Elderly users' satisfaction with home nursing care

Authors

  • Danica Železnik Visoka šola za zdravstvene vede Slovenj Gradec, Glavni trg 1, 2380 Slovenj Gradec; Alma Mater Europaea, Evropski center Maribor, Gosposka ul 1, 2000 Maribor
  • Sandra Rajčić Univerza Josipa Juraja Strossmayera v Osijeku, Medicinska fakulteta Osijek, Ulica Josipa Huttlera 4, 31000, Osijek

DOI:

https://doi.org/10.14528/snr.2014.48.3.25

Keywords:

nurse, nursing care, home environment, elderly, Croatia

Abstract

Introduction: The user satisfaction with the home nursing care serves as an indicator of a subjective evaluation of the quality of their treatment. The purpose of this contribution is to show the study of the satisfaction level of home nursing care users. Methods: A quantitative research approach was used in this study. The data were gathered with a survey that included 186 users of home nursing care in the Osijek municipality in Croatia. A structured questionnaire was formed for the purposes of the research. The data gathered were statistically analysed with the SPSS 9.0 software. Results: The most emphasised was the users' satisfaction with the respect of discretion and privacy during nursing care activities 133 (72.0 %). Participants were also satisfied with the nurses' kindness and professionalism during nursing care activities 131(70.0 %), while 40 (21.5 %) participants were discontented with the time they had been given for the communication with their nurse. Discussion and conclusion: The research shows that participants are satisfied with the majority of home care activities, which may imply that nurses have performed their duties properly or that users are apprehensive that their examination and treatment might be interrupted if they showed any discontent. Users with only 2 visitations per week were the least satisfied with their nurse's activities, because a nurse only performs prescribed activities, and there is usually not enough time for conversation. Results of this research can be used for further planning and reorganisation of home care and they may serve as a solid background for future studies.

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Author Biographies

Danica Železnik, Visoka šola za zdravstvene vede Slovenj Gradec, Glavni trg 1, 2380 Slovenj Gradec; Alma Mater Europaea, Evropski center Maribor, Gosposka ul 1, 2000 Maribor

doc. dr., viš. med. ses., prog. zdr. vzg., spec. gerontol.

Sandra Rajčić, Univerza Josipa Juraja Strossmayera v Osijeku, Medicinska fakulteta Osijek, Ulica Josipa Huttlera 4, 31000, Osijek

mag., dipl. med. ses.

References

Ahmad, M.M. & Alasad, J.A., 2004. Predictors of patients' experiences of nursing care in medical-surgical wards. International Journal of Nursing Studies, 10(5), pp. 235-241. PMid:15461693

Biering, P., Becker, H., Calvin, A., & Grobe, S.J., 2006. Casting light on the concept of patient satisfaction by studying the construct validity and the sensitivity of a questionnaire. International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services, 19(2-3), pp. 246-258. http://dx.doi.org/10.1108/09526860610661464; PMid:16875103

Česen, M., 2003. Management javne zdravstvene službe. Ljubljana: Center za tehnološko usposabljanje, p. 48.

Chan, J.N., & Chau, J., 2005. Patient satisfaction with triage nursing care in Hong Kong. Journal of Advanced Nursing, 50(5), pp. 498-507. http://dx.doi.org/10.1111/j.1365-2648.2005.03428.x; PMid:15882366

Coulter, A., 2002.The autonomous patient: ending paternalism in medical care. London: Nuffield Trust, pp. 122-123.

Davis, B.A., & Bush, H.A., 2003. Patient satisfaction of emergency nursing care in the United States, Slovenia, and Australia. Journal of Nursing Quality Assurance, 18(4), pp. 267-274. PMid:14556583

Fentonn, J.J., Jerant, A.F., Bertakis, K.D. & Franks, P., 2012. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Archives of Internal Medicine, 172(5), pp. 405-411. http://dx.doi.org/10.1001/archinternmed.2011.1662; PMid:22331982

Fokkema, T. & Knipscheer, K., 2007. Escape loneliness by going digital: a quantitative and qualitative evaluation of a Dutch experiment in using ECT to overcome loneliness among older adults. Aging & Mental Health, 11(5), pp. 496-504. PMid:17882587

Gazvoda, M.T., 2004. Zadovoljstvo varovancev kot pomemben del poslovne odličnosti. In: Kakovost – različni pristopi, skupencilj: zbornik referatov. 13. letna konferenca, Bernardin, 4. in 5. novembra 2004. Ljubljana: Slovensko združenje za kakovost, pp. 152–155.

Gorenak, I. & Goričan, A., 2011.Zadovoljstvo bolnikov v primarnem zdravstvu – primer zdravstvenega doma Šmarje pri Jelšah. Zdravstveno varstvo, 50(3), pp. 175-184.

