.: ORİJİNAL ARAŞTIRMA
Cerrahi Hastaların Hemşirelik Bakım Kalitesi Algıları ve Bakımdan Memnuniyetleri
Surgical Patients' Perceptions of Nursing Care Quality and Their Satisfactions with Nursing Care
Turkiye Klinikleri J Nurs Sci. 2020;12(3):329-36
doi: 10.5336/nurses.2020-74985
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Çalışmanın amacı, cerrahi kliniklerde yatan hastaların hemşirelik bakım kalitesi algılarıyla bakımdan memnuniyetleri arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı türündeki bu çalışma, Şubat-Mart 2018 tarihleri arasında üçüncü düzey bir kamu hastanesinin genel cerrahi kliniğinde yapıldı. Örneklemi, 303 erişkin hasta oluşturdu. Hastaların, hemşirelik bakım kalitesi algıları 'Bakım Davranışları Ölçeği (BDÖ)-24' ve bakımdan memnuniyetleri 'Newcastle Hemşirelik Bakımı Memnuniyet Ölçeği (NHBMÖ)' ile ölçüldü. Veriler tanımlayıcı istatistik yöntemler, Student t-testi, One-Way ANOVA ve Pearson korelasyon analiziyle test edildi. Bulgular: Hastaların BDÖ-24 puan ortalaması 5,0±0,2 ve NHBMÖ puan ortalaması 76,9±13,3 olarak bulundu. BDÖ-24'te en yüksek puan ortalaması 'bilgi ve mesleki beceri', en düşük 'bağlılık' alt boyutunda elde edildi. NHBMÖ'de en yüksek puan ortalamasının 'hemşirelerin hastaların mahremiyetlerine gösterdikleri saygı', en düşük 'hemşirelerin hastaları kendi evlerindeymiş gibi hissettirmeleri' maddesinde olduğu görüldü. NHBMÖ ile BDÖ-24 toplam puan ortalamaları arasında pozitif yönde güçlü bir ilişki saptandı (p<0,001). Sonuç: Mevcut çalışma bulguları hastaların hemşirelik bakım kalitesi algılarının olumlu, bakımdan duydukları memnuniyetin iyi düzeyde olduğunu, hemşirelik bakım kalitesinin bakımdan duyulan memnuniyetle doğrudan ilişkili olduğunu gösterdi. Ayrıca çalışma bulguları, hastaların en fazla hemşirelerin mesleki bilgi ve becerilerini, en az bağlılıklarını olumlu algıladıklarını gösterdi. Hemşireler en iyi bakım kalitesi için çaba göstermeye devam etmelidir.
Anahtar Kelimeler: Hemşirelik bakımı; hasta memnuniyeti; bakım kalitesi
Amaç: Çalışmanın amacı, cerrahi kliniklerde yatan hastaların hemşirelik bakım kalitesi algılarıyla bakımdan memnuniyetleri arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Tanımlayıcı ve ilişki arayıcı türündeki bu çalışma, Şubat-Mart 2018 tarihleri arasında üçüncü düzey bir kamu hastanesinin genel cerrahi kliniğinde yapıldı. Örneklemi, 303 erişkin hasta oluşturdu. Hastaların, hemşirelik bakım kalitesi algıları 'Bakım Davranışları Ölçeği (BDÖ)-24' ve bakımdan memnuniyetleri 'Newcastle Hemşirelik Bakımı Memnuniyet Ölçeği (NHBMÖ)' ile ölçüldü. Veriler tanımlayıcı istatistik yöntemler, Student t-testi, One-Way ANOVA ve Pearson korelasyon analiziyle test edildi. Bulgular: Hastaların BDÖ-24 puan ortalaması 5,0±0,2 ve NHBMÖ puan ortalaması 76,9±13,3 olarak bulundu. BDÖ-24'te en yüksek puan ortalaması 'bilgi ve mesleki beceri', en düşük 'bağlılık' alt boyutunda elde edildi. NHBMÖ'de en yüksek puan ortalamasının 'hemşirelerin hastaların mahremiyetlerine gösterdikleri saygı', en düşük 'hemşirelerin hastaları kendi evlerindeymiş gibi hissettirmeleri' maddesinde olduğu görüldü. NHBMÖ ile BDÖ-24 toplam puan ortalamaları arasında pozitif yönde güçlü bir ilişki saptandı (p<0,001). Sonuç: Mevcut çalışma bulguları hastaların hemşirelik bakım kalitesi algılarının olumlu, bakımdan duydukları memnuniyetin iyi düzeyde olduğunu, hemşirelik bakım kalitesinin bakımdan duyulan memnuniyetle doğrudan ilişkili olduğunu gösterdi. Ayrıca çalışma bulguları, hastaların en fazla hemşirelerin mesleki bilgi ve becerilerini, en az bağlılıklarını olumlu algıladıklarını gösterdi. Hemşireler en iyi bakım kalitesi için çaba göstermeye devam etmelidir.
