A pilot study of satisfaction in oncology nursing care: an indirect predictor of quality of care

International Journal of Health Care Quality Assurance - Tập 25 Số 2 - Trang 106-117 - 2012
EstherUña Cidón1, FernandoCuadrillero Martín1, MilagrosHijas Villaizán2, FranciscoLópez Lara3
1Medical Oncology Department and School of Medicine, Clinical University Hospital of Valladolid, Valladolid, Spain
2Outpatient Unit of Medical‐Haematological Oncology, Clinical University Hospital of Valladolid, Valladolid, Spain
3Clinical University Hospital of Valladolid and School of Medicine, Valladolid, Spain

Tóm tắt

PurposeAlthough “satisfaction” is not easy to define, excellence in health care is impossible without professional/patient satisfaction, so this paper aims to report on a pilot study designed in order to evaluate the degree of nursing staff satisfaction with the implementation of measures to improve quality of care.Design/methodology/approachThe project consisted of several phases: writing protocols of care; training of nursing staff in their management; and a cross‐sectional study to evaluate nursing staff satisfaction with them. The design of the survey consisted of a 16‐item Likert scale, which had to be auto filled. A factorial analysis to simplify and validate the tools was used, using statistical analyses with SPSS software 8.0.Practical implicationsThe results are applicable to young small oncological units with high degree of variability in patient care. The study showed that nursing staff satisfaction with new improvement measures taken improves safety and finally quality of care.FindingsThe study obtained four dimensions (D) explaining 100 percent of variance. Each dimension with several items: D1: “Nursing job quality” explaining 48.4 percent of variance; D2: “Satisfaction with the knowledge”; D3: “Nursing job feelings/perceptions”; D4: “Nursing communication with doctors/patients”. It provided a direct point of view of each nurse, knowledge about problems encountered daily and demonstration of how a simple/convenient method is useful to engage the staff in decision‐making‐process and implementation of new strategies or to promote the integration of basic aspects of health management in daily clinical practice.Originality/valueThis is the first study evaluating nursing staff satisfaction with new improvement measures taken in a small medical unit, aiming at quality of care benefits. Very promising results were obtained although the sample size was small.

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Tài liệu tham khảo

Bergenmar, M., Nylen, U., Lidbrink, E., Bergh, J. and Brandberg, Y. (2006), “Improvements in patient satisfaction at an outpatient clinic for patients with breast cancer”, Acta Oncologica, Vol. 45 No. 5, pp. 550‐8.

Berné, C., Múgica, J.M. and Yagüe, M.J. (1996), “Strategic management and the concepts of perceived quality, customer satisfaction and loyalty”, Industrial Economics, No. 307, pp. 63‐74.

Bolus, R. and Pitts, J. (1999), “Patient satisfaction: the indispensable outcome”, Managed Care, Vol. 8 No. 4, pp. 24‐8.

Carr‐Hill, R.A. (1992), “The measurement of patient satisfaction”, Journal of Public Health Medicine, Vol. 14 No. 3, pp. 236‐49.

Cleary, P.D. (1999), “The increasing importance of patient surveys”, Quality in Health Care, Vol. 8 No. 4, p. 212.

Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., Storey, L. and Thomas, H. (2002), “The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature”, Health Technology Assessment, Vol. 6 No. 32, pp. 1‐244.

Everly, G.S. and Falcione, R.L. (1976), “Perceived dimensions of job satisfaction for staff registered nurses”, Nursing Research, Vol. 25 No. 5, pp. 346‐8.

Huber, D.L. (2000), “Leadership and care management overview”, in Huber, D.L. (Ed.), Leadership and Nursing Care Management, Elsevier, Philadelphia, PA, pp. 3‐27.

Ibarra, C.M.G. (1994), “La calidad … reto de hoy”, Rev Desarrollo Científica de la Enfermera, Vol. 2 No. 5, pp. 3‐12.

Ibarra, C.M.G. (1995), “La calidad del servicio de enfermería”, Rev Desarrollo Científico de la Enfermera, Vol. 3, pp. 24‐7.

Liljander, V. (1995), Comparison Standards in Perceived Service Quality, Ekonomioch Samhall No. 63, Swedish School of Economics and Business Administration, Helsinki.

