la rutina de la unidad. Un punto levantado por las enfermeras se refiere a la influencia del resultado de la encuesta de satisfacción en la gestión de desempeño del equipo de enfermería, la cual se usa para identificar como está siendo la actuación de cada profesional en el trabajo, administrando los elogios y críticas vinculados al equipo. Se cree que los estudios sobre la satisfacción del usuario sean fundamentales para garantizar la evaluación de la calidad del servicio ofrecido por las instituciones, además de ayudar a los gestores en la toma de decisiones, así como proveer un panorama sobre el servicio.
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Salleras, Duran Laia. "Valoració de l’usuari i del professional d’una tècnica infermera: la cateterització venosa perifèrica ecoguiada versus la tècnica tradicional en un servei d’urgències." Doctoral thesis, Universitat de Girona, 2019. http://hdl.handle.net/10803/666809.
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atients often require venous access. The lack of a scale to predict this difficulty in the emergency department makes the validation of an instrument all the more necessary. The use of ultrasounds to locate veins makes it easier to catheter patients with difficult venous access. The ultrasound technique, and the pain or satisfaction that may result, requires further examination and comparisons with the traditional technique.
Research conducted with a mixed quantitative and qualitative methodology that consisted of three stages: the validation of an instrument to measure puncture difficulty for peripheral intravenous catheterization (A-DICAVE scale). Qualitative phenomenological study. Conclusions: The A-DICAVE scale is a valid and reliable instrument to predict catheterization difficulty. The ultrasound-guided technique is more successful with patients with high puncture difficulty, requires fewer attempts, allows better quality catheters and more time to perform it, and results in greater patient satisfaction. Patients express pain and propose improvementsEls pacients sovint precisen un accés venós, en alguns casos la tècnica fracassa. La inexistència d’una escala capaç dificulta la detecció precoç d’aquetes persones. La utilització de l’ecografia permet cateteritzar persones amb dificultat d’accés venós. L’objectiu de la investigació va ser explorar la tècnica ecoguiada comparant-la amb la tècnica tradicional. Es va realitzar una investigació amb metodologia de disseny mixt que constava de tres fases: La validació d’un instrument per mesurar la dificultat de punció pel cateterisme endovenós perifèric (escala A-DICAVE). Un assaig clínic aleatoritzat controlat per analitzar la utilització de la tècnica de cateterització venosa ecoguiada. Un estudi qualitatiu fenomenològic mitjançant entrevistes. Les principals conclusions foren: l’escala A-DICAVE és vàlida i fiable. La tècnica ecoguiada té més èxit en persones amb elevada dificultat de punció, precisa menys nombre d’intents i permet catèters de millors característiques. Els pacients expressen dolor i descriuen propostes de millora
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LIN, YA-LING, and 林雅玲. "The Research of Pingtung Patients in Medical Service Quality and Patient Satisfaction." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/37982582021052516964.
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碩士國立屏東大學
教育行政研究所
105
With the popularity of medical information, public awareness of health is growing. Because of the fierce competition in the medical industry, the hospital gradually attain to the quality and cost-effectiveness of both the enterprise management. Therefore, how to improve the medical quality, meet the needs of patients, establish a good medical relationship, improve patient satisfaction, so that the hospital can be sustainable management, and then become a major issue. The purpose of this study was to discuss the relevance between patients in medical quality and patient satisfaction in Pingtung city. This study used the questionnaire,“The research of Pingtung patients in medical service quality and patient satisfaction ” for the investigation. The six hundred patients use a random sampling method of Pingtung City, include three regional hospital of Pingtung patients. The researcher collected around the questionnaire data, and they were researched and analysis. Questionnaires were collected and analyzed by SPSS 20.0 for Windows. The researcher used descriptive statistics, one-way ANOVA, Pearson’s correlation and regression to test the hypothesis. The results showed：it is the highest evaluation for quality of infrastructure of the patients in the three hospital for medical treatment.Patient behavior is highly related to medical care of aesthetic medicine,and there is a positive significant impact on patient’s satisfaction. There is a negative effect for the quality of process on the waiting time portion. Waiting for the length of time is reflected in the patient's expectations. One of the strategies to improve the hospital is how to effectively shorten the waiting time.The management of hospital must understand the real needs of patients and provide them with good medical service accordingly,and hospital can commitment to the satisfaction of the patient's "service value" as an indicator. The Mission of Hospital for maintain long-term business vision is to provide the highest quality.
