Rozprawy doktorskie: „Satisfaction with care”

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Kajonius, Petri. "The Impact of Care Process on Satisfaction with Elderly Care". Licentiate thesis, Högskolan Väst, Avd för psykologi och organisationsstudier, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-8662.

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This licentiate thesis is based on the growing interest in Swedish elderly care. The aim of this thesis is to investigate what generates satisfaction with elderly care among older persons. The dominant ideology in both privately and publically run elderly care is individualized care, also called person-centered care, which holds the older person’s satisfaction as one of the main quality indicators. The proportion of older people is increasing and to maintain high levels of satisfaction with elderly care will require more knowledge. Data from the National Board of Health and Welfare’s (2012) nationwide survey on seniors’ experiences with elderly care was collected. Statistical analyses of this sample formed the basis for the results of the thesis and were reported in two papers. Study I used Donabedian’s (1988) model of quality of care in terms of structure, process, and outcome, and all municipal units in Sweden were included (N = 324). The results showed that structural variables (i.e. budget, staff, and training level) have minimal or no relationships with older persons’ satisfaction with care, while process variables (i.e. experiences of respect, information, and influence) have strong relationships with satisfaction with care. Study II made use of the long-standing person versus situation- model in social psychology, and was analyzed on an individual level (N = 95,000). The results showed that care process factors (i.e. experiences of treatment, safeness, staff- and time-availability) had a stronger relationship, than individual factors (i.e. health, anxiety, and loneliness) with satisfaction with care. The results also showed that older persons with home care generally felt better treated than older persons in nursing homes, but also felt less safe. Mediational analyses, based on this comprehensive elderly data, suggest that the individual aging condition of loneliness can be countered by providing safeness and treatment, resulting in high satisfaction with care. In conclusion, satisfaction with elderly care in Sweden today can largely be explained from a psychological perspective by the older persons’ perception of the care process, not by the amount of structural resources or the conditions of the aging persons. These findings could help facilitate the future quality development in municipalities and care organizations.

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Nguyen, Hanh Hong. "The Effects of Type of Child Care Arrangement and Satisfaction with Care on Employee Job Satisfaction and Absenteeism". PDXScholar, 1994. https://pdxscholar.library.pdx.edu/open_access_etds/4784.

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This study examined the effects of different types of child care arrangements (i.e., care by relatives; care by nonrelatives; self-care by child; and care by day care centers) and satisfaction with care on employee absenteeism and job satisfaction. A 53% response rate was obtained from a questionnaire administered to 501 classified staff employees at Portland State University. Only responses from employees with children under the age of 18 living at home were used. Eighty-six employees met this selection criterion. It was hypothesized that parents using self-care by child would have the highest absences, followed by parents using day care centers, followed by parents using care by nonrelatives, followed by parents using care by relatives. Second, it was hypothesized that parents using care by relatives would have the highest job satisfaction levels, followed by parents using care by nonrelatives, followed by parents using day care centers, followed by parents using self-care by child. Third, it was hypothesized that satisfaction with care would affect job satisfaction and absenteeism such that parents who were satisfied with their care arrangements would have higher job satisfaction and lower absenteeism. Fourth, it was hypothesized that there would be a significant difference between men and women on absenteeism such that women would have higher absences than men. Hierarchical regression analyses revealed that employees using care by nonrelatives had significantly higher absences (during the last month and year) than those using care by relatives. In addition, employees using care by nonrelatives reported the highest number of absences on both measures of absenteeism. This study revealed that type of child care arrangement was not related to employee job satisfaction. The analyses also revealed that employees' satisfaction with care was related to absenteeism (during the last month), i.e., as parents' satisfaction with care increased, the number of absences reported decreased. Therefore, the first and third hypotheses were partially supported but the second and fourth hypotheses were not supported. The results of this study demonstrates that the types of child care arrangements that parents use are related to employee absenteeism but not job satisfaction.

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Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town". Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.

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Magister Curationis - MCur
Background: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purpose of this study was to describe psychiatric inpatients’ satisfaction with the care provided in a psychiatric hospital in Cape Town.Objectives : (1) To describe the psychiatric inpatients’ satisfaction with the care provided in a psychiatric teaching hospital in terms of their views on the: care provided by nurses (interpersonal/nurse-patient- interaction and technical skills); care provided by doctors (interpersonal/doctor-patient interaction and technical skills; and the nature of the environment of care, and (2) to describe the psychiatric inpatients’ overall satisfaction with the care received in a psychiatric teaching hospital in terms of the: quality of care received from nurses and doctors; nature of the environment of care; and the likelihood of future utilization of the hospital serviceMethod/Design: The study made use of the quantitative descriptive design using the Primary Provider Theory of patient satisfaction and the Batho Pele Principles served as the conceptual framework. Data were collected from discharged patients using a self-administered questionnaire which was mailed to individual participants. A five and a four point Likert scales were used for different sections in the questionnaire.The study made use of 120 participants between the ages of 18 and 60.Findings: Generally respondents were satisfied with the care provided in thispsychiatric hospital. Greater satisfaction was noted on aspects of staff-patient interactions. Low satisfaction scores were observed on nurses’ technical aspects of care. The Batho Pele principles of information, openness and transparency,consultation, access and redress seem not to have been adhered to.Conclusions: General inpatient satisfaction in psychiatric hospital care was good.However, more innovative methods for improvement in the areas of dissatisfaction need to be developed. Special attention should be given to the implementation of the Batho Pele Principles and the protection of the patients’ rights.

