PERCEPTIONS OF HEALTH CARE NEEDS AND SATISFACTION WITH NURSING CARE OF THE OSTOMATE POPULATION: IMPLICATIONS FOR MARKETING INDEPENDENT NURSE PRACTITIONER SERVICES.
Contributors: Columbia University. Teachers College.
Published: 1988
Number of pages: 210
Subjects: Health Sciences, Nursing.; Business Administration, Marketing.; Education, Health.
Description: This study was concerned with describing the perceived health care needs and satisfaction with nursing care of ostomates who receive their care at an urban medical center's enterostomal nurse practitioner's independent practice, and the implications for marketing independent nurse practitioners' services.

Two instruments were used for patient outcome data: (a) Salmond Health Care Needs Questionnaire (SHCNQ) and (b) La Monica/Oberst Patient Satisfaction Scale (LOPSS). The SHCNQ was used to survey chronically ill ostomates as to their perceived health care needs and whether these needs vary across different periods of illness, diagnoses, and type of ostomy. The LOPSS was used to measure ambulatory care chronically ill ostomates' satisfaction with nursing care. Structured, self-report, self-administered, paper-and-pencil instruments were the primary forms of data collection.

In the sample population ($N = 47$), only two stages of illness, two diseases, and two ostomy groups were perceptible. Demographic Characteristics, Health Indicators, Priority Needs, and Factors in Selecting a Source of Care were indicated across Stage of Illness, Diagnosed Illness and Type of Ostomy. Scores between the Health Indicators and the Health Care Needs were not highly correlated. The respondents had a high degree of satisfaction with nursing care. However, satisfaction was not related to the other health indicators and health care needs. Despite the presence of a chronic illness, the respondents categorized themselves as well-adjusted, they considered the health care system very effective in helping them manage their illness, they had a high level of support, and they considered their state of health good and their regimen somewhat easy. In addition, the types of program features these patients evaluated in choosing a source of care, that is, licensed and certified professionals, prompt and immediate service, and insurance coverage of fees were identified.

The data further suggested that application of marketing theory to nurse practice model development can result in programs that are functionally more responsive to patients' needs and structurally designed to capture their interest and participation.
Notes: Source: Dissertation Abstracts International, Volume: 50-04, Section: B, page: 1329.

Thesis (ED.D.)--COLUMBIA UNIVERSITY TEACHERS COLLEGE, 1988.

School code: 0055.