Anahtar Kelimeler: Hemşirelik bakımı; hasta memnuniyeti; bakım kalitesi
ABSTRACT
Objective: The study aims to determine the relationship between nursing care quality perceptions of inpatients in surgical clinics nd their satisfaction from the care. Material and Methods: The study was conducted in the general surgery clinic of a third level public hospital between February-March 2018 with descriptive-correlational research design. The sample consists of 303 adult patients. The nursing care quality perceptions of patients were measured with 'Caring Behaviors Inventory (CBI)-24' and their satisfaction from the care was measured with 'Newcastle Satisfaction with Nursing Scale (NSNS)'. The data were tested with descriptive statistical methods, Student's t-test, One-Way ANOVA and Pearson's correlation analysis. Results: The CBI-24 average score of the patients was determined as 5.0±0.2 and the NSNS average score was determined as 76.9±13.3. The highest average score from the CBI-24 was from 'knowledge and Professional skill' sub-dimensions and the lowest average score was from 'adherence' sub-dimension. The highest average score from the NSNS was observed in 'the respect that nurses show to the patients' 'privacy' and the lowest average score was observed in 'providing patients to feel at their home by the nurses'. A positive and strong relationship was determined between the total score averages of NSNS and CBI-24 (p<0.001). Conclusion: The findings of the study indicate that the nursing care quality perceptions of the patients were positive, their level of satisfaction from the care was above average, and the nursing care quality perceptions are directly related to the satisfaction. The findings also indicate that the most positively perceived behavior of the nurses was their professional knowledge and skills and the least positively perceived behavior was their adherence. Nurses should continue to make an effort for the best care behaviors.
Keywords: Nursing care; patient satisfaction; care quality
Objective: The study aims to determine the relationship between nursing care quality perceptions of inpatients in surgical clinics nd their satisfaction from the care. Material and Methods: The study was conducted in the general surgery clinic of a third level public hospital between February-March 2018 with descriptive-correlational research design. The sample consists of 303 adult patients. The nursing care quality perceptions of patients were measured with 'Caring Behaviors Inventory (CBI)-24' and their satisfaction from the care was measured with 'Newcastle Satisfaction with Nursing Scale (NSNS)'. The data were tested with descriptive statistical methods, Student's t-test, One-Way ANOVA and Pearson's correlation analysis. Results: The CBI-24 average score of the patients was determined as 5.0±0.2 and the NSNS average score was determined as 76.9±13.3. The highest average score from the CBI-24 was from 'knowledge and Professional skill' sub-dimensions and the lowest average score was from 'adherence' sub-dimension. The highest average score from the NSNS was observed in 'the respect that nurses show to the patients' 'privacy' and the lowest average score was observed in 'providing patients to feel at their home by the nurses'. A positive and strong relationship was determined between the total score averages of NSNS and CBI-24 (p<0.001). Conclusion: The findings of the study indicate that the nursing care quality perceptions of the patients were positive, their level of satisfaction from the care was above average, and the nursing care quality perceptions are directly related to the satisfaction. The findings also indicate that the most positively perceived behavior of the nurses was their professional knowledge and skills and the least positively perceived behavior was their adherence. Nurses should continue to make an effort for the best care behaviors.
Keywords: Nursing care; patient satisfaction; care quality
REFERANSLAR:
- Şişe Ş. [Satisfaction of patients with nursing care]. Kocatepe Medical Journal. 2013;14(2):69-75.
- Karaca A, Durna Z. [Nursing care quality and associated factors]. Sağlık ve Toplum. 2018;28(2):16-23.
- Dikmen Y, Yılmaz D. Patient's perceptions of nursing care-a descriptive study from Turkey. Ann Nurs Pract. 2016;3(3):1048.
- Büber R, Başer H. [Customer satisfaction in health enterprises: an application in a foundation university hospital]. Sosyal ve Beşeri Bilimler Dergisi. 2012;4(1):265-74.
- Azizi-Fini I, Mousavi MS, Mazroui-Sabdani A, Adib-Hajbaghery M. Correlation between nurses' caring behaviors and patients' satisfaction. Nurs Midwifery Stud. 2012;1(1):36-40. [Crossref]
- Aldemir K, Gürkan A, Taşkın Yılmaz F, Karabey G. [Examination of satisfaction from nursing care of inpatients in the surgical clinics]. J Health Nurs Manag. 2018;5(3):155-63. [Crossref]
- Yildiz Findik U, Unsar S, Sut N. Patient satisfaction with nursing care and its relationship with patient characteristics. Nurs Health Sci. 2010;12(2):162-9. [Crossref] [PubMed]
- Palese A, Tomietto M, Suhonen R, Efstathiou G, Tsangari H, Merkouris A, et al. Surgical patient satisfaction as an outcome of nurses' caring behaviors: a descriptive and correlational study in six European countries. J Nurs Scholarsh. 2011;43(4):341-50. [Crossref] [PubMed]
- Merkouris A, Andreadou A, Athini E, Hatzimbalasi M, Rovithis M, Papastavrou E, et al. Assessment of patient satisfaction in public hospitals in Cyprus: a descriptive study. Health Science Journal. 2013;7(1):28-40.
