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PubMedDate not supplied

Physicians' emotional intelligence and patient satisfaction.

BACKGROUND AND OBJECTIVES: This study investigated the relationship between patient satisfaction and physicians' scores on a test of emotional intelligence. METHODS: Faculty and resident physicians at a southern medical school completed the Bar-On Emotional Quotient Inventory (EQi). Patient subjects were recruited at the conclusion of an office visit and completed a patient satisfaction survey. Spearman rank order correlations and t tests were used to examine the relationship between global, composite, and subscale scores on the EQi and patient satisfaction. Race, gender, and resident/faculty status were compared via t tests. RESULTS: When patient satisfaction scores were used to dichotomize physicians into two groups, those with 100% satisfied patients and those with less than 100% satisfaction, only one subscale of EQi, "happiness," was related to higher satisfaction. CONCLUSIONS: Findings suggest a limited relationship between physicians'scores on a test of emotional intelligence and patient satisfaction. Implications for physician training programs are offered in light of recent focus on physician-patient communication in medical education. Application of emotional intelligence concepts to physician skills and patient attitudes needs further research that may lead to further educational opportunities.

Affect↗
PubMed2003

Variables related to job satisfaction among professional care providers working in brain injury rehabilitation.

PURPOSE: To examine variables that contribute to work satisfaction among rehabilitation professionals involved in brain injury rehabilitation. METHOD: One hundred and thirty-three respondents completed a job satisfaction questionnaire and qualitative questions regarding sources of stress and satisfaction in working with individuals with acquired brain injury (ABI). RESULTS: Factor analysis yielded four factors relating to intrinsic satisfaction, perceived importance to the organization, organizational support and training support. Although intrinsic satisfaction was significantly related to the three other factors, it was best predicted by training support, particularly training that addressed the management of intrusive and/or aggressive behaviours. Qualitative correlates of both work stress and satisfaction were also identified with respect to personal issues, client-related issues, and organizationally-related issues. CONCLUSIONS: Satisfaction with work in ABI rehabilitation is derived from multiple sources, but it appears to be largely dependent on feeling important to, and valued by, the organization and on the level of support and training provided in the workplace.

Adult↗
PubMedDate not supplied

Satisfaction with health care among dermatological inpatients.

Measuring patient satisfaction is regarded as one of the principal methods for obtaining patients' evaluation of services they receive. During the last decades more interest has been devoted to inpatients' preferences and needs. Surveys on patient satisfaction may provide information to hospitals about areas where improvement is needed. In this survey, 648 questionnaires were completed by dermatological inpatients and were analyzed for overall satisfaction and seven satisfaction determinants. Background factors and clinical parameters were considered. Emotional support was recognized as a critical area. "Coordination of care" and "information and education" were identified as the most relevant determinants for overall patient satisfaction. The Hospital Management, taking into account the results, planned training in order to improve personnel's communication skills. This study confirms that patient satisfaction analysis is a useful instrument also among dermatological inpatients, and satisfaction is a valid measure of quality of health care.

Adolescent↗
PubMed2003

Patient satisfaction and quality of care in walk-in clinics, family practices and emergency departments: the Ontario Walk-In Clinic Study.

