The relationship between patients' perceived quality of life, expectations of nursing care, and level of satisfaction with nursing care
Review TypeNone: Degree-based Submission
Repository Posting Date2020-06-26T21:20:16Z
Author(s)Kercher, Lois L.
Author DetailsDr. Lois L. Kercher, PhD, BSN, MSN
Lead Author Sigma AffliationEpsilon Chi
Level of EvidenceDescriptive/Correlational
Research ApproachMixed/Multi Method Research
The objective of this research was to identify the relationship between preadmission patient characteristics and patient satisfaction with nursing care. The two characteristics studied were perceived quality of life and expectations of nursing care. Nurses need to understand the phenomena of satisfaction as a key indicator of patients' evaluation of nursing care quality. Unfortunately, research on theories of satisfaction has not yet explained the determinants to enable predictive modeling. Patient satisfaction with care has been linked to characteristics of the patients, clinicians, and facilities. A prospective correlational design was used to study relationships among the variables. A qualitative approach was used to study patients' perspectives of hospital experience. The hypotheses were: H$\sb1$--There will be a direct relationship between patients' perceived quality of life and their level of satisfaction with nursing care. H$\sb2$--There will be a direct relationship between patients' expectations of nursing care and their level of satisfaction with nursing care. H$\sb3$--Patients' perceived quality of life and expectations of care will be predictive of satisfaction with nursing care. Data were collected from 132 subjects admitted for elective surgery. Correlational analysis failed to support Hypotheses 1 and 2. Multiple regression showed no relationship between predictor variables and satisfaction. Therefore, Hypothesis 3 was rejected. Although failure to support the hypotheses of this study prevents predictive modeling, the findings have significance for nursing practice. Nurses have the opportunity of creating a positive care experience for a patient, regardless of the patient's perceived quality of life, and even if the patient is admitted with low expectations of being satisfied. Seventy-three patients responded to an open-ended question prompting them to describe what contributed to their overall level of satisfaction. Content analysis demonstrated that dissatisfaction was often linked to a specific incident or interaction with nursing staff. The effect of a single negative event seemed to result in an outcome of overall dissatisfaction with nursing care. This finding supports the value of soliciting patient feedback during hospitalization. If nurses are able through service recovery to identify and resolve patient concerns prior to discharge, patient satisfaction with nursing care may improve.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9828837; ProQuest document ID: 304426869. The author still retains copyright.
Advisor(s)Flaherty, Mary Jean
Degree GrantorThe Catholic University of America
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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