Lis, C.G., Rodeghier, M., Grutsch, J.F. and Gupta, D. (2009), “Distribution and determinants of patient satisfaction in oncology with a focus on health related quality of life”, BMC Health Services Research, Vol. 9, p. 190.

Moss, R. and Rowles, C. (1997), “Staff nurse job satisfaction and management style”, Nursing Management, Vol. 28 No. 1, pp. 32‐4.

Mrayyan, M.T. (2006), “Jordanian nurses' job satisfaction, patients' satisfaction and quality of nursing care”, International Nursing Review, Vol. 53 No. 3, pp. 224‐30.

Munson, F.C. and Heda, S.S. (1974), “An instrument for measuring nursing satisfaction”, Nursing Research, Vol. 23 No. 2, pp. 159‐66.

Ochoa, I.I., Montana, A.M. and Heredia, I.C. (2007), “Satisfacción del personal de enfermería en servicios de oncología”, Revista Cubana de Salud Pública, Vol. 33 No. 3, pp. 1‐15.

Pacheco, Q.L., Martínez, H.M.E., Alva, C.M.G. and Ibarra, R.M.A. (1994), “Grado de satisfacción del personal de enfermería en unidades de medicina familiar”, Revista Enfermeria IMSS, Vol. 6 No. 1, pp. 33‐6.

Ponce‐Gómez, J., Reyes‐Morales, H. and Ponce‐Gómez, G. (2006), “Satisfacción laboral y calidad de atención de enfermería en una unidad médica de alta Especialidad”, Revista Enfermeria, Vol. 14 No. 2, pp. 65‐73.

Ramírez‐Sánchez, T.J., Nájera‐Aguilar, P. and Nigenda‐López, G. (1998), “Percepción de la calidad de la atención de los servicios de salud en México: perspectiva de los usuarios”, Salud Pública de México, Vol. 40 No. 1, pp. 3‐12.

Ruiz‐López, P. (2001), “Measurement of quality of care”, Revista Clinica Espanola, Vol. 201 No. 10, pp. 561‐2.

Salinas, C., Laguna, J. and Mendoza, M.R. (1994), “La satisfacción laboral y su papel en la evaluación de la calidad de la atención médica”, Salud Pública de México, Vol. 36 No. 001, pp. 22‐9.

Slavitt, D.B., Stamps, P.L., Piedmont, E.B. and Haase, A.M. (1978), “Nurses' satisfaction with their work situation”, Nursing Research, Vol. 27 No. 2, pp. 114‐20.

Struck, E. (1995), “La enfermería y el desarrollo humano”, Rev Desarrollo Científico de la Enfermera, Vol. 3, pp. 24‐7.

Vuori, H. (1987), “Patient satisfaction: an attribute or indicator of the quality of care?”, Quality Review Bulletin, Vol. 13 No. 3, pp. 106‐8.

Weisman, C.S., Alexander, C.S. and Chase, G.A. (1980), “Job satisfaction among hospital nurses: a longitudinal study”, Health Services Research, Vol. 15 No. 4, pp. 341‐64.

Wiggers, J.H., Donovan, K.O., Redman, S. and Sanson‐Fisher, R.W. (1990), “Cancer patient satisfaction with care”, Cancer, Vol. 66 No. 3, pp. 610‐6.

Wilkinson, S.M. (2003), “Factors which influence how nurses communicate with cancer patients”, Journal of Advanced Nursing, Vol. 16 No. 6, pp. 677‐88.

Williams, B., Coyle, J. and Healy, D. (1998), “The meaning of patient satisfaction: an explanation of high reported levels”, Social Science & Medicine, Vol. 47 No. 9, pp. 1351‐9.

Zabalegui, A., Gallart, A., Cabrera, E. and Bardallo, M.D. (2004), “Strategies in oncology nursing research for the twenty‐first century”, Index de Enfermería, Vol. 13 No. 47, pp. 31‐4.

Zas Ros, B. (2002), “Satisfaction as an indicator of excellence in the quality of health services”, Psicologíacientífica.com (electronic magazine).

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International Journal of Health Care Quality Assurance

Tập 25 Số 2

106-117

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