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Beavers, Karen. "Client Satisfaction and Kentucky Adult Day Care Services". TopSCHOLAR®, 1995. http://digitalcommons.wku.edu/theses/929.

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Adult day care is a new and rapidly growing alternative to long term care for the burgeoning population of frail and disabled elderly. A review of the literature regarding adult day care services revealed a limited number of studies addressing client satisfaction. The current study of 68 participants of nine Kentucky adult day health and social model adult day care centers assessed client satisfaction with services and explored variables related to satisfaction. It was hypothesized that clients who preferred to be at the adult day care center rather than in another location would report higher levels of satisfaction with services than clients who preferred to be elsewhere during the day. It was also hypothesized that clients who perceived themselves as having autonomy in their daily center activities would report higher levels of satisfaction than clients perceiving themselves to have little autonomy at the center. A third hypothesis predicted that client demographic predictors of satisfaction would be similar to those reported by Weissert et al. (1990). Due to the uniformly high level of satisfaction, the hypotheses could not be evaluated. The author did, however, explore the explanation that social desirability contributed to the lack of response variability. A social desirability questionnaire was administered to a subset of clients. The clients in this subset scored high on social desirability items. Given these results, it is possible that measures of client satisfaction with adult day care services are influenced by clients' desire to respond in a socially acceptable manner. Social response set should be taken into consideration when designing or interpreting satisfaction survey data with this population. Clients' responses were more variable on a life satisfaction question and to items addressing perceived autonomy in center activities. Explanations for this variability were explored.

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Longo, Kimber Josephine. "Parental perceptions of care, satisfaction and goal achievement". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq22716.pdf.

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Cruz, Anna Maria, i Anna Maria Cruz. "Patient Satisfaction with Nurse Practitioner Care on Guam". Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/623005.

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Patient satisfaction has been identified as an indicator of quality care. There is no research on patient satisfaction with Nurse Practitioner (NP) care on Guam. Therefore, a cross sectional descriptive study was conducted to assess patient satisfaction with NP care at three primary care clinics on Guam. A convenience sample of patients 18 years and older, seen by an NP were invited to participate in completing the Nurse Practitioner Satisfaction Survey (NPSS). Data collection concluded after a one-month period (N = 108). Descriptive statistics, between group differences, and correlational analyses were conducted. Participation in the survey was voluntary and anonymity, confidentiality, and privacy were ensured. General patient satisfaction was very high for NP care on Guam. "My NP is caring" was the highest scoring item on the NPSS with a mean score of 4.43 (n=56). Participants selected the NP as providing the health education and care the patient found most satisfying. A statistically significant weak negative correlation between patient satisfaction and age and level of injury was found. Singles reported significantly higher patient satisfaction scores than widowers. Study limitations included the small sample size, convenience sampling, social desirability and selection bias. Caring is an essential tenet of NP care and patient satisfaction. Improving NP role clarity is vital to the continued success and growth of the NP profession. The value that NPs bring to primary care is substantiated by the high patient satisfaction levels consistently produced from studies across the globe. In order for NPs to significantly impact the primary care provider shortage all 50 states and the US territories must enact full practice authority (FPA).

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Koontz, Victoria S. "Parental satisfaction in a pediatric intensive care unit". Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=346.

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Huggins, Michael. "GAY MEN AND SATISFACTION WITH HEALTH CARE INTERACTIONS". UKnowledge, 2019. https://uknowledge.uky.edu/nursing_etds/50.

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The purpose of this research was to determine relationships among depression, anxiety, self-rated physical and mental health, self-advocacy, internalized homophobia, and quality of patient-provider communication to satisfaction with health care interactions. These were measured while controlling for select demographic variables: age; ethnicity; urban or rural domicile; relationship status; household income; highest educational attainment; health insurance; disclosure to health care provider as a gay man; reason for last healthcare visit; and, general health self-rating. The specific aims of this study were to: 1) identify general characteristics of gay men in this sample; 2) examine how levels of satisfaction with health care differed by each characteristic; 3) assess relationships between each potential predictor of satisfaction and the level of satisfaction; and, 4) determine the relationship between each predictor and satisfaction after controlling for the most significant covariate(s). A quantitative study was conducted in which 42 adult gay men participated. The author hypothesized that gay men who reported lower levels of depression, higher self-rated physical and mental health, lower levels of anxiety, higher self-advocacy scores, lower levels of internalized homophobia, and stronger evaluations of patient-provider communication would report more positive satisfaction with health care interactions. The hypothesis was supported by results of this research. This research established that variables with the strongest effect on gay men’s satisfaction with health care interactions were whether the patient had revealed his sexual orientation to the provider, how he rated his anxiety, and how he rated the quality of communication with his provider. These results emphasize the importance of health care providers’ awareness of specific psychosocial factors that influence communication during care of gay men, who understand their sexual orientation places them at a disadvantage when receiving health care services. Despite the pursuit of equitable, high quality, and satisfying health care, its achievement has been hampered by barriers that gay men encounter. Understanding those barriers while addressing health related needs of gay men will be important for providers who seek to improve satisfaction with health care interactions.

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

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

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Abrahamsen, Grøndahl Vigdis. "Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital". Doctoral thesis, Karlstads universitet, Avdelningen för omvårdnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9023.

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

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Vichare, Anushree M. "Affordability, Utilization and Satisfaction with Care: A Policy Context for Improving Health Care Experiences". VCU Scholars Compass, 2017. http://scholarscompass.vcu.edu/etd/4978.