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Huang, Hui-Na, and 黃慧娜. "A Survey Research on Emergency Service and Patient Satisfaction." Thesis, 1993. http://ndltd.ncl.edu.tw/handle/33352348633567780838.
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Hirsch, Adam Todd. "Patient satisfaction with treatment for chronic pain :predictors and relationship to compliance /." 2004. http://purl.fcla.edu/fcla/etd/UFE0004222.
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Hsuan-Chang, Lin, and 林軒璋. "Research Of Patient Satisfaction AND Loyalty Questionnaires-A Case Study of T Hospital." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/36235392968268332027.
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碩士輔仁大學
統計資訊學系應用統計碩士在職專班
103
The subjects of this study were 1601 outpatient in a Regional Hospital. Using several information analysis methods, such as Chi-square Test,T-Test,One-way ANOVA,Cluster Analysis and Discriminant Analysis, and discovering impact on outpatient satisfaction and loyalty in Different population characteristics and medical treatment background. The research result has shown that (1) Sex, area of residence, newly diagnosed patients, medical time, make a doctor’s appointment way, department with a significant difference for satisfaction. (2) Sex, area of residence, medical time, make a doctor’s appointment way, department with a significant difference for loyalty.(3) Outpatient’ satisfaction level causes positive correlation to Outpatient’s royalty.
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chen, Shu Hua, and 陳淑樺. "A cross level research of professional competency, experiential environment and doctor-patient interaction on patients’ satisfaction--take dental clinics as Examples." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/94523996598949113531.
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碩士輔仁大學
管理學研究所
97
With the implementation of national health insurance, the availability of medical treatment is improved and the medical burden expenses is decreased; moreover, the trend makesthe patients’ behavior change and patients have higher expectation toward the medical results. In the exoteric society, the right-protected viewpoint is emphasized and the medical dispute issues emerge in an endless stream, so there are more and more protective medical behavior; furthermore, doctor -patient relationship and medical management has become more and more important than before. Previous studies mainly focused on the patients’ feelings such as doctor-patient relationship, medical dispute or patients’ satisfaction; however, the professional competency and experiential environment are seldom discussed. The purpose of the research is to investigate the whole picture of the decision-making behavior between doctors and patients. The research takes trust as the independent variable and patients’ satisfaction as the dependent variable; then we add professional competency, experiential environment and doctor-patient interaction in the macro level to examine how these variables impact on trust and satisfaction. The data is from the patients in dental clinics through questionnaire and the quantity of effective questionnaire is 396, then the effective ratio is 36%.The research uses hierarchical linear modeling (HLM) to examine the model and results are as below 1.Doctors’ professional competency has positive effect on patients’ satisfaction. 2.Well service attitude in medical clinics has positive effect on patients’ satisfaction. 3.Trust has positive effect on patients’ satisfaction. 4.Better doctor-patient interaction can strengthen the positive relationship between trust and patients’ satisfaction. The research suggests doctors try to improve their professional competency by advanced study, obtaining licenses, learning from experts’ work; moreover, the medical knowledge training for the nurses is necessary as the essential medical knowledge can help the nurses give brief explanation of the symptom to the patients and assist patients to alleviate their pains. The active and friendly service attitude can also improve the trust and satisfaction of the patients. To improve doctor-patient interaction, doctors should communicate with their patients frankly and patiently; furthermore, doctors should help their patients to understand their health conditions and make the decision of the treatments together. With the patients’ recognition toward the doctors, patients’ satisfaction toward the medical clinics will be improved.
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Hsieh, Chia-fen, and 謝佳芬. "The Research on Dental Clinic Medical Quality for Patient Satisfaction and Patients Recognition – The Case of Dental Clinic in Tainan City." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/65315358921972786728.
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碩士國立臺南大學
科技管理碩士班
101
The study integrated previous research findings about medical quality, patient satisfaction and patient recognition, and investigated patients'' actual perception of dentistry medical quality, patient satisfaction to the dentist medical and patient recognition for the clinic. A questionnaire survey was designed to collect samples from patients for dental clinics, and 186 effective questionnaires were collected finally. Descriptive statistics analysis, Pearson correlation analysis and regression analysis were used to do hypothesis testing and conclusions were developed as following: (1.) Dentistry clinic patients'' actual perception of medical quality and patient satisfaction between positive relation. (2.) The medical quality and patient recognition between positive relation. (3.) The patient satisfaction and patient recognition between positive relation. (4.) Patients'' doctors awareness level of technology and attitudes of the highest scores, on behalf of patients with the most attention is the doctors expertise and attitude. The research conclusions showed that the medical environment, dentists professional skills, waiting time, follow-up care and health education to provide information and guidance, grant price medicine, medication instructions and social responsibility, in practice put forward relevant proposals.
