Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units
Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units
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DOI：
10.1097/nna.0b013e3181a23d3f
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发表时间：
2009-05-01
影响因子：
2
通讯作者：
Mark, Barbara
中科院分区：
文献类型：
--
作者：
Bacon, Cynthia Thornton;Mark, Barbara
目的：本研究旨在探讨医院环境、护理单元结构、患者特征与患者对医院护理服务满意度之间的关系。背景：虽然患者满意度已被广泛研究，但我们对医院环境和护理单元结构之间的关系及其对患者满意度的影响的了解有限。本研究的数据来源是护理管理项目的成果研究，这是一项多地点组织研究，旨在调查护士人员配置、组织背景和结构与患者结局之间的关系。本研究的样本为2,720例患者和3,718 RN在286内科，外科单位在146 hospital.Results：更大的可用性护理单位的支持服务和更高水平的工作参与与更高水平的病人满意度。年龄较大，更好的健康状况，更好的症状管理也与较高水平的病人satisfactions.Conclusions：在医院和护理单位的组织因素，特别是支持服务的护理单位和机制，促进护士的工作参与和有效的症状管理，是重要的影响病人的满意度。
Objective: The purpose of this study was to examine the relationships between hospital context, nursing unit structure, and patient characteristics and patients' satisfaction with nursing care in hospitals.Background: Although patient satisfaction has been widely researched, our understanding of the relationship between hospital context and nursing unit structure and their impact on patient satisfaction is limited.Methods: The data source for this study was the Outcomes Research in Nursing Administration Project, a multisite organizational study conducted to investigate relationships among nurse staffing, organizational context and structure, and patient outcomes. The sample for this study was 2,720 patients and 3,718 RNs in 286 medical-surgical units in 146 hospitals.Results: Greater availability of nursing unit support services and higher levels of work engagement were associated with higher levels of patient satisfaction. Older age, better health status, and better symptom management were also associated with higher levels of patient satisfaction.Conclusions: Organizational factors in hospitals and nursing units, particularly support services on the nursing unit and mechanisms that foster nurses' work engagement and effective symptom management, are important influences on patient satisfaction.