- Cerit B, Coşkun S. [Patients' and nurses' perceptions relating to the nursing care quality]. Turk J Clin Lab. 2018;9(2):103-9.
- Gröndahl W, Muurinen H, Katajisto J, Suhonen R, Leino-Kilpi H. Perceived quality of nursing care and patient education: a cross-sectional study of hospitalised surgical patients in Finland. BMJ Open. 2019;9:e023108. [Crossref] [PubMed] [PMC]
- Alasad J, Tabar NA, Eid AbuRuz M. Patient satisfaction with nursing care: measuring outcomes in an international setting. J Nurs Adm. 2015;45(11):563-8. [Crossref] [PubMed]
- Kokeb Haile E, Akilew Awoke A, Fisseha Zewdu A, Tesfaye Bisenebit G, Mulunesh Abuhay B. Adult patients' satisfaction with in patient nursing care and associated factors in an Ethiopian Referral Hospital, Northeast, Ethiopia. 2016; Article ID 6308617:1-7. [Crossref]
- Afaya A, Hamza S, Gross J, Acquah NA, Aseku PA, Doeyela D, et al. Assessing patient's perception of nursing care in medical-surgical ward in Ghana. IJCS. 2017;10(3):1329-40.
- Gül Ş, Dinç L. [Investigation of nurses' and patients' perceptions regarding nursing care]. HUHEMFAD-JOHUFON. 2018;5(3):192-208.
- Yıldız Fındık Ü, Soydaş Yeşilyurt D. [Surgical patients' perception of the postoperative nursing care quality]. Journal of Anatolia Nursing and Health Sciences. 2017;20(3):195-200.
- Kurşun Ş, Kanan N. [Validity and reliability study of the Turkish version of caring behaviors inventory-24]. Journal of Anatolia Nursing and Health Sciences. 2012;15(4):229-35.
- Akin S, Erdogan S. The Turkish version of the newcastle satisfaction with nursing care scale used on medical and surgical patients. J Clin Nurs. 2007;16(4):646-53. [Crossref] [PubMed]
- Çevik K, Eşer İ. [Dependency levels of inpatients effect of nursing care quality's perception in neurosurgery clinic]. F.N. Hem. Derg. 2014;22(2):76-83.
- Papastavrou E, Efstathiou G, Tsangari H, Suhonen R, Leino-Kilpi H, Patiraki E, et al. A cross-cultural study of the concept of caring through behaviours: patients' and nurses' perspectives in six different EU countries. JAN. 2012;68(5):1026-37. [Crossref] [PubMed]
- Uzelli Yılmaz D, Akın Korhan E, Khorshid L. [Evulation of nursing care quality in a palliative care clinic]. JHS. 2017;14(3):2968-80. [Crossref]
- Sayin Y, Oner Cengiz H, Ayoglu T. Nursing care satisfaction of surgery patients. SOJ Nur Health Care. 2016;2(2):1-8. [Crossref]
- Koirala M, Koirala ML. Contributing factors for perceived satisfaction with nursing care among inpatients in general wards. J Lumbini Med Coll. 2015;3(2):34-7. [Crossref]
- Arendts G, MacKenzie J, Lee JK. Discharge planning and patient satisfaction in an emergency short-stay unit. Emerg Med Australas. 2006;18(1):7-14. [Crossref] [PubMed]
- Bulut H. [The effects of informing patients and their relatives on satisfaction at emergency units]. Turkish Journal of Trauma & Emergency Surgery. 2006;12(4):288-98.
- Akgöz N, Aslan A, Özyürek P. [Investigation of the neurosurgery patients' satisfaction and expectation levels regarding nursing care]. UHD. 2017;9(9):73-92. [Crossref]
- Kuzu C, Ulus B. [Determining the level of surgical patient satisfaction with nursing care in surgical clinics]. ACU Sağlık Bil Derg. 2014;5(2):129-34.
- Babaoğlu Akdeniz E. [The analysis of the relationship between marital adjustment and coping strategies in married women with breast cancer]. J Psychiatric Nurs. 2012;3(2):53-60. [Crossref]
- Türkkan A. [Perception of health]. Hekimce Bakış. 2012;79:32-3.
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