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Lee, Wen-Hsu, and 李文旭. "An Empirical Research of the Relationship of Air Force Basic Health Units Service Quality and Patient Satisfaction." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/34911722858923669251.
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碩士義守大學
管理學院管理碩士在職專班
101
Abstract Military basic health unit, being the part of the “military health service”, is the first entry where the military compatriots contact when they are in needs of the health care. Regarding the past research about medical service quality, military basic health unit is comparably rare a study subject. This study analysis the patient in a military basic health unit of the Air Force to discuss in which dimension of service quality the patient pay the most attention to. The result is used to improve the medical service quality in order to enhance the patient satisfaction and loyalty. The questionnaire in the study is designed by referring to Parasuraman et al.(1998) , SWECQUAL scale and the questionnaire is divided in four parts as follows: ”medical service quality” , ”patient satisfaction” , ”patient loyalty” and “the basic personal data”. The study is based on random single patient in a military basic health unit of the Air Force, with a total of 512 questionnaires distributed. Deducting the invalid questionnaires, the amount is summed to 500, with a 97.366% effective response rate. Lastly, the 500 valid questionnaires are analyzed by SPSS V12.0 for data analysis. According to the result, patient satisfaction shows a positive correlation with patient loyalty, that is to say, enhancing patient satisfaction helps to improve patient loyalty; and the patient satisfaction indicates significant positive related with “reactive” , ”reliability” and “assurance” three dimensions of the medical service quality; in the other hand, patient loyalty is significantly positive related with “reactive” , ”reliability” two dimensions of the medical service quality.Given the compress of the military anpower, the basic health unit in this case can give priority to strengthen the “reactive” , ”reliability” dimensions of medical service quality, in order to enhance the patient satisfaction and patient loyalty in the most streamlined way.
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Williams, Patricia S. "Factors associated with maternal satisfaction and concerns with postpartum early discharge a secondary analysis : a research report submitted in partial fulfillment ... /." 1987. http://catalog.hathitrust.org/api/volumes/oclc/68788056.html.
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Wu, Ting-Chung, and 吳仲鼎. "The Research of Influence of Smart-Care on Post-Operative Patient Satisfaction –An Example of Orthopedic Patients of a Regional Hospital in Taoyuan County." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/51211500381264000940.
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碩士元智大學
管理研究所
98
Smart-care is a whole new model of tele-homecare. Most previous researches studied the impact and doctor-patient relationship on chronic patients who take care of themselves at home. However, little was mentioned about those patiens who were just discharged from hospital after a major surgery. This issue becomes more important after the implement of DRG system in Taiwan. The purpose of this study is to find out how the smart-care will influence on patient satisfaction post-operatively. Thirty patients were chosen and divided into 2 groups: 15 patients joined the smart-care program and 15 patients did not.Questonnaires were filled out one month after ischarged from the hospital. The data was analyzed using statics models to check if there is significant difference. The results showed that the smart-care group enjoyed a better satisfaction rate with statically significance over the following four aspects: post-operative medical consultation, the attitude of medical staff, quality of medical care hospital offered, and the caring heart from the medical staff. No significant difference was found over post-operative surgical outcome and full awareness of the illness of the patients.
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CHIU, LI-CHUN, and 邱莉君. "Research on the Medical Outpatient Service Quality and Patient Satisfaction: Case Study at a Regional Hospital in Kaohsiung City." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/22930736342995564063.