BACKGROUND: Although walk-in clinics are an increasingly common feature of Ontario's health care system, the quality of care they provide is the subject of continuing debate. In this study we examined differences in patient satisfaction and quality of care for common acute conditions in walk-in clinics, family practices and emergency departments. METHODS: For this prospective cohort study, we recruited 12 walk-in clinics, 16 family practices and 13 emergency departments from 11 geographic areas in greater Toronto, Hamilton-Burlington and London, Ont. An expert review panel selected and established quality-of-care criteria for 8 common acute conditions. Patients who sought initial care for 1 of the 8 conditions were recruited by an on-site data collector. We used a questionnaire to assess the satisfaction of 433 patients with patient-centred communication, the physician's attitude and any delay in the waiting room during the study visit. Abstractors reviewed 600 charts for the study patients to assess whether the quality-of-care criteria had been met. A quality score for each case was computed as the percentage of applicable criteria that were met. Mean quality scores for the 3 settings were computed, with adjustment for potentially confounding variables (sex, age, city and diagnosis). RESULTS: After adjustment for 12 patient characteristics, walk-in clinic patients were significantly more satisfied than emergency department patients on all 3 satisfaction scales. Family practice patients were more satisfied than walk-in clinic patients on all 3 satisfaction scales, but the difference was statistically significant only for satisfaction with waiting time. Adjusted mean quality-of-care scores were 73.1% for emergency departments, 69.9% for walk-in clinics and 64.1% for family practices. The scores for walk-in clinics and emergency departments were significantly higher than that for family practices. INTERPRETATION: Satisfaction with waiting time was highest among family practice patients. Both family practices and walk-in clinics were perceived more positively than emergency departments on all 3 dimensions of satisfaction. Overall quality-of-care scores were higher in walk-in clinics and emergency departments than in family practices.

Adolescent↗
PubMed2001

[Patient satisfaction with anesthesia as a measure of quality of anesthesia care].

Patient satisfaction with anaesthesia is very important as a expectancy satisfaction in perioperative care. It is simultaneously patient opinion about the anaesthetic care prior to and during anaesthesia, and shortly after the operation. The aim of the research was to evaluate the patient satisfaction and to determine the factors connected with satisfaction in the perioperative period Out of a total of 250 patients, 155 women (62%) and 95 men (48%) underwent general and local anaesthesia due to the operations. They answer 55 questions on the third day after the operation. At the same time anaesthesiologists and nurses evaluate the quality of theirselves anaesthesia. In the opinion of anaesthetic team the quality of anaesthesia was very good--51.6%, good--46.8% and adequate only 2.6%. Positive opinion about the quality of anaesthesia expressed 87% of patients, negative only 0.5% and 12.5% have no opinion. The very good atmosphere was in Preanaesthetic Evaluation Clinic and during the admission to the operating room. The factors decreased patient satisfaction immediately after the operation were breathing difficulties, vomiting, nausea, feeling coldness and pain. The main factors evaluating the quality of anaesthetic care and patient satisfaction are specific information, proper premedication and feeling safety in the operating room. On the other hand the discomfort and insufficient analgesia decreased patient satisfaction with anaesthesia.

Adolescent↗
PubMed2004

[Job satisfaction, depressive and anxiety disorders among hospital personnel at IDI Sanità, Rome].

Job satisfaction and psychological well-being of healthcare personnel and staff represent relevant issues for continuous quality improvement in health care organisations. The aim of this study was to evaluate job satisfaction, as well as the frequency of psychiatric minor disorders, among the personnel working at IDI Sanità, Rome (IDI-IRCCS and S. Carlo Hospital). An anonymous questionnaire was distributed, with the following sections:1) a validated set of items regarding various aspects of job satisfaction; 2) a 0 to 10 analogue scale to express a total satisfaction score; 3) the GHQ-12 to evaluate psychiatric symptoms. Relationships with hierarchical authorities, development possibilities, and role recognition were identified as the main determinants of being satisfied. It was observed a 6.2 mean satisfaction score. About 1/3 of respondents showed a high likelihood to develop symptoms of depression and anxiety. A high level of job satisfaction appeared as a protective factor for that kind of symptoms. Analysing job satisfaction levels and psychological symptoms among hospital personnel allows to identify the most important problems to solve. These will be the main targets of intervention.

Adolescent↗
PubMed2004

Maternal satisfaction to epidural and spinal anesthesia for cesarean section.

