COMPONENTS OF PATIENT-CENTERED CARE: IMPLICATIONS FOR SURGICAL OUTPATIENT NURSING PRACTICE.
Contributors: Rush University, College Of Nursing.
Published: 1993
Number of pages: 349
Subjects: Health Sciences, Nursing.; Health Sciences, Medicine and Surgery.
Description: The purposes of this study were (a) to describe quantitatively and qualitatively the components of patient-centered care and determinants of patient satisfaction for the older surgical outpatient, and (b) to explore the differences between patient-centered care and nurse satisfaction in an outpatient surgical unit.

The participants included 187 older surgical outpatients, 65 and older, purposefully selected into one of the following groups: (a) quantitative telephone interview using the Modified Patient-Centered Care Telephone Interview Tool (n = 137), (b) qualitative home interview using the Modified Ambulatory Surgery Consumer Satisfaction Interview Guide (n = 30), and (c) combination telephone and home interviews (n = 20). All participants were interviewed two days postoperatively.

The results indicated that (a) there is a positive content relationship between the data derived from the quantitative and qualitative interviews, (b) qualitative methods of measuring patient satisfaction yield more usable information for nurses and administrators, (c) the data collected from the qualitative interviews were much less positive than the quantitative data collected, (d) significant differences did not exist in the quality indicators, thoroughness, timeliness, and individualization for the seven components of patient-centered care, and (e) patient characteristics were not significantly related to patient-centered care.

The findings suggested that qualitative methods of collecting patient satisfaction information were beneficial and more capable of obtaining components of dissatisfaction. However, the Picker/Commonwealth Patient-Centered Care Telephone Interview Tool is an improved survey method from the traditional patient satisfaction surveys. The collection of patient information via this tool allows data to be translated more meaningfully to resemble qualitative methods better. Recommendations for future studies include (a) the continued development of the qualitative interview as a method to extract patient satisfaction and dissatisfaction data, (b) the investigation of the relationship between nursing satisfaction and patient-centered care, and (c) the investigation of the relationship between patient characteristics of different age samples and patient-centered care.
Notes: Source: Dissertation Abstracts International, Volume: 54-03, Section: B, page: 1335.

Thesis (D.N.SC.)--RUSH UNIVERSITY, COLLEGE OF NURSING, 1993.

School code: 0591.