scholarly journals Selected predictors of parental satisfaction with child nursing care in paediatric wards in Poland—Cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260504
Author(s):  
Agnieszka Kruszecka-Krówka ◽  
Grażyna Cepuch ◽  
Agnieszka Gniadek ◽  
Ewa Smoleń ◽  
Krystyna Piskorz-Ogórek ◽  
...  

Background Assessment of parental satisfaction with child nursing is the key issue in evaluation of the care quality, enabling the adjustment of the services provided to the needs and expectations of recipients, and thus ensuring safety and achieving better long-term health effects. Aim Assessment of parental satisfaction with child nursing in paediatric wards including its determinants. Material and methods The study covered 1030 parents of children hospitalised in paediatric and surgical wards of seven hospitals of different levels of health security in Poland. The Polish adaptation of the Empathic standardised questionnaire for assessment of the level of parents’ satisfaction with nursing care, developed by Latour et al. and the self-constructed summary of socio-demographic data were applied in the study. Results More than 90% of respondents expressed high level of satisfaction with nurses’ Availability, the lowest, but still high score of respondents’ satisfaction was observed for Parental Participation. The highest satisfaction was observed among the parents of children at the preschool, early school and puberty stage, admitted to the hospital on the elective basis, referred for diagnostic assessment and with the length of hospital stay less than 7 and longer than 28 days. Achieving preschool age was the strongest factor which increased assessment of satisfaction in most domains. Conclusions There is a need for optimising nursing care especially in the area of parental participation. The nursing care’ quality improvement plan in paediatric departments should focus particularly on early childhood patients and their parents who are the most critical in satisfaction’ assessment.

2020 ◽  
Vol 8 (2) ◽  
pp. 112
Author(s):  
Kurnia Rahmawati ◽  
Anisah Ardiana ◽  
Dicky Endrian Kurniawan

Quality of service is a service that suits your needs, affordable, effective, efficient, and no risk to save on expenses. This study aimed to analyze the description of BPJS patient satisfaction with the quality of nursing service at inpatient ward of hospital in Jember. This was a cross sectional study. The subjects of this study were BPJS patients at inpatient ward at hospital in Jember. There were 120 respondents choosed by purposive sampling. Data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire (PNSCQQ). This study showed that the patient satisfaction is not optimal. Indicators of general perception of patients in each statement showed that 80 patients (63.5%) said the overall quality of health service received was good. The overall quality of nursing service was also said to be good by 80 patients (63.5%). As many as 90 patients (71.5%) agreed that they wanted to recommend one of the hospital in Jember to family and friends who needed help in terms of health service. This research showed that it is important to improve the quality of nursing service to increase patient satisfaction. Nurses need to improve nursing care. This research can be used as a reference and illustration for hospital management, and nurses are expected to implement and improve quality nursing service in order to achieve better health service so patient satisfaction will be increase.


2020 ◽  
Vol 28 (3) ◽  
pp. 625-633
Author(s):  
Teresa Margarida Almeida Neves ◽  
Pedro Miguel Santos Dinis Parreira ◽  
João Manuel Garcia Nascimento Graveto ◽  
Maria João Baptista dos Santos de Freitas ◽  
Victor José Lopes Rodrigues

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Mahmood Motamedzadeh ◽  
Hosein Mahmoudi ◽  
Abbas Ebadi ◽  
Batool Nehrir

2014 ◽  
Vol 22 (3) ◽  
pp. 454-460 ◽  
Author(s):  
Juliana Santana de Freitas ◽  
Ana Elisa Bauer de Camargo Silva ◽  
Ruth Minamisava ◽  
Ana Lúcia Queiroz Bezerra ◽  
Maiana Regina Gomes de Sousa

OBJECTIVES: assess the quality of nursing care, the patients' satisfaction and the correlation between both.METHOD: cross-sectional study, involving 275 patients hospitalized at a teaching hospital in the Central-West of Brazil. The data were collected through the simultaneous application of three instruments. Next, they were included in an electronic database and analyzed in function of the positivity, median value and Spearman's correlation coefficients.RESULTS: among the nursing care assessed, only two were considered safe - hygiene and physical comfort; nutrition and hydration - while the remainder were classified as poor. Nevertheless, the patients were satisfied with the care received in the domains assessed: technical-professional, confidence and educational. This can be justified by the weak to moderate correlation that was observed among these variables.CONCLUSION: Despite the quality deficit, the patients' satisfaction level with the nursing care received was high. These results indicate that the institution needs to center its objectives on a continuing evaluation system of the care quality, aiming to attend to the patients' expectations.