BACKGROUND AND OBJECTIVE: The differences between epidural (EA) and spinal (SA) anesthesia that can affect maternal satisfaction are the procedures, quality of anesthesia and postoperative events. Dominantly, postoperative events such as postdural puncture headache, pruritus and nausea or vomiting after spinal anesthesia are claimed to be its disadvantages. However, maternal satisfactory perception to theses two techniques has not been revealed. The authors' purpose was to compare maternal satisfaction regarding the techniques and their outcomes between EA and SA by the developed valid and reliable tool. MATERIAL AND METHOD: Patients were randomly classified into two groups: epidural (Group E, n=56) and spinal (Group S, n = 58). Epidural and spinal anesthesia were administered with bupivacaine, 20 mL 0.5% with 1:200,000 epinephrine combined with two doses of 5 mg morphine and hyperbaric bupivacaine 2.2-2.4 mL 0.5% combined with 0.2 mg morphine respectively. Guidelines for treatment of intraoperative and postoperative events, which might be the confounding factors, were set up. Maternal satisfaction was evaluated by the 11-item, qualified, self-administered questionnaire comprised of 4 common factors. The score of 0-10 Visual analog scale was used to access the degree of satisfaction. Trained personnel performed data collections in the post-anesthesia care unit and ward. The means of the factor and total satisfaction scores were compared between the two groups by Mann Whitney U test. A p-value < 0.05 considered significant. RESULTS: There was no statistical difference in the factor scores between the two groups. The total satisfactory score was 89.48 +/- 9.31 and 90.03 +/- 11.26 in Group E and S respectively. No statistical difference of the total satisfaction score was detected. CONCLUSION: There was no difference in maternal satisfaction regarding to the techniques and the outcomes between EA and SA.

Adult↗
PubMedDate not supplied

Nurses' job satisfaction, stress, and recognition in a pediatric setting setting.

PURPOSE: The purpose of this study was to identify a set of factors that describes nursing satisfaction in the pediatric setting. METHODS: An exploratory descriptive design was used. Surveys were distributed to all nurses employed at a children's hospital in the Southeast. The survey included: nursing satisfaction, organizational work satisfaction, job stress, and nurse recognition scales. Two hundred and forty-nine out of 534 pediatric nurses (46%) responded. Data were analyzed using factor analysis and correlation. FINDINGS: The results of this survey demonstrated that several factors predict pediatric nurses' job satisfaction and organizational work satisfaction. These factors include: pay, time to do the nursing care, confidence in one's ability, and task requirements. A relationship among nurses' job satisfaction, organizational work satisfaction, job stress, and recognition in the pediatric setting was also found. Nurses with more years of experience and longevity on the unit and at the hospital had more confidence, showed less concern about time demands, and were less concerned about pay and task requirements than younger nurses. Job stress correlated significantly and inversely with age, years as a nurse, and years in the organization. Older nurses were more satisfied with recognition they received than their younger counterparts. CONCLUSIONS: The findings of this study support the need to focus on programs to increase the confidence of novice nurses, improve institutional nursing recognition for all levels, enhance communication at all levels of the organization, and maintain competitive compensation.

Adult↗
PubMed2004

[Sexual function after radical prostatectomy does not affect global patient satisfaction].

OBJECTIVES: To evaluate the quality of life after retropubic radical prostatectomy (RP) and its impact on global patient satisfaction concerning the treatment received. PATIENTS AND METHODS: 142 questionnaires were sent to patients treated for a localized prostate cancer by RP alone, with a minimum follow-up of 2 years. The questionnaire was the validated French version of the "UCLA-Prostate Cancer Index". A question concerning global patient satisfaction with treatment was added. RESULTS: 102 questionnaires were returned and analysed. The mean age of the patients at the time of RP was 63.8 years and the mean follow-up was 48 months. Evaluation of global satisfaction showed that 35/102 (343%) patients were very satisfied, 45/102 (44.1%) were satisfied, 15/102 had no opinion, 4/102 (3.9%) were dissatisfied and 3/102 (29%) were very dissatisfied. General quality of life scores ranged from 72 to 87 on a scale from 1 to 100 (where 100 corresponds to the best quality of life). For specific quality of life, the mean scores for sexual function and dysfunction were 27.5 and 25.1, respectively. The mean scores for urinary function and dysfunction were 72.5 and 67.8, respectively. Urinary function scores and seven of the nine general quality of life items were significantly correlated with better global patient satisfaction, but sexual function was not related to global satisfaction. CONCLUSIONS: Although sexual function is markedly altered after RP, it does not affect global patient satisfaction with the treatment received. Urinary function and general quality of life are significantly correlated with global satisfaction.

