ABSTRACT
Paying per case approach is being applied at Iranian Hospitals as one of the important levers of management, but, the payment rate is not proportionate to the services provided by each staff. The aim of this study was to compare patients' satisfaction of a hospital before and after the implementation of the method of paying per case based on the services provided by each staff. This before-after quasi-experimental study was conducted on two independent groups of hospitalized patients at Shahid Beheshti Hospital of Yasouj city. The sample, before and after intervention was 500 and 660, respectively. The sampling method was purposive. Data collection tool was questionnaire and data were analyzed using descriptive and analytical statistical methods. The results showed that the mean and standard deviation of the age of the subjects, before and after intervention were 28.15 +/- 13.77 and 29.33 +/- 14.68, respectively. Based on the results, no statistically significant relationship was found between the gender and satisfaction before and after intervention. The education level of samples had statistically significant relationship with their total satisfaction of services before intervention [P<0.05], while, this relationship was not significant after intervention. The patients' satisfaction of nurses' performance and total services was statistically increased after intervention [P<0.05]. Implementing the method of paying per case based on the services provided by each staff, may increase satisfaction rate of patients
ABSTRACT
Work is one of the interesting things that people can think or talk about. All of the managers must know factors related to motivation and job satisfaction. Studies show that job satisfaction in nursing and health care settings is low. Low job satisfaction diversely affects on nursing care. It causes decreased quality care, and increased hospitalization as well as cost. This descriptive study was conducted to determine nurses' job satisfaction at Shaheed Beheshti Hospital in Yasooj, 2004. All subjects including 115 nurses were selected. Data were collected by a questionnaire validated and made reliable by content validity and test-retest reliability respectively. 70% of the subjects had university degree and the rest had high school diploma. Average age was 33.45 +/- 10.25. 54.6% of them were female and 45.6% were male. 89.7% were married and 10.3% were single. Findings showed that 80% of the subject didn't have job satisfaction and 20% had enough job satisfaction. 62% of the subjects didn't have job security and 37.4% felt it. 89% had enough satisfaction about managers and 11% had occasional satisfaction. Results showed that most nurses were dissatisfied, which can be related to job insecurity, low job improvements and general vision of society about nursing particularly at small towns. Accordingly, nursing should be known to people