Conditions for successfully implementing resident-oriented care in nursing homes

This study reports an investigation of the conditions for a successful introduction of a resident‐oriented care model on six somatic and psychogeriatric intervention wards in three Dutch nursing homes. This study aims to answer the following research question: ‘What are the conditions for successfully implementing resident‐oriented care?’ To answer the research question, the organisational change process was monitored by using the ‘7‐S’ model of Peters and Waterman as a diagnostic framework. Based on this model, the following change characteristics were studied: structure, strategy, systems, staff, skills, style and shared values. Our study involved a one group pretest/post‐test design. To measure the conditions for change, we operationalised the factors of the 7‐S model serving as a diagnostic framework and studied their presence and nature on the intervention wards. For this purpose qualitative interviews were held with the change agents of the nursing homes and the wards’ supervisors. To determine the degree of ‘success’ of the implementation, we measured the extent to which resident‐oriented care was implemented. For this purpose a quantitative questionnaire was filled in by the nurses of the intervention wards. By relating the extent to which resident‐oriented care was implemented to the differences in change conditions, we were able to distinguish the ‘most’ from the ‘least’ successful intervention ward and so, pointing out the conditions contributing to a successful implementation of resident‐oriented care. The results showed that, in contrast to the least successful intervention ward, the most successful intervention ward was characterised by success conditions related to the 7‐S model factors strategy, systems, staff and skills. The factor structure did not contribute to the success of the implementation. Success conditions appeared to be related to the ward level and not to the organisational or project level. Especially the supervisors’ role appeared to be crucial for a successful implementation.     

Patient satisfaction with nursing care and its relationship with patient characteristics

The aim of this study was to assess patient satisfaction with nursing care and the relationship between patient satisfaction and patient characteristics. This cross‐sectional study was conducted at a 1100‐bed tertiary care teaching hospital in Turkey. Data were collected using the Newcastle Satisfaction with Nursing Care Scales and a patient information form. Overall, data indicated a high level of patient satisfaction. Hospitalization affected the Experience of Nursing Care Scale independently, while the type of ward, sex, income, and education independently affected the Satisfaction with Nursing Care Scale. Patients who underwent surgical procedures, male patients, the 40–59‐year‐old age group, those who had low levels of education or income, and patients who were hospitalized for long periods were most satisfied. Patients' sex, age, income, duration of hospitalization, and ward type were important factors that affected their satisfaction with nursing care. The characteristics of patients who have a low level of satisfaction with nursing care should be assessed and taken into consideration by nurses.     

北京市优质护理服务患者满意度调查分析

目的调查“优质护理服务示范工程”活动实施后出院患者对护理工作的满意度现状。方法采用患者对护理工作的满意度问卷对北京市11所“优质护理服务示范工程”重点联系医院的606名出院患者进行电话回访。结果患者对护理工作的总体满意度得分为（9．23±1．11）分,得分最高的方面为帮助的及时性（9．43±1．15）分,得分最低的方面为生活护理（8．99±1．97）分。结论“优质护理服务示范工程”活动实施以来,患者对护理工作总体满意度较高,但仍存在不足之处,可进一步完善并推广。     