Aged↗
PubMed2005

[Patient satisfaction after hospitalisation for surgery].

BACKGROUND: What illness-related, psychosocial or treatment-related factors predict treatment satisfaction following hospitalisation for surgery? MATERIAL AND METHODS: 482 patients electively admitted to three different surgical departments at a university hospital. Assessments were made before admission, at discharge and two and four months after discharge. RESULTS: The central treatment-related measures were global treatment satisfaction, perceived quality of contact with nurses and doctors, and the information received. Out of 49% explained variance in global treatment satisfaction, one half was explained by the quality of contact with nurses. Only a small portion of the variance in quality of contact with nurses and doctors could be accounted for by the characteristics of the patients. Much of the unexplained variance must relate to characteristics and skills of the medical staff. Treatment information was predicted by characteristics of the patients, their illness and situation in life, and by treatment-related factors. Quality of contact with the nurses was the strongest predictor of satisfaction with the information received. INTERPRETATION: The experienced quality of contact with nurses appears to be the major determinant of both global treatment satisfaction and satisfaction with the information received. Among other predictors, the quality of contact with doctors is also important. The relationship between patients and caregivers can probably be better utilised to improve treatment satisfaction.

Adult↗
PubMed2005

A correlates of peer, supervisor, and patient communication effectiveness satisfaction.

Using a sample of 200 medical technologists over a 4-year period, this study investigated whether peer, supervisor, and patient communication satisfaction facets were related but distinct referents. Confirmatory factor analyses on the medical technologist sample and a second independent sample of 85 medical/health professionals supported the distinctiveness of these three referents. Correlational differences between communication satisfaction referents were found. Specifically, professional withdrawal intent, gathered twice before communication satisfaction, had stronger negative relationships to patient versus peer communication satisfaction. Job satisfaction and organizational withdrawal intent also exhibited correlational differences to communication satisfaction referents. One unexpected finding across both samples was that there was higher communication satisfaction with patients of the opposite versus same sex.

Administrative Personnel↗
PubMed2006

GP job satisfaction in view of contract reform: a national survey.

BACKGROUND: Job satisfaction has been associated with intentions to quit and aspects of quality of care. In 2001, GP job satisfaction in England had fallen to its lowest point for over a decade. AIM: To assess GP job satisfaction and stressors immediately prior to implementation of the 2004 contract. DESIGN OF STUDY: National survey of a random sample of GPs. SETTING: England. METHOD: One thousand, nine hundred and fifty principal and salaried GPs surveyed in February 2004 were compared with 1828 principals surveyed in 1998 and 1841 principal and salaried GPs surveyed in 2001. Job satisfaction and stressor scores were adjusted for 2004 age-sex distributions. Determinants of overall satisfaction were examined through ordinary least squares regression. RESULTS: The 2004 response rate was 53%. GPs were most dissatisfied with hours of work, recognition for good work and remuneration, and experienced most pressure from paperwork, increasing workloads and having insufficient time. The majority of doctors were satisfied with their job overall. Satisfaction was higher than in 2001 and approximately the same as in 1998. Overall stress in 2004 was lower than in 2001 but still higher than in 1998. After allowing for personal, practice and job characteristics, higher satisfaction was associated with lower job stress, involvement in decision making, increasing job interest and ability to meet conflicting demands. CONCLUSIONS: Despite recent initiatives to enhance workforce capacity and working lives for GPs, workload, time pressures and job control remain potential areas of concern. Addressing such issues may be key to maintaining morale as the new contract is implemented.

Adult↗
PubMed2005

[The impact of antidepressive therapy on work productivity and life satisfaction--a one-year follow-up study].