2020 ◽  
Vol 7 (6) ◽  
pp. 1391-1397
Author(s):  
Zemen Mengesha Yalew ◽  
Haymanot Zeleke ◽  
Abebe Dilie Afenigus ◽  
Yibeltal Asmamaw Yitayew ◽  
Biniam Minuye ◽  
...  

Patient experience of nursing care is the perception of the patient about the real existing nursing service. Addressing patient experience of nursing care is very important to improve nursing service quality because it identifies the factors that affect the nursing care quality better than patient satisfaction. Therefore, this study aimed to assess patient experience in nursing care and associated factors among adult admitted patients in Debre Markos and Dessie referral hospitals. An institution-based cross-sectional study was conducted from March 1, 2019, to March 30, 2019, among 528 consecutively selected adult admitted patients. Data were cleaned, coded, and entered in Epi-data version 3.1 then exported to Statistical Package for Social Sciences version 25 for analysis. Multivariate logistic regression, with a 95% CI was used to identify variables that had a significant association. The overall good patient experience in nursing care was 64%. Duration of admission ≥22 days (adjusted odds ratio [AOR] = 2.67, 95% CI = 1.013-7.025) and free service (AOR = 3.69, 95% CI = 2.381-5.730) showed a positive association with patient experience in nursing care. However, admission in gynecology ward (AOR = 0.43, 95%CI = 0.257-0.707), secondary education (AOR = 0.53, 95% CI: 0.308-0.907), and college or above education (AOR = 0.55, 95%CI = 0.320-0.957) showed a negative association with patient experience in nursing care.


2014 ◽  
Vol 5 (3/4) ◽  
pp. 70-74
Author(s):  
Roberta Meneses Oliveira ◽  
Mariana Monteiro Pereira ◽  
Perla Guimarães Feitosa ◽  
Alexandra Da Silva Lima ◽  
Yane Carmem Ferreira Brito ◽  
...  

Resumo: Objetivou-se avaliar domínios e dimensões da satisfação do paciente com a assistência de enfermagem. Estudo transversal, realizado com 156 pacientesem unidades de internação de hospital público de Fortaleza-CE. Para as associações com os domínios empregaram-se os testes de ?2 e de razão de verossimilhança.A assistência foi considerada boa pela maioria dos pacientes, com predomínio dos domínios confiança e profissional em detrimento do educacional.Destacaram-se as dimensões empatia, relacionamento interpessoal e humanização. Apesar dos entrevistados mostrarem-se satisfeitos, é preciso investimentoem uma Enfermagem centrada no paciente, inserindo-o como sujeito ativo no tratamento e obtendo maior satisfação pelo cuidado prestado.Descritores: Enfermagem, Cuidados de Enfermagem, Satisfação do Paciente, Qualidade da Assistência à Saúde, Gestão da Qualidade.Patient satisfaction with the nursing care: what dimensions predominate?Abstract: Aimed to evaluate the domains and dimensions of patient satisfaction with nursing care. Cross-sectional study with 156 patients in inpatient units ofa public hospital in Fortaleza-CE. For associations with the domains were employed ?2 and likelihood ratio tests. The assistance was considered good by mostpatients, with a predominance of confidence and professional domains at the expense of education. Notable dimensions were empathy, interpersonal relationshipand humanization. Despite the interviewed were satisfied, we need investment in a patient-centered nursing, inserting it as an active subject in the treatmentand getting more satisfaction for the care provided.Descriptors: Nursing, Nursing Care, Patient Satisfaction, Quality of Health Care, Quality Management.Satisfacción del paciente con los cuidados de enfermería: qué dimensiones sobresalen?Resumen: El objetivo fue evaluar dominios y dimensiones de la satisfacción del paciente con la atención de enfermería. Estudio transversal con 156 pacientes enunidades de hospitalización de un hospital público en Fortaleza-CE. Para las asociaciones con los dominios se emplearon las pruebas de ?2 y razón de verosimilitud.La asistencia fue considerada buena por la mayoría de los pacientes, con predominio de los dominios confianza y profesional, en lugar del educacional. Las másdestacadas dimensiones fueron empatía, relaciones interpersonales y humanización. A pesar de los entrevistados se mostraren satisfechos, es necesario investiren una Enfermería centrada en el paciente, insertándolo como un sujeto activo en el tratamiento y conseguir una mayor satisfacción de la atención recibida.Descriptores: Enfermería, Atención de Enfermería, Satifacción del Paciente, Calidad de la Atención de Salud, Gestión de Calidad.