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碩士義守大學
管理學院管理碩士在職專班
101
In recent years, the market of medical services has been developed rapidly, making scholars and medical institution operators pay increasing attention to ways of elevating medical service quality and patient satisfaction. At the same time, they are placing more emphasis on maintaining good relationships with patients (Chen Renhui, Zheng Zhongsing, Fang Shijie, 2005). Hospitals and clinics seek to actively establish close interaction with customers, so “customer-centered” approaches have become the core competitive advantages for the sustainable operations of hospitals and clinics. The key to good relationships between hospitals and patients is that hospitals can analyze sources of important knowledge about elevating customer satisfaction, emphasize internal medical service quality, while externally patient perceived values are used as a basis of providing excellent medical services to create more valuable customer relationships for hospitals. This study uses questionnaire surveys to explore the medical service quality and patient satisfaction at the clinic of a regional hospital in Kaohsiung City. Research results show that there is a positive correlation between the dimensions of “medical service quality” and “patient satisfaction”; however, “medical service quality” would affect the perception of “patient satisfaction” in patients. Furthermore, patients with varied perceptions of patient-centered approach have different outcomes in terms of medical service quality and patient satisfaction for their hospital. In view of the above, hospitals not only seek to elevate medical service quality and medical image, enhance the standards in various medical services, and developing new service items and content, they should also improve the basic work of patient-centered ideals, summarizing the service quality emphasized by hospitals, the general public, and patients, in order to create values that satisfy patient needs, so that operations of hospitals can meet the trends of the times and realize their professional service spirit.
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Yu-Jen, Chuang, and 莊育仁. "Research for the relationship interaction among Service Quality、Patient Satisfaction and Loyalty – Case study from Call Center of X pharmaceutical company." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/81303554378199406962.
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碩士國立臺北大學
企業管理學系
97
Due to the medical industry under law inspection, those hospitals and pharmaceutical firms are unable to approach patients with direct selling and as result in rarely studies related. The case study is searching the relationship interaction among Service Quality、Patient Satisfaction and Loyalty through Call Center, which has been frequently utilizing among other industries. The objectives of the study are to explore the relationship interaction among Service Quality Patient Satisfaction and Loyalty, which through case study from Call Center of X pharmaceutical company. This study aims at 789 patients in call center who have signed with agreement. The final patient enrollment with 350 effective completion including 50 pre-testing respondents, whose outcome in advance as decision with no modification in the contents of survey quaternaries and the effective replying rate is 43.86%. The data analysis running by Samples Description Statistic, Factor Analysis and Importance Performance Analysis methods. Study results show that positive feedbacks are from respondents using call center service and product educational message. In addition, the synergy effect between call center service and product efficacy will lift up the mental utility level of customer, as result in enlarging the overall satisfactions and offsetting dissatisfaction of solo attribute such as product price. To sum up, firms need to pay attention on the price strategy even under the healthy insurance system copayment in order to avoid the 「Extreme Dissatisfaction」from customer perspectives. Keywords: Service Quality, Patient Satisfaction, Call Center
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Lee, Li-Han, and 李立瀚. "An Empirical Research of the Relationship of Hospital Service Quality and Patient Satisfaction-An Example of a Dialysis Center of a Teaching Hospital." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/99732251952617269102.
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碩士元智大學
資訊管理學系
96
The research wants to discuss the relationship of service quality and customer satisfaction of the sample Dialysis Center. Therefore, the purposes of our thesis are probing into the service quality of the Dialysis Center of case hospital, and the influence of service quality on customer satisfaction and customer''s loyalty. Analytic results show that there are significant differences on patient perception of service quality and satisfaction between different patients attributes. Besides, the perception of the importance of service quality and satisfaction are different from each patient. Finally, there are significant differences of doctor-patient relationship quality, desease curing quality, hardware quality, and service quality offered for different patient attributes
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CHUNG, HSIEN-TE, and 鍾賢德. "Research on the influence of Patient Satisfaction with Outpatient Service and Clinic Treatment on the Loyalty - Case Study at a Regional hospital in Miaoli County." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/63663772936602841454.
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碩士國立聯合大學
管理產業碩士專班
105
This study includes five aspects "hospital facilities," "patient’s waiting time," "service attitude," "course of treatment," and "service result" to discover the outpatient service and clinic treatment satisfaction in a case hospital. Also, the relationship between loyalty and satisfaction is analyzed. The suggestions for improving the quality of medical care and environment are made on the basis of study results. According to the study results, the conclusions are : 1.The overall average of hospital satisfaction is 4.04 points. The course of treatment and service attitude get the highest rating especially the service attitude of volunteers and physicians. On the other hand, waiting time and hospital facilities get the lowest score particularly the waiting time for seeing a doctor or receiving the medicines and the inconvenience of transportation and parking. 2.The satisfaction of the hospital has appreciably influence on the patients’ willingness to follow-up treatment and to recommend to others. In the satisfaction sub-aspect, the service result and service attitude satisfaction has significant positive influence on the patient's willingness to visit again. Furthermore, the service results and the hospital facilities also have significant positive influence on the patient's willingness to referral other patients. 3.The residence of the patients, the first visiting, the treatment department and registration method influence significantly the satisfaction of the hospital facilities, the medical process and the service result. As the result, this study suggests the case hospital should improve the patient's waiting time, the period of receiving the medicines, and the convenience of parking to increase the hospital’s satisfaction. In order to enhance the patient's loyalty, the hospital has to not only maintain the good service attitude and hospital facilities but also develop the medical technology to improve the effectiveness of treatment. Moreover, it is important as well to solve the patients’ complains effectively and to explain the medication instructions completely.