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Disparate healthcare experiences continue to pose a challenge; vulnerable populations such as low-income and racial and ethnic minorities may not be able to afford or utilize care when needed or receive quality care. The sources of disparities are complex and multi-factorial, which include health care system-level factors such as insurance and health care workforce. It is relatively less known to what extent these contribute to disparities related to a patient’s overall health care experience across three important domains – affordability, utilization and satisfaction with care. This dissertation has three objectives. First, to assess how insurance benefit design affects health care utilization among poorest adults. Second, examine the role of insurance in addressing racial and ethnic disparities in access to preventive care. Finally, examine the role of health care providers in differences related to satisfaction with care among low-income patients. To answer questions posed in this dissertation, two different types of datasets are used: a unique hospital administrative data from a coverage program for low-income adults and 2008-2014 Medical Expenditure Panel Survey (MEPS). To examine the role of insurance and health care providers in disparities related to different outcomes of patient experience, several models are estimated; including mixed effects linear probability and negative binomial regressions, decomposition and multivariate linear probability models. Several efforts are being made to address inequalities through coverage expansions, removal of financial barriers for preventive services and incentivizing health care providers to improve patient satisfaction. The findings suggest that differences in utilization and satisfaction with care continue to persist among low-income and racial and ethnic minorities. However, policy levers and system-level reforms including value-based insurance designs that may curb healthcare costs without shifting the cost burden to poorer adults, continued reforms to expand coverage and improve access to a usual of care, and policy interventions that extend beyond improving workforce diversity and enhance provider skills to elicit patient communication preferences may foster positive patient experiences and ameliorate existing disparities. Improving patient experiences of care will thus require policy efforts with a comprehensive multi-level strategy that targets broad sectors – including payers, health care providers and society at large.

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

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

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Valladolid, Christine. "Meaningfulness and job satisfaction for health care technology workers". Thesis, Pepperdine University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10141727.

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Health care technology workers play an increasingly important role in meeting regulatory requirements, improving patient care and containing health care costs. However, their perceptions of work and job satisfaction are lightly studied in comparison to other health care workers such as physicians or nurses. This exploratory study used heuristic inquiry to investigate the perceptions of health care technology workers with regard to their feelings of task significance, mission valence, work meaning, and job satisfaction.

Nine research participants representing three not-for-profit, secular hospital systems which were selected to have variation in geographic scope and organization size were interviewed. All participants were full-time, senior professional, non-executive, employees with a minimum of five years of experience in health care technology and three years with their current employer.

Thematic analysis revealed themes within four categories: organization culture, organization mission, interactions with clinicians and perceived contribution. These organizations have strong cultures in which staff members police the cultural norms. The inculcation to the culture includes helping health care technology workers connect to the organization’s mission of patient care, and these employees perceive the mission to have high valence. While these employees feel that the mission of patient care is important and valuable, they have a conflicted relationship with physicians who they perceive as resistant to the adoption of new technology. Finally, health care technology workers recognized that their work tasks may not directly impact patient care; however, they felt their contribution was meaningful, in particular when they were able to contribute their unique talents.

Study conclusions and recommendations included how job rotations allowing health care technology workers to work at a care provider site provides an opportunity for health care companies to increase workers’ feelings of task significance and task identity, and therefore, job satisfaction. Contributing one’s unique gift is perceived as meaningful, and workers seek opportunities to do so. Recognizing the importance of these workers and facilitating improved interactions between health care technology workers and physicians particularly with regard to adoption of new technology is seen as critical for ensuring effective and efficient health care delivery.

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Pearson, Sarah C. "Integrated Primary Care: Development of a Patient Satisfaction Measure". Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1555338566176987.

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To, Karen. "Patient satisfaction concerning CAM discussions with primary care providers". Connect to resource, 2009. http://hdl.handle.net/1811/36985.

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Law, Katharine. "Long-term dementia care : staff experiences and family satisfaction". Thesis, University of Warwick, 2015. http://wrap.warwick.ac.uk/75482/.

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This thesis focuses on the care of people with dementia in long-term care settings. It considers both the experiences of staff working with people with dementia in such settings as well as the perceptions and satisfaction of family members of people with dementia who reside in long-term care. It is hoped that these papers will contribute to understanding how staff working with people with dementia in long-term care settings can be supported to improve the quality of care provision to this population. Chapter 1 is a systematic literature review investigating the staff factors which contribute to family satisfaction with ongoing care provision for their relatives with dementia who reside in long-term care. Empirical evidence from 14 articles was critically evaluated in order to identify relevant staff factors which contribute to family satisfaction. Relevant staff factors in three broad areas were found to contribute to family satisfaction with care provision for their relatives with dementia. Each area is explored and consideration is given to the implications for future research and clinical practice. Chapter 2 is an empirical study exploring the lived experience of healthcare assistants working with clients with dementia in residential care homes. Interpretative Phenomenological Analysis was used to analyse the data derived from semi-structured interviews with eight healthcare assistants. Three superordinate themes and nine subordinate themes emerged following the data analysis. Each theme is explored and consideration is given to the implications for future research and clinical practice. Chapter 3 is a reflective account of the researcher’s personal experiences of working with people with dementia. It explores the change in the researcher’s perceptions and attitude towards working with people with dementia as their knowledge and experience has increased over time and the impact that this has had on their outlook regarding working with people with dementia in the future.

