Patient/Caregiver Perceived Quality of Care

Study Overview
=================
Brief Summary
-----------------
Hospitals quality, safety, and staff workload problems are common in all countries. Findings from the multicountry Nurse forecasting in Europe (RN4CAST) cross sectional study show that patient risk of mortality within a 30 days of hospital stay increases of 7% when a patient is added to the nurse-patient 1:6 proportion in a surgical unit; in Italy, the ratio was found to be 9.5 patients per nurse. Organizational environment, health workers wellbeing and work satisfaction were also found to impact patient safety and perceived patient satisfaction; hospitals nurses high workload, work dissatisfaction and burnout were found related to poor patients outcomes. In a systematic review and meta-analysis, an association of more than 60% between physicians and nurses development of burnout and patient safety in pediatric settings was found; when health workers wellness and teamwork in wards was poor lower perceptions of safety culture was found. Moreover, occupational exposure to medically complex children and their families along with direct care providers unexpressed grief further increase pediatric settings staff risk of developing burnout syndrome and compassion fatigue. Recent findings of Covid-19 pandemic negative impact on health workers well-being worldwide also enhances the risk of compromising the quality of care provided. The aim of this study is to evaluate factors that affect health workers well-being, their perception of work environment and patient/caregiver satisfaction and perceived quality of care in a maternal and child health hospital.

Official Title
-----------------
Organizational Environment, Staff Well-being and Patient/Caregiver Perceived Quality of Care in a Maternal and Child Health Hospital in Italy

Conditions
-----------------
Maternal and Child Health

Intervention / Treatment
-----------------
* Other: Work environment, well-being, customer satisfaction


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Health workers directly involved in patients care and employed for more than 6 months Patients (adults, school-aged children) Caregivers of children Exclusion Criteria: Health workers employed for less than 6 months

Ages Eligible for Study
-----------------
Minimum Age: 6 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Work environment, well-being, customer satisfaction|Evaluation hospital work environment, staff well-being features and patients/caregivers satisfaction and perceived quality of care|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hospital Work environment | Evaluated by validated questionnaire | Through study completion, an average of 3 year | 
| Staff well-being | Evaluated by validated questionnaire | Through study completion, an average of 3 year | 
| Patients/caregivers satisfaction | Evaluated by validated questionnaire | Through study completion, an average of 3 year | 
| Patients/caregivers perceived quality of care | Evaluated by validated questionnaire | Through study completion, an average of 3 year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Patient safety, occupational health, health care quality assurance