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Martinová, Michaela. "Spokojenost dětských pacientů a možnosti jejího zvýšení: případová studie." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-332141.
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(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...
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Martinová, Michaela. "Spokojenost dětských pacientů a možnosti jejího zvýšení: případová studie." Master's thesis, 2015. http://www.nusl.cz/ntk/nusl-332571.
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(in English): The aim of this diploma thesis was an integrated analysis of satisfaction for pediatric patients aged 14 - 19 years at the Faculty Hospital Brno, which created a basic pattern of variables for a further investigation of satisfaction of adolescent patients in hospitals and other healthcare facilities. Simultaneously, the work focused on recommendations of how to improve the satisfaction of patients in A & E (accident and emergency) and internal departments. In the Czech Republic there are several different studies that deal with the satisfaction element, which are ordered by medical facilities, so they can improve the satisfaction of their patients, based on the results. Satisfaction surveys of pediatric patients are not yet common, as the international standardisation is still in progress. Investigative study of the published articles on various research was undertaken for the theoretical basis of this study. The results gained from the study can be used as a base in further evaluations of pediatric patients satisfaction in health institutions. The thesis also recommends to the Faculty Hospital Brno how to increase pediatric patients satisfaction in the future. The research of satisfaction of patients in the pediatric department of the Faculty Hospital Brno showed that the dependent...
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Truter, Anso. "Die ongetroude kliënt se persepsie van verpleegkundiges se houding ten opsigte van kontraseptiewe metodes." Diss., 2000. http://hdl.handle.net/10500/16220.
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Text in AfrikaansDie effek van die klient-verpleegkundige-verhoudings op kliente se keuse en volgehoue gebruik van kontraseptiewe metodes het tot op hede baie min aandag geniet. Die doel van hierdie studie was 'n ondersoek na die ongetroude klient se persepsie van die verpleegkundige se houding. Die steekproef het bestaan uit 99 kliente (tussen die ouderdomme van 15 en 50 jaar) wat die betrokke reproduktiewegesondheidsklinieke in die Kaapse Metropool besoek het. Die eerste 20 kliente wat die kliniek besoek het, is genader om 'n vraelys in te vul. Hierdie studie toon 'n algehele positiwiteit, naamlik 58,3% teenoor die houding van geregistreerde verpleegkundiges. Die meerderheid van die kliente (88,0%) het aangedui dat hulle weer die kliniek sal besoek wat dus die kliente se tevredenheid toon.
The effect of the client-registered nurse relationship on clients' choice and continuous use of contraceptive methods has until now received very little attention. The purpose of this study was to explore unmarried clients' perception of the attitude of the registered nurse. The sample existed of 99 clients (between the ages of 15 and 50 years) who visited the relevant reproductive health clinics in the Cape Metropole. The first 20 clients who visited the clinic were approached to complete a questionnaire. This study shows an overall positivity of 58,3% with regard to the attitude of registered nurses. Most of the clients (88,0%) indicated that they would visit the clinic again, which indicate their satisfaction.
Health Studies
M.A. (Nursing Science)
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Reimer, Nila B. "Things that matter to residents in nursing homes and the nursing care implications." Thesis, 2014. http://hdl.handle.net/1805/6054.
