The relationship between patients’ perceptions of care quality and three factors: nursing staff job satisfaction, organizational characteristics and patient age

BMC Health Services Research

Katri Vehviläinen-Julkunen²  Raija Mäntynen¹  Ari Voutilainen¹  Tarja Kvist¹ 

[1] Department of Nursing Science, University of Eastern Finland, P.O. BOX 1627, FI-70211 Kuopio, Finland;Kuopio University Hospital, P.O. BOX 1777, FI-70211 Kuopio, Finland

关键词: Survey;    Hospital unit;    Nursing staff;    Job satisfaction;    Patients;    Quality of care;   

Others  :  1125873
DOI  :  10.1186/1472-6963-14-466

 received in 2014-05-15, accepted in 2014-09-22,  发布年份 2014

【 摘 要 】

Background

The relationship between nurses’ job satisfaction and their perceptions of quality of care has been examined in previous studies. There is little evidence, however, about relationships between the job satisfaction of nursing staff and quality of care perceived by the patients. The aim of this study was to analyze, how the job satisfaction of nursing staff, organizational characteristics (hospital and unit type), and patients’ age relate to patients’ perceptions of the quality of care.

Methods

The study was cross-sectional and descriptive, based on a secondary analysis of survey data acquired during the At Safe study in Finland. The study included 98 units at four acute care hospitals between autumn 2008 and spring 2009. The participants were 1909 patients and 929 nursing staff. Patients’ perceptions of quality of care were measured using the 42-item RHCS questionnaire. Job satisfaction of nursing staff was measured with the 37-item KUHJSS scale. Statistical analyses included descriptive statistics, principal component analysis, t-tests, analysis of variance, linear regression, and multivariate analysis of variance.

Results

Patients’ perceptions of overall quality of care were positively related to general job satisfaction of nursing staff. Adequate numbers of staff appeared to be the clearest aspect affecting quality of care. Older patients were more satisfied with staff number than younger patients. Patients cared for in outpatient departments felt more respected than patients in wards, whereas patients in wards reported better care of basic needs (e.g., hygiene, food) than outpatients.

Conclusions

The evaluation of resources by nursing staff is related to patients’ perceptions of the adequacy of nursing staff levels in the unit. The results emphasize the importance of considering patients’ perceptions of the quality of care and assessments by nurses of their job satisfaction at the hospital unit level when evaluating quality of care.

【 授权许可】

   
2014 Kvist et al.; licensee BioMed Central Ltd.

【 图 表 】

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