ABSTRACT
Patient satisfaction has been recognized as a key indicator of health care quality which is used by accreditation agencies to monitor quality of care in hospitals. A high proportion of health caregivers are nurses. The services provided by nurses are significantly influential in satisfaction of patients. The aim of this study was to assess patients' satisfaction from nursing care in hospitals of Iran University of Medical Sciences in 2010. In this cross-sectional study, we recruited 200 patients from different wards [except for special wards, Emergency department, Pediatric and Psychiatric wards] at the time of discharge from hospital through multistage sampling method. Data were collected using Patient Satisfaction Instrument [PSI]. Data analysis was performed using descriptive statistics, chi-square and regression analysis. Majority of patients [72%] were moderately satisfied. Patient satisfaction had a significant relationship with the type of ward [PG0.001], and type of hospital [PG0.001]. Of demographic variables, only patients' level of education was significantly associated with patient satisfaction [PG0.019]. In this study, patients were moderately satisfied from nursing care services. Educating hospital staff, especially nurses; and encouraging them to actively participate in activities to promote patient satisfaction should be a priority for hospital management. We should also consider that in a competitive market of health and treatment care giving, institutions that put patient satisfaction as their main goal are more successful
ABSTRACT
Management theorists insist on the importance of the participation of employees in decision making processes, as it will affect their performance and the output of the work to be done in an easier way. The aim of this study, was to determine head nurses' level of participative decision making and its relationship to their satisfaction level. This study was a correlational study in which, head nurses' level of participative decision making and satisfaction levels were measured respectively. The data collection tools were Participative Decision Making [PDM] and Satisfaction of Participative Decision Making [SPDM] scales. Self report questionnaires were completed by head nurses, inside their work settings. In this study 94 nurses with baccalaureate science in nursing [BSN] degree who have been working in teaching hospitals of Iran University of Medical Sciences were recruited. One of the inclusion criteria was working history of more than the period of 6 months in the work setting that selected by census method of sampling. Nurses obtained a moderate score in [PDM] and in [SPDM] scales. Findings, showed that a relatively strong statistically significant relationship between the two major variables of the study [r=0.661 P=0.000]. Among the demographic variables, sex, educational level and job position, influenced more in this significant relationship. The results showed that, there is a statistical significant relationship between head nurses participative decision making and their satisfaction level. This study finding, helps the managers to facilitate participation of workers in making decisions in order to promote the efficacy of the organizations. The researcher strongly suggest further studies on participative decision making among other health professionals that might be necessary and could influence on quality of health care system organizations and the related outcomes