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Ayres, Noreen Orman. "Role satisfaction: Grandparents raising grandchildren". CSUSB ScholarWorks, 2006. https://scholarworks.lib.csusb.edu/etd-project/3049.

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Three psychosocial dynamics were assessed for their effect on role satisfaction among grandchildren: (1) the impact of expanding a household on a limited fixed income, (2) health issues of the grandparent as they apply to stamina, and (3) the interaction with their existing social structure to include grandchildren (adjustments, prioritizing, and social isolation). Sampling included a population of 33 custodial grandparents (age=55 and older; male and female; various ethnicities) and selected from a Grandparents Raising Grandchildren support group in Idyllwild, California. The instrument of this quantitative and qualitative study was an adaptation from the County of Riverside, Department of Mental Health, Children's Department Personal Satisfaction Survey. Survey answers were based on a Likert scale model. Responses from the surveys indicated that the custodial grandparents are satisfied with their roles. However, there are sufficient data to suggest there is a need to increase quality of life and custodial role satisfaction.

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Hendricks, Janine Jolene. "Job satisfaction levels of health care professionals in a public hospital". Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/11058.

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Health care professionals play a pivotal role in contributing towards the sustainability of a healthy economy and the standard of quality health care. It is therefore important that organisations understand what influences the job satisfaction levels of health care professionals as it could have an impact on their motivational levels and ultimately the quality of health care that is provided. The aim of this study was to assess the levels of job satisfaction amongst health care professionals in a public hospital in the Eastern Cape. Research for this study included a literature review to define what job satisfaction is and to establish a theoretical foundation to identify the factors that influence job satisfaction. Various motivational theories were explored after which Herzberg’s two-factor theory was identified to serve as a theoretical basis for investigating the job content and organisational factors that influence job satisfaction. Selected demographic factors that could possibly influence levels of job satisfaction were also identified. An empirical study, consisting of a survey with a questionnaire as measuring instrument, was conducted amongst 146 health care professionals at a public hospital in the Eastern Cape. The purpose of the questionnaire was to determine the extent to which job content factors and organisational factors that were associated with job satisfaction were present in the jobs of health care professionals in state hospitals. In addition, the purpose was also to determine whether selected demographic variables had an influence on the responses provided to the factors that were associated with job satisfaction and the job satisfaction levels of the target group. The major findings of the study indicated that all job content and organisational factors had an influence on the job satisfaction levels of health care professionals in a public hospital. Three factors namely Achievement, Responsibility and Work itself were identified to have a significant positive influence on the job satisfaction levels. Relationships between the demographic variables and the job content and organisational factors were identified. Work itself, Responsibility and Achievement were the top three factors whilst leadership/supervision, Human Resource systems and policies and Remuneration and benefits were the bottom three factors in terms of presence in the organisation and influence on the job satisfaction levels of health care professionals. Safety aspects, work environment standards, availability of resources, remuneration and benefits were amongst the major concerns highlighted. The job content factors were identified to be overall more present than the organisational factors. Recommendations were suggested to address the areas of concern that were highlighted in this study in order to ensure high levels of job satisfaction amongst the health care professionals.

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

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

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

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

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Anne, Ene Adah-Ogoh. "Assessment of job satisfaction among health care workers in primary health care centres in the Federal Capital Territory, Nigeria". University of the Western Cape, 2016. http://hdl.handle.net/11394/4888.

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Master of Public Health - MPH
Nigeria is experiencing shortages of health care workers within its national health services, especially with respect to doctors, nurses and pharmacists. These shortages are traceable to, among other factors, low job satisfaction, which leads to health care workers exiting the national health services, as well as reduced entry of health care workers into the health care system. Understanding the nature of job satisfaction and its causes is critical to informing strategies to halt attrition of the health workforce. The current study surveyed job satisfaction among 180 health care workers, employed in 20randomly selected primary health care centres in the Bwari Area Council of Abuja in the Federal Capital Territory, Nigeria. An observational, descriptive cross-sectional survey was conducted using the abbreviated form of the Minnesota Satisfaction Questionnaire. Descriptive and inferential statistics were calculated using Epi Info v3.1 statistical software. The results from the study revealed that more than half of the respondents (53.2%), were dissatisfied to varying degrees with their current employment. Out of the respondents that said they were dissatisfied, 33.3% stated that they were likely to leave their current employment. The most salient causes for job dissatisfaction were: (1) Institutional factors such as management support (69%); (2) Implementation of policies and procedures (66%); (3) Employee benefits including salaries and wages (33%) and other benefits (56%). It is pertinent to note that issues related to poor implementation of policies and procedures in the work place, and poor conditions of employment need to be addressed urgently to prevent the imminent loss of a third of the workforce to either private health institutions in the country or international migration.

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Cerezo-Pann, Leizel. "FILIPINO SERVICE CARE PROVIDERS' EXPERIENCE OF COMPASSION FATIGUE WHILE WORKING IN RESIDENTIAL CARE FACILITIES". CSUSB ScholarWorks, 2018. https://scholarworks.lib.csusb.edu/etd/653.