The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire

Scand J Caring Sci; 2012; 26; 598–606 The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire Introduction: Patient satisfaction with nursing is the most important predictor of patients’ overall satisfaction with their hospital care. According to the Law of Health Care of Republic of Serbia monitoring of patients’ satisfaction with hospital service is mandatory; however, the questionnaire applied to that purpose includes only several questions directly addressing the nursing care issue. Aim: The aim of the present study was to evaluate psychometric properties of the Serbian version Patient Satisfaction Nursing Care Quality Questionnaire (PSNCQQ) and explore patients’ satisfaction of nursing care they received and assess the relationship between patient satisfaction and patient characteristics. Methods: This cross‐sectional study included a sample population of 240 patients who were discharged from surgical clinics of the Clinical Center of Vojvodina in Novi Sad. The PSNCQQ was translated into Serbian according to standard procedures for forward and backward translation. Factor analysis was used to determine the construct validity, and predictive validity of the questionnaire was previously assessed. Cronbach’s α coefficient and item analysis was conducted to evaluate reliability of the scale. Results: The Serbian version Patient Satisfaction Nursing Care Quality Questionnaire (PSNCQQ) showed a one‐factor structure, Cronbach’s α reliability coefficient was excellent 0.94 and was similar across hospital categories. The correlation coefficient between 19 items and the total scale was high, and ranged from 0.56 to 0.76. Patients’ age, educational level and previous hospitalization period were important factors that affected their satisfaction with nursing care. Conclusion: The study provides a new tool for measuring patient satisfaction with nursing care in Serbia that may present a useful instrument for nursing care managers in improving the nursing care process.     

Efficacy of clinical supervision: influence on job satisfaction, burnout and quality of care

AIM: This paper reports a study to determine how supervisees' backgrounds and surrounding infrastructure predict the efficacy of clinical supervision among Finnish nursing staff, their job satisfaction, levels of burnout and perceptions of the quality of care. BACKGROUND: Several studies have described the effects of clinical supervision, but few have focused on evaluating it. Until recently, no studies have examined how clinical supervision evaluations are related to supervisees' backgrounds, surrounding infrastructure or respondents' levels of burnout, job satisfaction and perceptions of the quality of care. METHODS: The survey involved supervisees completing a range of standardized and validated evaluation measures. The respondents were identified from 12 regional, central and university hospitals across Finland (n = 799). The data collection took place from October 2000 to February 2001. FINDINGS: The evaluations varied statistically significantly and were associated with statistically significant variations in the respondents' backgrounds. Clinical supervision infrastructure was also strongly related to evaluation scores. Supervisees' age, education, gender, employment status, area of specialty, working hours, work experience and experience as a supervisor were statistically significant predictors for evaluations of the efficacy of clinical supervision. These evaluations of clinical supervision were also found to predict the respondents' job satisfaction, levels of burnout and assessments of good nursing. CONCLUSION: Nursing staff, especially those who have over 10 years' work experience, work in general care, have a nursing diploma, are non-tenured, work part-time and work 24-hour rotating shifts can benefit from clinical supervision. However, resources need to be invested in supervisor education and nursing staff need to be encouraged to start working in both supervisor and supervisee roles because of the positive effects on job satisfaction and quality of care.     

眼科住院病人对护理工作满意度及其影响因素调查

目的 提高眼科住院病人对临床护理工作的满意度。方法 根据文献自行设计病人满意度调查表。采取方便抽样的方法选择眼科符合人选条件的住院病人80例,调查眼科住院病人对护理工作的满意度及其影响因素。结果 病人对护士的专业技能和病区管理满意度最高,病人对健康教育指导、心理护理和护士的主动服务意识的满意度较低,病人对护理工作的满意度与其职业与医疗费用的支付方式无关,与收人情况及文化程度呈负相关关系（P〈0．01或P〈0．05）。结论 护理过程中,应重视护理服务的各个方面,满足不同人群的健康需求,达到病人最高满意度。     

在开展优质护理服务中对护士自身满意度调查分析

目的 了解在开展优质护理服务中护理人员的自身满意度.方法 采用自行设计的满意度调查表对235名临床科室护理人员进行满意度调查.结果 235名护理人员满意度依次为:排班模式(71.49％),管理者的关爱(70.64％),人际关系(67.66％),职业安全(31.91％),工作认可度(26.81％),劳动价值(11.91％...     

