The Influence of Nursing Patient-Centeredness on Medicaid Obstetrical Inpatient Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/150683
Type:
Presentation
Title:
The Influence of Nursing Patient-Centeredness on Medicaid Obstetrical Inpatient Satisfaction
Abstract:
The Influence of Nursing Patient-Centeredness on Medicaid Obstetrical Inpatient Satisfaction
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Aragon, Stephen, PhD
P.I. Institution Name:WSSU
Title:Associate Professor, Health Services Measurement
Co-Authors:Stephen J. Aragon, PhD, MHA, BS and Racquel Ingram, RN, BSN, MSN
[Symposium Presentation] PURPOSE: This investigation sought to determine: (1) how nursing patient-centeredness influenced overall Medicaid obstetrical patient satisfaction, their likelihood to recommend the hospital, and their ratings of care, (2) whether the effects were equal across three national random samples of patients, and (3) the variance of obstetrical patient satisfaction explained by nursing patient-centeredness. METHODS: A two-factor multigroup structural equation modeling design was used, with cross-group constraints to test the equality of effects across groups.áThe hypothesized model was also compared with a competing model. RESULTS: The model fit well.á Nurse patient-centeredness significantly influenced patient satisfaction, explaining 67 percent of its variability. When patient-centeredness increased by one unit, overall satisfaction increased by .790 units (.820 standardized), the likelihood to recommend the hospital by .735 (.727 standardized) and ratings of care by .728 units (.762 standardized). These effects held across three random samples of patients.áThe model was sustained when compared with a competing model. Patient-centered nursing behaviors like friendliness and courtesy, making sure patients are informed, a positive attitude toward requests, and responsiveness to special requests all increased satisfaction with nursing. DISCUSSION: The study offers a paradigm for measuring and improving overall Medicaid obstetrical patient satisfaction, their ratings of care, and their likelihood to recommend the hospital. The results have implications for evidence-based outcome measurement, quality, satisfaction improvement interventions, and nursing education.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Influence of Nursing Patient-Centeredness on Medicaid Obstetrical Inpatient Satisfactionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150683-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Influence of Nursing Patient-Centeredness on Medicaid Obstetrical Inpatient Satisfaction</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Aragon, Stephen, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">WSSU</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor, Health Services Measurement</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">aragons@wssu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Stephen J. Aragon, PhD, MHA, BS and Racquel Ingram, RN, BSN, MSN</td></tr><tr><td colspan="2" class="item-abstract">[Symposium Presentation] PURPOSE: This investigation sought to determine: (1) how nursing patient-centeredness influenced overall Medicaid obstetrical patient satisfaction, their likelihood to recommend the hospital, and their ratings of care, (2) whether the effects were equal across three national random samples of patients, and (3) the variance of obstetrical patient satisfaction explained by nursing patient-centeredness. METHODS: A two-factor multigroup structural equation modeling design was used, with cross-group constraints to test the equality of effects across groups.&aacute;The hypothesized model was also compared with a competing model. RESULTS: The model fit well.&aacute; Nurse patient-centeredness significantly influenced patient satisfaction, explaining 67 percent of its variability. When patient-centeredness increased by one unit, overall satisfaction increased by .790 units (.820 standardized), the likelihood to recommend the hospital by .735 (.727 standardized) and ratings of care by .728 units (.762 standardized). These effects held across three random samples of patients.&aacute;The model was sustained when compared with a competing model. Patient-centered nursing behaviors like friendliness and courtesy, making sure patients are informed, a positive attitude toward requests, and responsiveness to special requests all increased satisfaction with nursing. DISCUSSION: The study offers a paradigm for measuring and improving overall Medicaid obstetrical patient satisfaction, their ratings of care, and their likelihood to recommend the hospital. The results have implications for evidence-based outcome measurement, quality, satisfaction improvement interventions, and nursing education.</td></tr></table>en_GB
dc.date.available2011-10-26T10:39:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:39:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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