AIM OF THE STUDY: One of the most frequent causes of temporary or permanent diminution of work productivity is depression. The complete recovery of depression means fully restored creativity, work production and life satisfaction. Antidepressive treatment is regarded effective if besides symptom remission, the original functions and roles are fully restored, i.e. life satisfaction significantly improves. The aim of this study was to assess the improvement of work productivity and life satisfaction of paroxetin treated depressives. METHODS: The study was a 52 weeks lasting open, multicentric, self-controlling survey with the inclusion of 1407 paroxetin treated depressed patients. Apart from recording demographic data, comorbidities, course of the illness, and scales measuring the severity of the illness (HAMD, CGI-S, CGI-I), scales indicating the impairment of work productivity (SAS, SDS) and life satisfaction (LS) were also processed. RESULTS: Besides the improvement of the depressive symptoms (HAMD scores decreased from 22.6 to 3.8; and CGI-S scores from 4.7 to 1.3), the scores of work productivity and life satisfaction also significantly decreased (SAS scores from 2.8 to 1.3, SDS scores from 18.2 to 2.8, and LS scores from 14.9 to 7.1, respectively). Following the acute treatment period, work productivity and life satisfaction further continuously improved till the end of the maintenance treatment phase. CONCLUSION: Parallel to the improvement of the depressive symptoms, the number of absence days decreased, the work performance, free time activity and family functioning significantly improved. A significant correlation was found between the improvement of depressive symptoms and the positive changes in work production and life satisfaction.

Adult↗
PubMed1991

Patient satisfaction on AIDS and oncology special care units and integrated units: a pilot study.

The authors assessed patients' satisfaction with their nursing care in seven hospitals. Five of the hospitals utilized the special care unit (SCU) method of delivering care to AIDS or oncology patients; three had SCUs for AIDS patients. All seven of the hospitals had integrated units (IUs) where general medical, oncology, and/or AIDS patients were received in various proportions. Satisfaction with nursing care was measured with the Risser Patient Satisfaction Instrument. Patient satisfaction with nursing care was shown to be a function of delivery method; AIDS and oncology patients on SCUs expressed greater satisfaction with their care than medical, oncology, or AIDS patients on IUs (p less than .001). Patient satisfaction with nursing care was greater among whites than nonwhites. Also, some major sociodemographic and case mix variables, such as age, employment status, and diagnosis, were not associated with patient satisfaction directly; in other instances, the associations initially seen did not hold when delivery method (SCU vs. IU) and race were controlled for in a linear regression analysis.

Acquired Immunodeficiency Syndrome↗
PubMed1990

Study of educational experiences, support, and job satisfaction among critical care nurse preceptors.

Experienced critical care staff nurses are frequently called to serve as clinical preceptors for nurses and nursing students who are unfamiliar with the critical care unit. These critical care nurse preceptors require educational preparation, continuing education, and support for their role. This descriptive correlational study surveyed 73 critical care nurse preceptors at 10 teaching hospitals in a metropolitan area in the Midwest. Forty-eight (65.8%) participants reported receiving some type of educational experience to prepare them for the role of preceptor. Only 24.7% of the respondents, however, participated in continuing education experiences related to the preceptor role. Job satisfaction was measured with a 48-item Likert scale developed for nurses by Slavitt et al. No significant differences in job satisfaction were reported for preceptors who received educational preparation and those who did not. However, the type of unit in which the preceptor worked did affect job satisfaction. Critical care preceptors in units classified as intermediate care and emergency departments had greater levels of job satisfaction than nurses working in intensive care units (t[68] = 2.52, p = 0.01). In addition, the longer the preceptor worked in critical care, the lower the level of job satisfaction (r = -0.210, p = 0.04). Job satisfaction was also influenced by the support preceptors received from their institution; a significant positive correlation was seen between this support and the level of job satisfaction. A description of the format and content of preparation programs for critical care preceptors was also provided as a result of this study.

Adult↗
PubMed1990

Influence of job characteristics and organizational commitment on job satisfaction of hospital foodservice employees.