Measuring patient satisfaction with nursing care: experience of using the Newcastle Satisfaction with Nursing Scale

Patient satisfaction with care has frequently been used as a measurement of quality, especially in attempts to demonstrate the benefits of changes in nursing practice. Unfortunately such attempts have frequently failed as patient satisfaction ratings have lacked sensitivity, consistently achieving very high scores. They have also failed to isolate the nursing component from the whole health care experience. The Newcastle Satisfaction with Nursing Scale (NSNS) has been developed after extensive research work as an attempt to establish reliable and valid measures of patients' experiences of and satisfaction with nursing care. This study evaluated the use of the NSNS in practice and found that it was readily understood by patients and easily administered by clinical staff. However, several lessons were learnt which could help its administration. The results demonstrated a very high degree of satisfaction with nursing care which left the discriminatory ability of the scale open to question, although its potential benefits in standard setting were demonstrated. Further evaluative studies are needed if the potential benefits of the NSNS are to be fully realised.     

Staff satisfaction with work, perceived quality of care and stress in elderly care: psychometric assessments and associations

AIMS: To evaluate validity and reliability of three questionnaires measuring 'work satisfaction', 'patient care' and 'staff health' for staff in elderly care and to study the relationship between staff members' satisfaction with work and perceived stress. BACKGROUND: Increased workload, difficulties in recruiting and retaining nurses are reported in elderly care. Valid and reliable instruments measuring staffs' perceptions of work are needed. METHODS: A convenience sample of 299 staff answered the questionnaires. RESULTS: Factor analysis of 'work satisfaction' gave eight factors, 'patient care' four factors and 'staff health' two factors, explaining 52.2%, 56.4% and 56.8% of the variance. Internal consistency was mostly satisfactory. Multiple regression analysis revealed a model that explained 41% of the variance in perceived stress symptoms. CONCLUSIONS: There was support for the instruments' validity and reliability. Older age, higher scores/satisfaction with workload, cooperation, expectations and demands, personal development and lower scores on internal motivation contributed to less stress.     

优质护理对肿瘤化疗患者疗效、护理满意度及生活质量的影响

目的探讨优质护理对肿瘤化疗患者疗效、护理满意度及生活质量的影响。方法选取本院诊治的108例肿瘤化疗患者,根据随机数字法将其分为对照组(常规护理)和观察组(优质护理),每组各54例。观察和比较2组治疗的临床疗效、患者对护理服务的满意度,以及生活质量。结果与对照组相比,观察组治疗有效率明显提高,患者对护理服务满意度明显改善(P<0.05);与对照组相比,观察组生理功能、社会功能、心理功能、身体功能、自我形象、情绪功能及生活质量总分均明显增高(P<0.05)。结论优质护理能够提高肿瘤化疗患者治疗的临床疗效,改善患者生活质量及护理满意度,值得临床推广。     

优质护理服务对产科基础护理质量及患者满意度的影响

目的探讨优质护理服务对产科基础护理质量及患者满意度的影响。方法选取优质护理服务应用前后在我院住院治疗的患者各1830例,比较优质护理服务开展前后产科基础护理合格率及患者满意度。结果应用优质护理服务后基础护理合格率由85．03％上升到93．99％;患者对护理服务的满意度由88．42％上升到96．39％,差异均有统计学意义（X2分别为78．252,82．979;P〈0．05）。结论优质护理服务有利于产科基础护理质量提高,促进护理事业的快速发展,值得在临床科室护理工作中推广应用。     

儿科专科护理质量管理实践及效果评价

目的：探索儿科专科护理质量管理改革对提升儿科专科护理质量及患儿满意度的作用。方法：通过实施专科护理岗位规范化培训、定期组织典型专科护理病例讲评比赛、推行专科护理小查房、设计并发放《护理指导手册》、常态化进行护理满意度调查等,改进儿科专科护理质量,并比较专科护理质量管理改革实施前后护理质量检查评分和患儿满意度。结果：儿科专科护理质量管理改革实施后病房管理、基础护理、护理文书、护理过程、急救药械、消毒隔离及患儿满意度评分均有提高,护理缺陷发生率下降,差异均有统计学意义。结论：实施专科护理质量管理改革,可以提升儿科护理质量及患儿满意度,降低护理缺陷发生率,改善医患关系,值得推广。