2016 ◽  
Vol 86 (5-6) ◽  
pp. 242-248 ◽  
Author(s):  
Genc Burazeri ◽  
Jolanda Hyska ◽  
Iris Mone ◽  
Enver Roshi

Abstract.Aim: To assess the association of breakfast skipping with overweight and obesity among children in Albania, a post-communist country in the Western Balkans, which is undergoing a long and difficult political and socioeconomic transition towards a market-oriented economy. Methods: A nationwide cross-sectional study was carried out in Albania in 2013 including a representative sample of 5810 children aged 7.0 – 9.9 years (49.5% girls aged 8.4 ± 0.6 years and 51.5% boys aged 8.5 ± 0.6 years; overall response rate: 97%). Children were measured for height and weight, and body mass index (BMI) calculated. Cut-off BMI values of the World Health Organization (WHO) and the International Obesity Task Force (IOTF) were used to define overweight and obesity in children. Demographic data were also collected. Results: Upon adjustment for age, sex, and place of residence, breakfast skipping was positively related to obesity (WHO criteria: OR = 1.5, 95% CI = 1.3–1.9; IOTF criteria: OR = 1.9, 95% CI = 1.4–2.5), but not overweight (OR = 1.1, 95% CI = 0.9–1.3 and OR = 1.1, 95% CI = 0.9–1.4, respectively). Furthermore, breakfast skipping was associated with a higher BMI (multivariable-adjusted OR = 1.05, 95% CI = 1.02–1.07). Conclusions: Our findings point to a strong and consistent positive relationship between breakfast skipping and obesity, but not overweight, among children in this transitional southeastern European population. Future studies in Albania and other transitional settings should prospectively examine the causal role of breakfast skipping in the development of overweight and obesity.


Author(s):  
M. Trajchevska ◽  
A. Lleshi ◽  
S. Gjoshev ◽  
A. Trajchevski

Background: The respect of the needs and wishes of the patients is in the focus of the human health system. The experience of the parents in terms of child’s health care may be used as an indicator of quality of the health care. Material and methods: The research is a quantitative analytical cross-sectional study. In accordance with the inclusion and exclusion criteria, simple random sample of 207 parents / guardians is covered, whose children in the period of three months, had been hospitalized in the hospital department JZUU Pediatric Surgery Clinic in Skopje.It was used a two parted questionnaire. The first part is a standardized questionnaire (Parent Experience of Pediatric Care - PECP), and the second part concerns the general socio-demographic data of the parent/guardian. Statistical evaluation was performed using appropriate statistical programs (Statistics for Windows 7,0 and SPSS 17.0). Results: In accordance with the age of the parents, the survey respondents were divided into two groups: a) age ≤ 33 years - 107 (51.69%) and b) age> 33 years - 100 (48.31%).Significant independent predictor of parental satisfaction from the receipt of their child to the clinic research confirms the age of the parent under / over 33 years due to 4.1% of the change in satisfaction (R2 = 0,041). Parents generally believe that their children's room of the clinic is "good", without significant difference between parental satisfaction from both age groups (Mann-Whitney U Test Z = -0,9613 p = 0,3364). Significant independent predictor of parental satisfaction from the room of their child improves the health status after treatment due to 6% of the change in satisfaction (R2 = 0,060). Parents generally believe that testing and treatment of their children in the clinic was "very good" and an independent significant predictor is to improve the health status after the treatment - 7,8% (R2 = 0,078). Conclusions: Regardless of the generally good parental satisfaction about health care for their children, it is necessary to continuously monitor the status of the clinic in order to consider the possible deficiencies and needs of intervention.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Huailiang Wu ◽  
Weiwei Sun ◽  
Hanqing Chen ◽  
Yanxin Wu ◽  
Wenjing Ding ◽  
...  