Goričan, A., 2009. Zadovoljstvo uporabnikov zdravstvenih storitev z delom zdravstvenega osebja: študija primera: magistrsko delo. Koper: Univerza na Primorskem, Fakulteta za management Koper, pp. 33-40.

Han, C.H., Connolly, P.M. & Canham, D., 2003. Measuring patient satisfaction as an outcome of nursing care at a teaching hospital of southern Taiwan. Journal of Nursing Care Quality, 18(2), pp. 143-150. http://dx.doi.org/10.1097/00001786-200304000-00008; PMid:12680601

Helfert, M., 2009. Challenges of business processes management in healthcare: experience in the Irish health care sector. Business Process Management Journal, 15(6), pp. 937–952. http://dx.doi.org/10.1108/14637150911003793

Jha, A.K., Orav, E.J., Zheng, J. & Epstein, A.M., 2008. Patients' perception of hospital care in the United States. New England Journal of Medicine, 359(18), pp. 1921–1931. http://dx.doi.org/10.1056/NEJMsa0804116; PMid:18971493

Jorm, L.R., Walter, S.R., Lujic, S., Byles, J.E. & Kendig, H.L., 2010. Home and community care services: a major opportunity for preventive healthcare. BMC Geriatr, 10, p. 26. http://dx.doi.org/10.1186/1471-2318-10-26; PMid:20492704; PMCid:PMC2887872

Keleher, H., 2003. Community care in Australia. Home Health Care Management Practice, 15(5), pp. 367-374. http://dx.doi.org/10.1177/1084822303252394

Kersnik, J., 2003. Bolnik v slovenskem zdravstvu: monografija o zadovoljstvu bolnikov in organizaciji pritožnega sistema. Ljubljana: Združenje zdravnikov družinske medicine SZD. Available at: http://www.drmed.org/wp-content/uploads/2014/06/Bolnik-v-slovenskem-zdravstvu.pdf [29. 8. 2014].

Khan, M.H., Hassan, R., Anwar, S., Babar, T.S., & Babar, K.S., 2007. Patient satisfaction with nursing care. Rawal Medical Journal, 32(1), pp. 27-29.

Kotler, P., 2004. Management trženja. Ljubljana: GV Založba.

Kutney-Lee, A., McHugh, M.D., Sloane, D.M., Cimiotti, J.P., Flynn, L., NeffFelber, D., et al., 2009. Nursing: a key to patient satisfaction. Health Affairs, 28(4), pp. 669–677. http://dx.doi.org/10.1377/hlthaff.28.4.w669; PMid:19525287; PMCid:PMC2718727

Laschinger, H.S., Hall, L.M., Pedersen, C. & Almost J., 2005. A psychometric analysis of the patient satisfaction with nursing care quality questionnaire: an actionable approach to measuring patient satisfaction. Journal of Nursing Care Quality, 20(3), pp. 220-230. http://dx.doi.org/10.1097/00001786-200507000-00006; PMid:15965386

Latković, B., 2002. Pacient in zdravnik – partnerja v komunikaciji. Ljubljana: Društvo pljučnih pacientov Slovenije, pp. 5-16.

Liu, Y. & Wang, G., 2007. Inpatient satisfaction with nursing care and factors influencing satisfaction in a teaching hospital in China. Journal of Nursing care Quality, 22(3), pp. 266-271. http://dx.doi.org/10.1097/01.NCQ.0000277785.52428.a5; PMid:17563597

Ljubičić, M., 2006. Čimbenici koji utječu na kvalitetu komunikacije između bolesnika i sestre. Sestrinski glasnik, 3 (8), pp. 42-47.

Lucke, J.F., 2005. The α and the ω of congeneric test theory: an extension of reliability and internal consistency to heterogeneous tests. Applied Psychological Measurement, 29(1), pp. 65-81. http://dx.doi.org/10.1177/0146621604270882

McAdam, M. & Wright, N., 2005. A review of the literature considering the role of mental health nurses in assertive outreach. Journal of Psychiatric and Mental Health Nursing, 12(6), pp. 648–660. http://dx.doi.org/10.1111/j.1365-2850.2005.00889.x; PMid:16336589

McCabe, C., 2004. Nurse-patient communication: an exploration of patient's experiences. Journal of Clinical Nursing, 13(1), pp. 41-49.

http://dx.doi.org/10.1111/j.1365-2702.2004.00817.x; PMid:14687292

McGarry, J., 2009. Defining roles, relationship, boundaries and participation between elderly people and nurses with in the home: anethnografhic study. Health and Social Care in the Community, 17(1), pp. 83-91. http://dx.doi.org/10.1111/j.1365-2524.2008.00802.x; PMid:18700870

Merkouris, A., Papathanassoglou, E.D. & Lemonidou, C., 2004. Evaluation of patient satisfaction with nursing care: quantitative or qualitative approach? International Journal of Nursing Studies, 41(4), pp. 355-367. http://dx.doi.org/10.1016/j.ijnurstu.2003.10.006; PMid:15050847

Millard, L., Hallett, C. & Luker, K., 2006. Nurse-patient interaction and decision making in care: patient involvement in community nursing. Journal of Advanced Nursing, 55(2), pp. 142-150. http://dx.doi.org/10.1111/j.1365-2648.2006.03904.x; PMid:16866806

Možina, T., 2007.Merjenje zadovoljstva udeležencev v izobraževanju odraslih. Ljubljana: Andragoški center Slovenije, pp.7-12.

