Nursing: A Key To Patient Satisfaction

Kutney‐Lee, Ann; McHugh, Matthew D.; Sloane, Douglas M.; Cimiotti, Jeannie P.; Flynn, Linda; Neff, Donna Felber; Aiken, Linda H.

doi:10.1377/hlthaff.28.4.w669

Cited by 300 publications

(311 citation statements)

References 9 publications

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“…These results are consistent with recent patient experiences of care in United States hospitals (10,11). Jha and colleagues examined data from the CAHPS Hospital Survey (HCAHPS), which captures the performance of hospitals in the United States in terms of patient experience (10).…”

Section: Discussionsupporting

confidence: 61%

“…Hospitals with higher ratios of nurses to patient-days performed better than those with the lowest ratios, with 70% and 64% of patients, respectively, indicating that they "would definitely recommend" the hospital (P,0.001). In 2009, Kutney-Lee and colleagues examined the relationship between nursing and HCAHPS scores across 430 United States hospitals (11). They also found that nurseto-patient staffing ratios were significantly associated with multiple HCAHPS domains, including whether patients were likely to recommend a hospital.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Wood

Paoli

Taylor‐Stokes

et al. 2014

Clinical Journal of the American Society of Nephrology

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Background and objectives The US Centers for Medicare and Medicaid Services (CMS) End Stage Renal Disease Prospective Payment System and Quality Incentive Program requires that dialysis centers meet predefined criteria for quality of patient care to ensure future funding. The CMS selected the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis (CAHPS-ICH) survey for the assessment of patient experience of care. This analysis evaluated the psychometric properties of the CAHPS-ICH survey in a sample of hemodialysis patients.Design, setting, participants, & measurements Data were drawn from the Adelphi CKD Disease Specific Program (a retrospective, cross-sectional survey of nephrologists and patients). Selected United States-based nephrologists treating patients receiving hemodialysis completed patient record forms and provided information on their dialysis center. Patients (n=404) completed the CAHPS-ICH survey (comprising 58 questions) providing six scores for the assessment of patient experience of care. CAHPS-ICH item-scale convergence, discrimination, and reliability were evaluated for multi-item scales. Floor and ceiling effects were estimated for all six scores. Patient (demographics, dialysis history, vascular access method) and facility characteristics (size, ratio of patients-tophysicians, nurses, and technicians) associated with the CAHPS-ICH scores were also evaluated.Results Item-scale correlations and internal consistency reliability estimates provided support for the nephrologists' communication (range, 0.16-0.71; a=0.81) and quality of care (range, 0.16-0.76; a=0.90) composites. However, the patient information composite had low internal consistency reliability (a=0.55). Provider-topatient ratios (range, 2.37 for facilities with .36 patients per physician to 2.8 for those with ,8 patients per physician) and time spent in the waiting room (3.44 for .15 minutes of waiting time to 3.75 for 5 to ,10 minutes) were characteristics most consistently related to patients' perceptions of dialysis care.Conclusions CAHPS-ICH is a potentially valuable and informative tool for the evaluation of patients' experiences with dialysis care. Additional studies are needed to estimate clinically meaningful differences between care providers.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Wood

Paoli

Taylor‐Stokes

et al. 2014

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

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“…The lack of financial resources in health care institutions is reflected by reduced spending on these professionals, reflecting on the quality of care provided to the population (5) . Studies have shown better results where the ratio between nurses and patients is adequate (5)(6)(7) , including reduced mortality and customer satisfaction. The situation of emergency services is worrisome because its features, such as fluctuating demand and occupancy rate, complicate the choice of an instrument for the measuring of nursing human resourses in this area (8) .…”

Section: Introductionmentioning

confidence: 99%

Nursing staff sizing in the emergency room of a university hospital

Paixão

Campanharo

Lopes

et al. 2015

Rev. esc. enferm. USP

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Objective: To verify the adequacy of the professional nursing staff in the emergency room of a university hospital and to evaluate the association between categories of risk classification triage with the Fugulin Patient Classification System. Method: The classification of patients admitted into the emergency room was performed for 30 consecutive days through the methodology proposed by Gaidzinski for calculating nursing requirements. Results: The calculation determines the need for three registered nurses and four non-registered nursing for each six hour shift. However, only one registered nurse and four non-registered nurse were available per shift. There was no correlation between triage risk classification and classification of care by the Fugulin Patient Classification System. Conclusion: A deficit in professional staff was identified in the emergency room. The specificity of this unit made it difficult to measure. To find the best strategy to do so, further studies should be performed. Nursing staff sizing in the emergency room of a university hospital Dimensionamento de enfermagem em sala de emergência de um hospital-escola Dimensionamiento de enfermería en servicio de urgencias de un hospital escuela

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“…Sağlık hizmetlerinin kalitesi, genellikle hizmete yönelik kullanılan kaynakların yeterliliği ve bu hizmetten faydalanan insan sayısı gibi veriler ile değerlendirilmektedir (1)(2)(3). Bunun yanında, sağlık hizmeti alan hastaların müşteri olarak tanımlanmaları ile birlikte hasta memnuniyetine yönelik araştırmalar da yapılmaya başlanmıştır.…”

Section: Introductionunclassified

Alexithymia and Patient Satisfaction in Patients Treated with Balneotherapy

Kaya¹,

Kaplan²,

Ozyurek³

et al. 2014

Turk J Phys Med Rehab

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Objective: The aim of this study was to assess the patient satisfaction and relationship between patient satisfaction and alexithymia in patients who were treated with balneotherapy. Material and Methods: Patients 50 years old and older diagnosed with osteoarthritis were included in the study. Patients were divided two groups according to the Toronto Alexithymia Scale. Patient satisfaction was assessed with an 8-item questionnaire. Reliability of the questionnaire was identified by the Cronbach α coefficient. Results: In total, 602 patients with osteoarthritis, 235 men and 367 women, were enrolled into the study; 204 patients had alexithymia. The 8-item patient satisfaction questionnaire was highly reliable. Alexithymic patients had statistically less satisfaction with all dimensions. Conclusions: Patients personality properties and patients willing are as important as health service quality during assessment of the patient satisfaction. Alexithymic personality is one the factors effects the patient satisfaction. If we could create ambiance in which patients could tell their thoughts easily, our measurable healthcare service quality would be an increase.

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Nursing: A Key To Patient Satisfaction

Cited by 300 publications

References 9 publications

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Evaluation of the Consumer Assessment of Healthcare Providers and Systems In-Center Hemodialysis Survey

Nursing staff sizing in the emergency room of a university hospital

Alexithymia and Patient Satisfaction in Patients Treated with Balneotherapy

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