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Indiana University-Purdue University Indianapolis (IUPUI)A move toward care of residents in nursing homes where they are respected and heard is finally emerging. Common strategies used in nursing homes to improve quality of care for residents are integration of person-centered care and assessing care using satisfaction surveys. Although approaches of integrating person-centered care and satisfaction surveys have been valuable in improving nursing home quality, strategies of care that include things that matter from residents’ perspectives while living in nursing homes need investigation. The purpose of this qualitative descriptive study was to describe things that residents age 65 and older state matter to them while living in the long-term care sections of nursing homes. A qualitative mode of inquiry using purposeful sampling led to a natural unfolding of data that revealed things that mattered to residents. Content analysis was used to reduce the data in a manner that kept the data close to the context yet moved the data toward new ideas about including things that mattered to residents in nursing care. The findings revealed residents’ positive and negative experiences and addressed the question: How can nurses manage residents’ positive and negative aspects of care in nursing homes? This study substantiated the importance of developing nursing care strategies derived from residents’ descriptions of care. Finding ways to promote nurses’ investment in attitudes about a person-centered care philosophy is essential for successful person-centered care implementation. Enhancing nurses’ knowledge, skills, and attitudes with an investment in person centeredness will be more likely to put nurses in a position to role-model care that is person-centered from residents’ perspectives.
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Guillot, III Gerard Majella. "Does time matter? : a search for meaningful medical school faculty cohorts." Thesis, 2014. http://hdl.handle.net/1805/6297.
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Indiana University-Purdue University Indianapolis (IUPUI)Background. Traditionally, departmental appointment type (basic science or clinical) and/or degree earned (PhD, MD, or MD-PhD) have served as proxies for how we conceptualize clinical and basic science faculty. However, the landscape in which faculty work has considerably changed and now challenges the meaning of these cohorts. Within this context I introduce a behavior-based role variable that is defined by how faculty spend their time in four academic activities: teaching, research, patient care, and administrative duties. Methods. Two approaches to role were compared to department type and degree earned in terms of their effects on how faculty report their perceptions and experiences of faculty vitality and its related constructs. One approach included the percent of time faculty spent engaged in each of the four academic activities. The second approach included role groups described by a time allocation rubric. This study included faculty from four U.S. medical schools (N = 1,497) and data from the 2011 Indiana University School of Medicine Faculty Vitality Survey. Observed variable path analysis evaluated models that included traditional demographic variables, the role variable, and faculty vitality constructs (e.g., productivity, professional engagement, and career satisfaction). Results. Role group effects on faculty vitality constructs were much stronger than those of percent time variables, suggesting that patterns of how faculty distribute their time are more important than exactly how much time they allocate to single activities. Role group effects were generally similar to, and sometimes stronger than, those of department type and degree earned. Further, the number of activities that faculty participate in is as important a predictor of how faculty experience vitality constructs as their role groups. Conclusions. How faculty spend their time is a valuable and significant addition to vitality models and offers several advantages over traditional cohort variables. Insights into faculty behavior can also show how institutional missions are (or are not) being served. These data can inform hiring practices, development of academic tracks, and faculty development interventions. As institutions continue to unbundle faculty roles and faculty become increasingly differentiated, the role variable can offer a simple way to study faculty, especially across multiple institutions.
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Wang, Yun Hsiang, and 王允襄. "The Research and Discussion of the Factors which Affect Patients’ Satisfaction in Hospital." Thesis, 2019. http://ndltd.ncl.edu.tw/cgi-bin/gs32/gsweb.cgi/login?o=dnclcdr&s=id=%22107CGU05528026%22.&searchmode=basic.
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Hou, Yu-Chang, and 侯毓昌. "Marketing research in Chinese medicine outpatient visits-- A Study on Patients'''''''' Choice, Satisfaction and Influencing Factors." Thesis, 1995. http://ndltd.ncl.edu.tw/handle/33405745369409596534.
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Chen, Ni Wan, and 陳妮婉. "The research on the relationship between alien nurse aides care and patient's satisfaction in hospital." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/77899606697102087668.
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碩士弘光科技大學
護理研究所
95
The purposes of this research were to: (1) Understand alien nurses aids care condition. (2) Understand alien nurses aids care stress.(3) Understand the patients satisfaction of alien nurse aides care, (4) Analyze the correlations of patients’ demographic characteristics, alien nurses aids’ care service, care stress and patients’ satisfaction. A cross sectional survey was conducted and 108 subjects were included in regional hospitals in Taichung area. A self-designed questionnaire included patients’ demographic data, alien nurse aides’ demographic data, care service, care stress and patients’ satisfaction was used. Content validity and internal reliability were done with CVI 75-100﹪, Cronbach'α 0.91-0.93. Statistical analysis were done using SPSS version 10.0. The results showed: (1) In care services, the priority were assists the patient to put on clothes, cloth cleaning, feeding the medicine. They worked nearly 7 days a week, nearly 23 hours a day. (2) In care stress, the priority were unable to decided whether work in hospital or not, be blamed, and assisted N-G feeding care. (3) 74% satisfied with the alien nurses. (4) Alien nurses’ care stress was significant positive correlation with patients’ satisfaction. There were no significant differences in patients’ satisfaction between patients’ demographic data, alien nurse aides’ demographic data, and care services. These results will provide government and hospital the evidence-data of alien nurse aides’ care services, and care stress in hospitals
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Liou, Bih-Wen, and 劉碧雯. "A Research of the Hospitalized Patients' Satisfaction of Subscribing Meal Service Quality:Example from a Medical Center in Taichung." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/63003535195314646051.
