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Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units
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...
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| Published in: | The Journal of nursing administration 2009-05, Vol.39 (5), p.220-227 |
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| Language: | English |
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| container_end_page | 227 |
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| container_title | The Journal of nursing administration |
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| creator | Bacon, Cynthia Thornton Mark, Barbara |
| description | 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. |
| doi_str_mv | 10.1097/nna.0b013e3181a23d3f |
| format | article |
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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.</description><identifier>ISSN: 0002-0443</identifier><identifier>ISSN: 1539-0721</identifier><identifier>EISSN: 1539-0721</identifier><identifier>DOI: 10.1097/nna.0b013e3181a23d3f</identifier><identifier>PMID: 19423987</identifier><identifier>CODEN: JNUAAK</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins, Inc</publisher><subject>Customer satisfaction ; Decision Making, Organizational ; Factor Analysis, Statistical ; Female ; Health Facility Environment - organization & administration ; Hospital Units - organization & administration ; Humans ; Inpatients - psychology ; Interprofessional Relations ; Male ; Middle Aged ; Nurse's Role ; Nurses ; Nursing ; Nursing Administration Research ; Nursing care ; Nursing Evaluation Research ; Nursing Methodology Research ; Nursing Staff, Hospital - education ; Nursing Staff, Hospital - organization & administration ; Nursing Staff, Hospital - psychology ; Outcome Assessment, Health Care ; Patient Satisfaction ; Perioperative Nursing - organization & administration ; Personnel Staffing and Scheduling - organization & administration ; Professional Autonomy ; United States ; Workload</subject><ispartof>The Journal of nursing administration, 2009-05, Vol.39 (5), p.220-227</ispartof><rights>Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins</rights><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>Copyright Lippincott Williams & Wilkins May 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6255-7ac559070b73c4073331ae2da31970a66a91c7b27ac16b32fe66b1ed0cd1d3913</citedby><cites>FETCH-LOGICAL-c6255-7ac559070b73c4073331ae2da31970a66a91c7b27ac16b32fe66b1ed0cd1d3913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26819719$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26819719$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,58219,58452</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19423987$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bacon, Cynthia Thornton</creatorcontrib><creatorcontrib>Mark, Barbara</creatorcontrib><title>Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units</title><title>The Journal of nursing administration</title><addtitle>J Nurs Adm</addtitle><description>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. 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Mark, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6255-7ac559070b73c4073331ae2da31970a66a91c7b27ac16b32fe66b1ed0cd1d3913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Customer satisfaction</topic><topic>Decision Making, Organizational</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Health Facility Environment - organization & administration</topic><topic>Hospital Units - organization & administration</topic><topic>Humans</topic><topic>Inpatients - psychology</topic><topic>Interprofessional Relations</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurse's Role</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing Administration Research</topic><topic>Nursing care</topic><topic>Nursing Evaluation Research</topic><topic>Nursing Methodology Research</topic><topic>Nursing Staff, Hospital - education</topic><topic>Nursing Staff, Hospital - organization & administration</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Outcome Assessment, Health Care</topic><topic>Patient Satisfaction</topic><topic>Perioperative Nursing - organization & administration</topic><topic>Personnel Staffing and Scheduling - organization & administration</topic><topic>Professional Autonomy</topic><topic>United States</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bacon, Cynthia Thornton</creatorcontrib><creatorcontrib>Mark, Barbara</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of nursing administration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bacon, Cynthia Thornton</au><au>Mark, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units</atitle><jtitle>The Journal of nursing administration</jtitle><addtitle>J Nurs Adm</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>39</volume><issue>5</issue><spage>220</spage><epage>227</epage><pages>220-227</pages><issn>0002-0443</issn><issn>1539-0721</issn><eissn>1539-0721</eissn><coden>JNUAAK</coden><abstract>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. 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| ispartof | The Journal of nursing administration, 2009-05, Vol.39 (5), p.220-227 |
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| language | eng |
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| source | JSTOR |
| subjects | Customer satisfaction Decision Making, Organizational Factor Analysis, Statistical Female Health Facility Environment - organization & administration Hospital Units - organization & administration Humans Inpatients - psychology Interprofessional Relations Male Middle Aged Nurse's Role Nurses Nursing Nursing Administration Research Nursing care Nursing Evaluation Research Nursing Methodology Research Nursing Staff, Hospital - education Nursing Staff, Hospital - organization & administration Nursing Staff, Hospital - psychology Outcome Assessment, Health Care Patient Satisfaction Perioperative Nursing - organization & administration Personnel Staffing and Scheduling - organization & administration Professional Autonomy United States Workload |
| title | Organizational Effects on Patient Satisfaction in Hospital Medical-Surgical Units |
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