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The purpose of this study is to explore Filipino service care providers’ experience of compassion fatigue. Compassion fatigue is a common experience among health care professionals and can contribute to feelings of hopelessness and adverse behaviors in caring for patients. In California, there are a large number of Filipinos who are employed as care providers for older adults; however, there is limited research available regarding Filipino workers in the United States. This study took on a qualitative design that utilized face-to-face interviews to gain more insight into Filipino service care providers’ experience of compassion fatigue in relation to their employment. Factors that were explored in interviews were exposure to terminally ill individuals, coping and self-care strategies, and working environments. The results of this study indicated participants appeared to experience compassion satisfaction, rather than compassion fatigue. Furthermore, recommendations for future research were discussed. These recommendations included the need to explore experiences of compassion satisfaction in this population and to look into the experience of Filipino service care providers who were born in the United States, rather than in the Philippines, to determine whether Filipino cultural values of caring can act as a buffer against the effects of compassion fatigue.

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Fröjd, Camilla. "Cancer Patients’ Satisfaction with Doctors’ Care : Consequences and Contributing Conditions". Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8267.

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

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Barry, Ghislaine. "Improving Nursing Knowledge, Satisfaction, and Retention in Long Term Care". Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10687913.

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Through advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the program have on improving nursing geriatric knowledge, retention, and job satisfaction by project end? Guided by the advancing research and clinical practice through close collaboration (ARCC) model for evidence-based practice (EBP), the learning needs of nurses in the LTC setting were assessed. The 6-week education program was designed to provide education on the basics of geriatric care, pharmacology and aging, symptom evaluation, dementia care, and geriatric physical assessment. Project participants consisted of 8 nurses who volunteered to take part in the program. The program was evaluated using a pre-test and post-test method to examine nurse’s knowledge before and after the education program. Using a paired t test, the results indicated a significant increase (p < .05) between the mean pre-test (3.75) and mean post-test (4.25) scores of nurse knowledge of geriatric care. The education program improved participant knowledge of geriatric care. Positive social change will be achieved with this scholarly project as nurses with greater knowledge gain confidence, strengthen decision making and clinical skills, and improve patient outcomes in the LTC setting.

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

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Pantenburg, Birte, Katharina Kitze, Melanie Luppa, Hans-Helmut König i Steffi G. Riedel-Heller. "Job satisfaction of foreign-national physicians working in patient care". Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-209598.

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Background: Physician migration is gaining attention worldwide. Despite increasing numbers of foreign physicians in Germany, their perceptions on working in Germany remain unexplored. Within a large survey on Saxon physicians, the aim of this study was to elucidate whether foreign-national physicians’ job satisfaction differed from German physicians' job satisfaction. Methods: The study was designed as a comprehensive cross-sectional survey. All physicians ≤40 years and registered with the State Chamber of Physicians of Saxony (n = 5956) were mailed a paper-pencil questionnaire, of which 2357 were returned (response rate = 40 %). Questionnaires addressed socio demographics and assessed job satisfaction by asking participants to rate their satisfaction with the overall job situation and 20 different aspects on a 5-point Likert scale (1 = very dissatisfied to 5 = very satisfied). Results: Ten percent of participants were foreign-national physicians. The three main countries of origin were the Czech Republic, Slovakia, and Poland. Foreign-national physicians were more satisfied with aspects related to patient care, such as "possibility to treat patients as you deem optimal" and "relationship with patients". However, they were less satisfied with aspects related to human relations, such as "work atmosphere", relationship with co-workers, and "social status". Foreign-national physicians were also less satisfied with the aspect "work enjoyment". Conclusions: Further research on determinants promoting foreign-national physicians' job satisfaction is needed as their professional well-being may influence quality of patient care. Measures teaching cross-cultural competence and awareness may be beneficial for both foreign-national and German physicians.

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Pälvärinne, Raimo. "Considerations on Swedish Dental Care : from leadership to patient satisfaction". Licentiate thesis, Malmö universitet, Odontologiska fakulteten (OD), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7761.

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The thesis consists of two papers which are based on a researchproject called ‘Considerations on Swedish Dental Care’. The aimsof the project were to analyse the characteristics of leadership in thepublic dental service (PDS) in Sweden (Paper I) and to study anddescribe patients’ opinions of dental care provided by the PDS andin private dentistry (Paper II).The aim of the first study was to investigate how experienced chiefdental officers (CDOs) in the PDS managed to maintain a marketposition at a time of social change and increased competition froma changing private sector. The CDOs, who have held a leading positionfor at least five years, were asked to participate in the study. Anempirical study with a qualitative design was conducted. Data from16 CDOs were collected in September-October 2014, with a 75%response rate. The aim of the second study was to investigate adults’ experiencesand opinions of the dental care they have received over time frombeing 50 years old to 70 years old. Patients’ dental visiting patterns,satisfaction with care and oral health measured as numbers of teethwere compared between the two care-provision sectors, public andprivate. In addition, a follow-up was conducted among those whoclaimed to have visited only the public sector or the private sectorand those who claimed to have used both sectors during the wholestudy period. Both studies may be of wider interest when examining Swedishdentistry:a) there are no studies of the characteristics of the top leadershipin the Swedish PDS. The PDS in Sweden differs a great dealfrom the PDS in other countries, as it covers much more of themarket and accounts for almost 45% of the total oral healthcaremarket in Sweden;b) there are no previous studies in Sweden, where a comparison ofpatients’ opinions of care in the two sectors of care providers inSweden is made in this way. The findings in Paper I underscore the fact that CDOs in the PDSexert a great deal of effort to consolidate the actual market position.The PDS is also “open” to patients of all kinds, not only to children,adolescents and special needs groups, and it also offers specialist care,which is unusual in many other countries.Paper II shows that patients who visited the PDS had a slightly poorerdental status, compared with the private patients. Both groups lostteeth during a 20-year period and almost at the same level. AlthoughCDOs in the first study focused on maintaining a strong marketposition, the patients in the second study reported greater satisfactionand a more frequent visiting pattern in private dental care comparedwith the PDS. To summarise, this thesis aims to illustrate the spirit of the top managementin the Swedish PDS and to explore adult patients’ opinionsand experience of care in the two provider sectors in Swedish oralhealth care.