Abstract Background Pregnant women experience physical, physiological, and mental changes. Health-related quality of life (HRQoL) is a relevant indicator of psychological and physical behaviours, changing over the course of pregnancy. This study aims to assess HRQoL of pregnant women during different stages of pregnancy. Methods This cross-sectional study was performed using the The EuroQoL Group’s five-dimension five-level questionnaire (EQ-5D-5L) to assess the HRQoL of pregnant women, and demographic data were collected. This study was conducted in a regional university hospital in Guangzhou, China. Results A total of 908 pregnant women were included in this study. Pregnant women in the early 2nd trimester had the highest HRQoL. The HRQoL of pregnant women rose from the 1st trimester to the early 2nd trimester, and dropped to the bottom at the late 3rd trimester due to some physical and mental changes. Reports of pain/discomfort problem were the most common (46.0%) while self-care were the least concern. More than 10% of pregnant women in the 1st trimester had health-related problems in at least one dimension of whole five dimensions. In the whole sample, the EuroQoL Group’s visual analog scale (EQ-VAS) was 87.86 ± 9.16. Across the gestational stages, the HRQoL remained stable during the pregnancy but the highest value was observed in the 1st trimester (89.65 ± 10.13) while the lowest was in the late 3rd trimester (87.28 ± 9.13). Conclusions During pregnancy, HRQoL were associated with gestational trimesters in a certain degree. HRQoL was the highest in the early 2nd trimester and then decreased to the lowest in the late 3rd trimester due to a series of physical and psychological changes. Therefore, obstetric doctors and medical institutions should give more attention and care to pregnant women in the late 3rd trimester.


2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 508.2-509
Author(s):  
K. Maatallah ◽  
H. Boussaa ◽  
H. Riahi ◽  
H. Ferjani ◽  
M. Habechi ◽  
...  

Background:Foot disease is a common problem in rheumatoid arthritis (RA). Therapeutic decisions are often based on clinical examination (CE) alone, which can be adversely affected by factors such as deformity, obesity, and peripheral edema. Ultrasonography (US) has previously been shown to be more sensitive than CE for detecting synovitis and tenosynovitis in RA forefeet, but few data exist for the hindfoot and ankle.Objectives:The aim of this study was to compare CE and US for the detection of hindfoot and ankle synovitis and tenosynovitis in patients with established RA.Methods:We conducted a cross-sectional study including patients with RA (ACR/EULAR 2010). Demographic data and disease parameters were collected. CE was performed by a rheumatologist for the presence or absence of tenderness, swelling, and mobility restriction of both ankles. The following tendons were examined for tenosynovitis: tibialis anterior (TA) and posterior (TP), fibularis longus (FL), and brevis (FB) (assessed together). In a second time, US examination of the tibiotalar, talonavicular, and subtalar joints and the same tendons as CE was performed by a blinded radiologist experienced in musculoskeletal imaging using a Philips HD11 device with a high-frequency linear transducer. The presence or absence of synovitis and tenosynovitis was recorded, and the composite synovitis score (power doppler / grayscale ultrasound (PDUS)) was measured for each joint. The US score of each patient was defined by the sum of the composite scores of the joints studied (0-30). A p-value <0.05 was considered significant.Results:Sixty-two feet were examined in 31 RA patients (25 women and six men) with a mean age of 54.8±10.8 years old [32-70]. The mean disease duration was 8.5±7.2 years [1-37]. Rheumatoid Factor (RF) and Anti-Citrullinated Peptides Antibodies (ACPA) were positive in 61.3% and 83.8% of cases. The mean DAS28 ESR was 3.8±1.5 [0.6-7].Clinical examination of ankles revealed tenderness in 57.4% of cases, swelling in 38.8% of cases, and restriction in the range of motion in 11.1% of cases. TA tenosynovitis was noted in 14.8% of cases, TP tenosynovitis in 22.2% of cases, and FL and FB tenosynovitis in 31.5% of cases.US showed tibiotalar synovitis in 59.3% of cases, talonavicular synovitis in 64.8% of cases, and subtalar synovitis in 46.3% of cases. TA tenosynovitis was noted in 5.6% of cases, TP tenosynovitis in 22.2% of cases, and FB and FL tenosynovitis in 25% and 11.1% of cases respectively.An association was found between clinical tenderness and US synovitis of the tibiotalar joint (p=0.013) and the talonavicular joint (p=0.027). No association was noted between clinical swelling and US synovitis in these joints.No association was noted between clinical and US tenosynovitis of TA (p=0.279), TP (p=0.436), FB (p=0.495) and FL (p=0.315).Conclusion:Clinical examination of RA ankles may be challenging and needs to be coupled with US, which is more sensitive and accurate in the detection of synovitis and tenosynovitis.Disclosure of Interests:None declared


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