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碩士臺中健康暨管理學院
國際企業研究所
93
Although hospitals are in the realm of nonprofit business, large-scale hospitals are quickly expanding, and the competition in the healthcare market is increasing.And in the intense medical service environment, patients’ satisfaction is one of hospital success or failure key aspects Only a high degree of customers’ satisfaction can create a group of constant customer; moreover, promotes a hospital’s competitive ability. As a result, a hospital takes the patterm “the service quality” as the management direction, then maintains the customer (patients) is the most important condition.This research’s goal is to discuss the degree of subscribing meal service quality satisfaction of hospitalized patients. This research uses the questionnaire survey, dating from 2,004 July 26 to August 16 as soon as to execute measures the way, the sample comes from a middle Taiwan medicine center. According to different research objects, I divide them into two communities: hospitalized patients who subscribe meals and hospitalized ii patients who do not subscribe meals. The total number of recycling effectively questionnairies is 396. The findings are: 1. Hospitalized patients make their priority by the following order: the hygienic security, the cooking skill and then the individual difference. 2. The satisfaction degree of hospital subscribing meal service quality of hospitalized patients: The feminine degree of satisfaction is higher than the male, also the common gynecology and obstetrics department and the parturient woman meal degree of satisfaction quite receives the high praise 3. The reasons for hospitalized patients to suscribe meal in hospital are: firstly the convenience request, and second is the demand of safe and heslth. 4. As for the reasons why hospitalized patients do not suscribe meals in hospital, they are: “do not like to be limitied the way they dine”, “outside the hospitals are many restaurants which provide many other dinning choices”,” the selectivity of hospital meals is very low”. Keywords：Hospital food、Satisfaction
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Chang, Su-Jung, and 張素容. "Research on the Quality of Medical Service and Patient's Satisfaction Using Chia-Yi Area Teaching Hospital as Case Study." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/49kr5x.
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碩士南華大學
資訊管理學系
102
The quality of the medical treatment of the hospitals is requested by the patients in these days. In order to detain the original patients and attract the new patients, the medical institutions must first understand what the patients really need and what quality of the services can satisfy them when they go to the hospitals. There for we can conclude appropriate strategies to improve the service quality of the overall health care and increase the patients´ satisfaction. The patients´ satisfaction now is the primary indicator of health care. This study is to investigate the patients´ satisfaction of outpatient service and understand whether the quality of the services has reached a high level of satisfaction. The income of the hospitals depends on the patients. The only way to attract the patients is to offer them a high level quality of service. Consequently, it surely increase their willingness to revisit, providing patients with excellent quality of service is the way to support the hospitals to remain eternally .The hospital that We investigate hasn´t reach the high level quality of services. It has some do´s to improve.
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Chang, Let, and 張磊. "The Research on Outpatients' Medical Service, Customer Satisfaction, Customer Loyalty and Patients State - taking a medical center in the northern region as a example." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/34711800355935050957.