The purpose of this study was to determine the relationships among job characteristics, organizational commitment, job satisfaction, and demographic variables for hospital foodservice employees. Questionnaires including 30 items on job characteristics, 15 items on organizational commitment, 6 items related to job satisfaction, and 7 demographic items were administered to 45 supervisory and 172 nonsupervisory employees of 11 randomly selected hospitals. The reliability for the total instruments, using Cronbach's alpha, was 0.87 and 0.89, respectively, for the supervisory and nonsupervisory employee questionnaires. Organizational commitment and job satisfaction were related positively, with an r2 of 0.38. For supervisors, job characteristics related positively (p = .019) to organizational commitment, with variety being the only significant individual characteristic. For nonsupervisory employees, the model was also significant (p = .0001), with variety and feedback being the only significant individual characteristics. For all employees, there was a positive relationship between job characteristics and job satisfaction, with variety and feedback being the significant individual characteristics. Age was the only demographic variable related to organizational commitment; older employees had higher commitment scores. Demographic variables were not related to job satisfaction. Supervisors had higher perceived variety, autonomy, feedback, dealing with others, and friendship opportunities scores and higher commitment and satisfaction scores than did nonsupervisory employees. The findings indicate that dietitians and foodservice managers may increase organizational commitment and job satisfaction by increasing the variety and feedback in employees' jobs.

Adult↗
PubMed1994

Satisfaction with military dental care by active duty soldiers.

In Fall 1992, a random, worldwide sample of 5,474 enlisted personnel and 4,036 officers was surveyed on satisfaction with 28 attributes of Army dental care using self-administered questionnaires. Simple descriptive statistics for each attribute were derived, as was a composite overall satisfaction score using factor analysis. Composite scores were regressed on demographics, dental utilization, and access barriers to identify those factors that have an impact on a soldier's overall satisfaction with Army dental care. Results show above average satisfaction with most attributes of Army dental care except access attributes. Dental utilization and age exerted a positive impact on overall satisfaction; access barriers and assignment to a combat unit had a negative impact. The impact of race was mixed. Age had the strongest impact on overall satisfaction. Results suggest that improving satisfaction with Army dental care must come from improving access. This can be attained only by increasing dental manpower and resources.

Adolescent↗
PubMedDate not supplied

[A study on job satisfaction and its depressive factors in human relations among operating room nursing].

This study was done for the purpose of analyzing the job-satisfaction and its depressive factors in human relation of operating room nurses of university hospital. Therefore, it makes an offer the basic data to help the resolution and prevention of the problems in operating room nurses. Furthermore, this study was conducted in order to find out some kinds of scientific data for the better control of depressive factors of job-satisfaction expressed by the operating room nurses. The structured questionnaire reports of 246 operating room nurses who were employed in 5 different university hospitals which have over 1,000 beds located in Seoul, Korea were used, which wer collected from August 24th to August 30th of 1992. The author visited supervisors of operating room in each university hospital and explained the aim of this study. The most of them (90.0%) answered to the questionnaires. Analysis of the collected data were done by mean, standard deviation, percentage, t-test, F-test, Q-test, correlation analysis, one-way ANOVA, and stepwise multiple regression analysis. Major findings of this study were as follows: 1. The job of the operating room nurses were remarkably related with the satisfaction in human relation, which was defined as the behavioral job with thoughtful action rather than with mechanical action. However, the degree of satisfaction in human relation with personnel in other departments was found to be the lowest and its the main depressive factors were appeared due to the absence of interaction and uncooperative attitudes. Therefore, it was required that the members of other job need more cooperative attitude to the actual works in the operating room nurses. 2. The depressive factors in the satisfaction degree of human relation with official seniors wer significantly related with their irresponsibility and partialness. Moreover, the job attitude of the operating room nurses is abundantly required to be improved. 3. The depressive factors in the satisfaction of human relation with medical doctors were significantly related with their insincerity and the class-consciousness. It is clearly suggested that the medical doctors do more cooperative behaviors for the jobs of the operating room without the suggested that the medical doctors do more cooperative behaviors for the jobs of the operating room without the superiority feeling of class-consciousness. 4. There was a significantly positive association between the satisfaction degree of human relation of the nurses with the following characteristics.(ABSTRACT TRUNCATED AT 400 WORDS)

Analysis of Variance↗