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Dzivakwe, Vanessa G. "Psychosocial Determinants of Diabetic Control and Satisfaction with Diabetes Care". Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc67977/.

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Diabetes mellitus affects 7.8% of the American population. National health statistic data and other research shows that racial/ethnic disparities exist in terms of prevalence and treatment outcomes. The present study investigated the role of patient health beliefs (i.e., locus of control, self-efficacy) and the doctor-patient relationship (e.g., satisfaction and collaboration with health care provider), as relative predictors of diabetic control (i.e., HbA1c levels) and overall satisfaction with diabetes care, in older adult participants with diabetes. Demographic, psychosocial, and diabetes-related data from the Health and Retirement Study (HRS) 2003 Diabetes Study were analyzed to compare treatment outcomes among non-Hispanic White, non-Hispanic Black, and Hispanic individuals with various types of diabetes. Non-Hispanic White individuals exhibited better diabetic control than their minority counterparts (F(2, 592) = 7.60, p < .001); however, no significant group differences were noted in terms of psychosocial factors. Diabetic control was best predicted by time since diagnosis (β = -.21, p < .001), satisfaction with diabetes self-care (β = .19, p < .001) and age (β = .12, p < .01). In addition, satisfaction with provider care was best predicted by perceived collaboration with provider (β = .44, p < .001), satisfaction with diabetes self-care (β = .22, p < .001) and diabetes self-efficacy (β = .08, p < .05). Recommendations for future research were discussed.

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Sowole, Adejumobi A. "Patient satisfaction with care provided by a district dental clinic". Thesis, University of the Western Cape, 2007. http://hdl.handle.net/11394/2444.

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Magister Scientiae Dentium - MSc(Dent)
Patient satisfaction is critical for the growth of oral health service and practice. The present study was a descriptive study on patient satisfaction with oral health care provided by a district dental clinic. The aim of the study was to determine whether patients attending the dental clinic of the Lagos State University hospital were satisfied with the care they received.
South Africa

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Schmitz, Martha J. "Alexithymia, self-care, and satisfaction with life in college students /". free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9951124.

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

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32

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

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

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Barry, Ghislaine. "Improving Nursing Knowledge, Satisfaction, and Retention in Long Term Care". ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4591.

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Through advancements in modern medicine, human beings worldwide are living longer. The increase in life expectancy creates a need for a more qualified and knowledgeable nursing workforce for the delivery of quality geriatric health care. Although nurses are the primary care providers for vulnerable older adults, they are generally not well trained or prepared in geriatric care. Therefore, the purpose of the project was to develop an education program aimed at improving nursing knowledge of geriatric care in the long-term care (LTC) setting. The goal of the project was to answer the research question: What impact would attendance in the program have on improving nursing geriatric knowledge, retention, and job satisfaction by project end? Guided by the advancing research and clinical practice through close collaboration (ARCC) model for evidence-based practice (EBP), the learning needs of nurses in the LTC setting were assessed. The 6-week education program was designed to provide education on the basics of geriatric care, pharmacology and aging, symptom evaluation, dementia care, and geriatric physical assessment. Project participants consisted of 8 nurses who volunteered to take part in the program. The program was evaluated using a pre-test and post-test method to examine nurse's knowledge before and after the education program. Using a paired t test, the results indicated a significant increase (p<.05) between the mean pre-test (3.75) and mean post-test (4.25) scores of nurse knowledge of geriatric care. The education program improved participant knowledge of geriatric care. Positive social change will be achieved with this scholarly project as nurses with greater knowledge gain confidence, strengthen decision making and clinical skills, and improve patient outcomes in the LTC setting.

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Levering, Sherry. "Determinants of Compassion Fatigue in Acute Care Nursing". ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6602.

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Nurses experiencing compassion fatigue (CF) are emotionally exhausted, which contributes to decreased nurse retention and patient satisfaction. The focus of this project was to identify factors that contribute to CF. A systematic review was conducted to identify demographic factors that contribute to CF in the acute care setting, clarify the types of care situations that increase CF, and describe the social support networks of nursing units influencing CF. The review included peer-reviewed journal articles published between 2007 and 2018 that focused on registered nurses in the acute care setting. Using the grading of recommendation assessment development and evaluation format, 3 articles in Level of Evidence 1 and 11 articles in Level of Evidence 3 were included in this review. Findings showed that demographic factors such as age, gender, level of education, and years as a nurse contributed to CF. Care situations that contribute to CF include mixed-acuity-level patient units and an increase in administrative duties that are not directly related to patient care. A nursing unit's social support network has a direct impact on reducing CF: Units with peer support and respect have less CF, units with managers who are active and listen to staff have lower CF, and units with a change in management or nursing practice have higher levels of CF. Implications of this study for social change include approaches to help nurses balance care of patients and administrative tasks as well as creating education on factors that lead to CF. Interventions focused on promoting a working environment in which nurses' input is valued may prevent nurses from leaving their jobs or the nursing profession, which could improve patient satisfaction with nursing care.

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Coyle, Joanne. "Exploring the meaning of dissatisfaction with health care : towards a grounded theory". Thesis, London South Bank University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264820.