Mpinga, E.K. & Chastonay, P., 2011. Satisfaction of patients: a right to health indicator? Health Policy, 100 (2-3), pp. 144-150. http://dx.doi.org/10.1016/j.healthpol.2010.11.001; PMid:21126793

Neuman, W.L., 2011. Social research methods: qualitative and quantitative approaches. 6th ed. Boston: Allyn and Bacon.

Ozsoy, S.A., Ozgür, G. & Durmaz Akyol, A., 2007. Patient expectation and satisfaction with nursing care in Turkey: a literature review. International Nursing Review, 54(3), pp. 249-255. http://dx.doi.org/10.1111/j.1466-7657.2006.00534.x; PMid:17685908

Poredoš, P., 2005. Javno in zasebno zdravstvo: prednosti in pomanjkljivosti posameznih sistemov. Zdravniški vestnik, 74(7-8), pp. 455–456.

Pravilnik o uvjetima i načinu ostvarivanja prava iz obveznog zdravstvenog osiguranja na zdravstvenu njegu u kući osigurane osobe, 2007. Zagreb: Hrvatski zavod za zdravstveno osiguranje. Available at: http://kohompgz.files.wordpress.com/2010/06/pravilnik-o-uvjetima-i-nacinu-ostvarivanja-prava-iz-obveznog-zdravstvenog-osiguranja-na-zdravstvenu-njegu-u-kuci-osigurane-osobe.pdf [1. 9. 2014].

Retelj, M. & Simčič, B., 2005. Sistem celovite kakovosti v Splošni bolnišnici Novo mesto. In: Kakovost v zdravstvu. 12. strokovno srečanje ekonomistov in poslovodnih delavcev v zdravstvu, Otočec ob Krki, 12. in 13. maj. Ljubljana: Društvo ekonomistov v zdravstvu, pp. 67–75.

Rungapadiachy, D.M., 2003. Medosebna komunikacija v zdravstvu: teorija in praksa. Ljubljana: Educy, pp.336- 339.

Saucier Lundy, K. & Janes, S., 2009.Community health nursing: caring for the public's health. Boston [etc.]: Jones and Bartlett Publishers.

Skela Savič, B., 2002. Zadovoljstvo bolnikov – kazalec kakovosti v zdravstvu. In: Vukovič, G., ed. Management in Evropska unija: zbornik konference z mednarodno udeležbo. 21. Znanstvena konferenca o razvoju organizacijskih ved, Portorož, 27.-29. marec 2002. Kranj: Moderna organizacija, pp. 1449–1455.

Suhonen, R., Välimäki, M. & Leino-Kilpi, H., 2005. Individualised care, quality of life and satisfaction with nursing care. Journal of Advanced Nursing, 50(3), pp. 283-292. http://dx.doi.org/10.1111/j.1365-2648.2005.03391.x; PMid:15811107

Šušteršič, O., 2006. Patronažno varstvo in patronažna zdravstvena nega - nadgradnja in prilagajanje novim izzivom. Obzornik zdravstvene nege, 40( 4), pp. 247-252.

Tomšič, B., Grahek-Cujnik, A. & Lešnik-Hren, J., 2004. Sistem vodenja kakovosti v zdravstvenih domovih. In: Kakovost – različni pristopi, skupen cilj: zbornik referatov. 13. letna konferenca, Bernardin, 4. in 5. novembra 2004. Ljubljana: Slovensko združenje za kakovost, pp. 166–170.

Zavrl Džananović, D., 2010. Patronažno varstvo Slovenije včeraj, danes, jutri. Obzornik zdravstvene nege., 44 (2), pp. 117-125.

Železnik, D., 2007. Self-care of the home-dwelling elderly people living in Slovenia: dissertation. Oulu: Oulunyliopisto, pp. 81-82. Available at: http://herkules.oulu.fi/isbn9789514286377/ [17. 3. 2014].

Železnik, D. ed., 2011. Aktivnosti zdravstvene nege v patronažnem varstvu. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije, pp. 16-20.

Published

2014-09-20

How to Cite

Železnik, D., & Rajčić, S. (2014). Elderly users’ satisfaction with home nursing care. Slovenian Nursing Review, 48(3). https://doi.org/10.14528/snr.2014.48.3.25

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