Full textAbstract:
碩士中華大學
科技管理學系(所)
94
With the development of domestic economic and the improvement of national economy , the medical treatment industry developed rapidly in Taiwan and the demand for medicals service rose , and moreover , the quality of medical service got higher and higher attention from Taiwanese whom require better Thus , the chief policy of medical management is to promote medical service quality and satisfied patients in medical service . This study takes clinic patients of a medical center in northern region as research objectives and aims at exploring the effects of the " demographic variables " on factors of the quality of all medical se " ices . The aim of the paper is to discuss ( i ) whether the significant differences exist in the extent that patients are satisfied with the quality of medical services provided by hospitals and that patients pay attention to it ; ( ii ) the overall satisfaction and the important affecting factors of the patients to the services the hospital provides ; and ( iii ) the relevance and affecting extent of the medical services quality, patients' overall satisfaction and loyalty . The above-mentioned parts provide the hospital management as a reference for hospital improvement and decision-making , and enhance service quality on this . Through statistical analysis methods , this study finds out that the recognition and satisfaction level vary with the different gender , age , status , educational level , departments and medical records to the five structural aspects of medical services qualities . As to the overall satisfaction , the five structural aspects of satisfaction such as the Physical nature , reliability , responsiveness , assurance and solicitude all have significantly positive correlations , which indicate that the higher overall satisfaction increases the satisfaction of the service qualities of five structural aspects . And between the loyalty and the satisfaction of five structural aspects , they also have significantly positive correlations , which indicate that higher loyalty increases the satisfaction of the service qualities of five structural aspects . We make use of IPA to analyze the results of the caring grade and satisfying grade for medical service quality , the single case of service reliability lies in the 2nd quadrant to show that the service reliability is the important aspect patients pay attention to . The services level of hospital at Present have not reached the one that patients expect , so the hospitals should try their best to improve the reliable service quality to be the reference for managing administrators to plan and improve measures and operation strategy . keywords : Service Quality , Medical Service Quality , Customer's satisfaction Interaction Process analysis , Customer's loyalty
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薛大福, Ta-Fu Hsueh, and 薛大福. "The relevancy research between the consideration and satisfaction of medical service quality and willingness of returning to hospital for chronic patients－examples bass on the hospital of Yunlin,Jiayi,and Tainan area." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/61814958230865474151.
Full textAbstract:
碩士長榮大學
經營管理研究所
94
On account of the fact that Taiwan has come to be regarded as one of the developed countries，more and more people here are getting more aware of their own health and thus increase the overall life expectancy and patients with chronic diseases. With higher standard of living and more information people have access to，they expect better medical cares and quality.In that case，under the Heaith Insurance Policy，how we can improve the service in the field and meet patients’ satisfaction and their willingness to return are the top priorities that the authorities concerned should take into account. The purpose of the research is to discuss some patients need regular medications for a period of time. However，due to the changes made under the Health Insurance Policy，when the medicines chronic patients take have changed，the brands has been altered，or some other soft and hard wares related to services，will these be the factors that affect patients’ willingness to returne to the hospitals？ This study purpose used questionnaire survey including medical treatment centers，area hospitals and local hospital，etc. According to the influence of chronic patients’satisfaction on madical service care and revisiting willingness. The study issued 300 questionnaires. There were 164 useful ones from the received questionnaires. The percentage of available questionnaires was 54.6%. We used SPSS 10.5 and AMOS 4.0 for windows to compute all raw data of sampling survey. After analyzing these，the chief research findings were： 一、It brings significant difference between medical service quality，patients’ satisfaction and revisting willingness. Good medical service quality can promote patients’s atisfaction and revisting willingness. 二、Chronic patients intimated the difference between medical service quality and patients’satisfaction is obvious. Reserch results show that the hospitals of Taiwan south area need to improve “waiting time of outpatients service”、 “the guarantee of sanative medicine” and “rational fees of medical insurance which is paid by patients”. 三、The different contributor of populatoion statisics on medical service quality、 patients’ satisfaction and revisting willingness bring significant difference.
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Uys, Cornelle. "Quality management : barriers and enablers in a curative primary health care service." Diss., 2004. http://hdl.handle.net/10500/1908.
Full textAbstract:
Curative primary health care nurses are the first level of contact with health personnel the patient has when entering the district-driven health system of South Africa. It is imperative that these nurses are competent, or patients may suffer. Several factors exist as barriers to competent curative care. Donabedian's structure-process-outcome framework has been used in the study of these factors. Literature were selected from international and national studies of nursing to discover barriers and enablers in general nursing care but also specifically in curative primary health care.
The curative primary health care nurses in the Southern Cape/Karoo region were used as a sample for the study. Data gained from questionnaires were organised to present the findings:
Barriers to a curative PHC service seem to be multifactorial, with scarce resources causing great stress for the workforce. This have a negative impact on relationships between employer and employee, CPHCNs and their patients, the type of managing that take place, and the quality of the examination and treatment of patients. Slow changes frustrates workers, causing more stress and poor attitudes, feelings of not being valued, and not being motivated (internally and externally).
Enablers examined showed that although the workforce may be discontented and overworked, they still try to deliver their best, with few medical mistakes. Patients still have a lot of respect for their healthcare deliverers, but this trend may not continue for much longer. Patients are already returning more often to clinics, causing even more stress for staff.Health Studies
M.A. (Health Studies)