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Thomsen, Sarah. "Stress, satisfaction, and quality : studies of organizational and individual well-being in health care /". Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4345-1/.

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Bockarie, Abioseh Maddie. "Work-care satisfaction and capabilities: Examining single mother's satisfaction with juggling paid work and childcare in Gugulethu, South Africa". University of the Western Cape, 2018. http://hdl.handle.net/11394/6358.

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Magister Artium (Development Studies) - MA (DVS)
Capabilities as espoused by Sen are the realizable opportunities that are open to an individual that enable her to be or do that which she finds reasonably valuable. This study assessed the work-care arrangement capabilities that single mothers in Gugulethu have at their disposal to undertake a juggling arrangement schedule that they find satisfying (fulfilling). In this study, single mothers were asked to affiliate themselves to one of three work-care arrangement groups namely, work-centered, child-centered and flexible. Then, the study empirically examined if there is a significant difference in respondents' work-care satisfaction within these three groups. It accomplished this by using the Kruskal-Wallis Test. The study then went on to identify the work-care arrangement capabilities of 7 single mothers who were undertaking juggling arrangement schedules that were not of their preference or choice. They were interviewed in this study to ascertain whether they had viable opportunities/ capabilities to undertake their preferred juggling arrangement schedule, which they believed would bring them much personal fulfilment/satisfaction.

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Ogboenyiya, Anisa A. "Exploring the Associations of Burnout, Missed Nursing Care, Turnover Status, and Job Satisfaction Among Neonatal Intensive Care Nurses". University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin155411983064416.

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Ursin, Ronnie. "Level/Indicators of Job Satisfaction Among Unlicensed Assistive PersonnelEmployed in Acute Care". Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1424367466.

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Whitaker, Lisa. "Employee Satisfaction with Supervisor Support: The Case of Direct Care Workers in Nursing Homes". Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1062874/.

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The nursing home industry has been saturated for decades with culture change initiatives in an effort to improve resident quality of care. The direct care worker (DCW) is considered a critical position to achieving nursing facility quality improvements. Understanding what leads to job satisfaction for DCWs could result in improved resident care. The relationship DCWs have with their direct supervisor or upper-level manager can impact employee satisfaction. The purpose of this research is to identify factors that are associated with DCWs satisfaction with supervisor and management support. Data was obtained from 307 DCWs who were employed at 11 North Texas nursing homes. It was expected that factors affecting satisfaction with direct supervision and upper-level management would differ. In fact, the study found that the antecedents for employee satisfaction with supervisor support were participative decision-making/empowerment, age, information exchange and feedback. Furthermore, participative decision-making/empowerment, perceived competence, staffing, information exchange and feedback were found to affect direct care workers' satisfaction with manager support. In conclusion, this research provides a starting point towards a more holistic view of employee satisfaction with supervisor support by considering the preceding factors and its subsequent effects.

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Saiter, Mark R. (Mark Roberts). "Job Satisfaction of Registered Nurses in a Patient Focused Care Team". Thesis, University of North Texas, 1993. https://digital.library.unt.edu/ark:/67531/metadc501078/.

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The purpose of this study was to determine whether the job satisfaction and motivating potential of nursing jobs would be higher for nurses using Patient Focused Care (PFC) compared with nurses not using PFC. Nurses from a large metropolitan hospital served as subjects. Data were collected using three instruments designed to measure job satisfaction and motivating potential. Those instruments were the Job Diagnostic Survey, the Job Descriptive Inventory, and the McCloskey/Mueller Satisfaction Scale. It was hypothesized that nurses working on PFC nursing units would demonstrate greater job satisfaction and motivating potential than nurses working on non-PFC nursing units. The hypotheses were not supported. Results were explained by, among other things, accounting for the nature of the instruments used. The two instruments which gave data counter to the hypothesized direction were not nursing-oriented.

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Doll, Richard P. "Continuity of care : a study of alternate forms of intervention". Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26246.

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The aim of this study is to determine the effect of two approaches of social work intervention, a continuity approach, and a team approach, upon the three dependent variables of subject satisfaction, control, and mood. In order to determine differences in outcome, subjects were administered psychological tests to determine changes in their reported sense of control and mood (hopelessness) in relation to their response to the diagnosis and treatment of cancer. At follow-up, subjects also completed a questionnaire designed to determine their satisfaction with social work services received. The amount of time spent in contact with social workers was also assessed at this time. The analysis of the relationship between these variables revealed that there were no statistically significant differences between the study groups; subjects were equally satisfied with the two approaches in social work intervention, and there were no major differences between the reported changes in mood and control by the subjects in the study groups.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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Awasthi, Manul, Rabindra Raj Lamichhane, Esther Adejoke Adeniran, Tripti Sharma, Hadii Dr Mamudu, Manik Ahuja i Nathan Hale. "Association of Satisfaction with Care and Presence of Chronic Disease with Care Seeking Behaviors among Medicare Beneficiaries". Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/10.

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Approximately 49 million Americans are 65 years and older, 80% of whom have ≥1 chronic condition, while nearly 70% of Medicare beneficiaries have ≥2 such conditions. Moreover, avoidance of medical care is frequently seen among older adults; a national survey reported that over 33% of participants avoided seeking care even when they suspected that they should go to the doctor. Healthcare avoidance, especially by older adults, can result in adverse health and economic outcomes including higher use of emergency department (ED), longer inpatient stays, and poorer health status, alongside emotional burden. Studies have shown that perceived satisfaction of care and the need to seek care as a result of presence of illness are associated with care seeking behaviors. Thus, this study aimed to examine the extent to which these enabling and need factors translate to care seeking behaviors among Medicare beneficiaries. This is a cross-sectional study that includes 13,441 Medicare beneficiaries who responded to the 2018 Medicare Current Beneficiary Survey (MCBS). MCBS provides information on the beneficiaries’ medical conditions including healthcare utilization, healthcare access, and satisfaction with care. Multivariate logistic regression analyses were conducted to test the association between satisfaction of available care by specialists; satisfaction with the quality of medical care received the year before; presence of chronic illness like cardiovascular diseases (CVD), diabetes, arthritis, lung disease (chronic obstructive pulmonary disease (COPD), asthma, etc.) and depression, with care seeking behavior among Medicare beneficiaries. Care seeking behavior, which is the outcome of interest, was defined using three measures: not doing anything to avoid going to the doctor, not keeping sickness to self, and going to the doctor as soon as one feels sick. Of the total respondents, only about 29% showed care seeking behavior. Being male, being Hispanic, and having more than high school education were significantly associated with higher care seeking behavior. Lower likelihood of care seeking behavior was seen among beneficiaries who were dissatisfied with ease getting to doctor from home [adjusted odd’s ratio (aOR)=0.635; p

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

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

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45

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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46

Kajonius, Petri J. "An Inquiry into Satisfaction and Variations in User-Oriented Elderly Care". Doctoral thesis, Göteborgs Universitet, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-11684.

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The foundation for this thesis is an ongoing discussion about quality in Swedish elderly care: Which are the most important factors that contribute to elderly care in terms of satisfaction among older persons, and what are the primary reasons for their differences? Aims. The principal aim was to examine what determines satisfaction with elderly care in home care and nursing homes, using the perspective of older persons (Studies I and II). The secondary aim was to analyze why these determinants differ, using the perspective of care workers, managers, and observers (Studies III and IV). Methods. Study I analyzed aggregated statistical data from the level of municipalities and districts (N = 324) based on the Swedish elderly care quality reports “Open Comparisons”, while Study II analyzed individual data based on the original ratings in the annual, nationwide elderly surveys (N = 95,000). Study III describes field observations and interviews with care workers and managers in two municipalities, one with a high rating for user satisfaction and one with an average rating. Study IV describes investigations in these two municipalities concerning their organizing principles and departmental‑level management climate. Results. The results relating to the principal aim showed that process factors (such as respect, information, and influence) are related considerably more closely than structural factors (such as budget, staffing levels, and training levels) to satisfaction with care. Other process factors (such as treatment, safeness, staff and time availability) were also able to alleviate person factors (such as health, anxiety, and loneliness). Moreover, the results relating to the secondary aim showed that differences in user-oriented elderly care are mainly due to interpersonal factors between the caregiver and the older person. Care workers, however, reported that other factors (such as organizing principles and leadership support) influence the quality of the care process. Overall, older persons who receive home care generally report higher satisfaction with care than those in nursing homes, and feeling less safe. It may be that differences in the process of aging explain this. Value. This thesis shows that satisfaction with elderly care can be largely explained by psychological quality at the individual level. The sizes of structural resources and organizing principles at the municipal level have minimal effect (< 5%). The thesis also presents a theoretical multiple-level Quality Agents Model to explain the sources of differences in satisfaction with care, and it presents recommendations for elderly care practices. A renewed focus on the psychology of satisfaction may contribute to the development of quality in elderly care.

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Fung, Donald Mun Yee. "Deriving determinants and dimensions of patient satisfaction to outpatient anaesthesia care". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq28743.pdf.

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Peterson, Wendy E. DiCenso Alba. "Adolescent mothers' satisfaction with postpartum nursing care : quantitative and qualitative approaches /". [Hamilton, Ont.] : McMaster University, 2004.

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Hurd, Lyn Eric. "Evaluation of user information satisfaction of the Composite Health Care System". Thesis, Monterey, California. Naval Postgraduate School, 1991. http://hdl.handle.net/10945/28190.

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Heppell, Leanne. "Strategies to Improve Patient Satisfaction and Organizational Performance in Health Care". Thesis, Walden University, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10105797.

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Hospital leaders who fail to respond to poor patient satisfaction reports may experience lower organizational performance. The purpose of this qualitative case study was to explore strategies of leaders in private health care settings to improve patient satisfaction. This study may provide strategies that health care leaders in the public setting can apply to improve patient satisfaction and organizational performance. One private health care provider operating in Vancouver, British Columbia, Calgary and Edmonton, Alberta, was selected as both private and public healthcare centers are located in these areas. Data were gathered from 12 participant interviews and from an examination of available physical artifacts such as organizational documents provided by the participants and the company website. Transformational leadership was the underlying conceptual framework for this research. Triangulation was used to ensure the rigorousness of the study. In the study, themes were identified after member checking the transcribed open-ended interview questions. The 5 themes identified were cohesive culture of employee engagement, patient-focused model of care, timely access and follow-up of results and coordination of care, continuous system quality improvement, and employee accountability. These themes underscore the importance of a culture of employee engagement; they also illuminate care that focuses on the patient-care that ensures timely access, follow-up and coordination of care, quality improvement based on patient feedback, and employee accountability. Current publicly-funded hospitals and health care centers may apply these findings to improve patient satisfaction and organizational performance.

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