Seago Jean Ann
University of California, San Francisco, San Francisco, CA 94143-0608, USA.
Policy Polit Nurs Pract. 2008 Nov;9(4):230-40. doi: 10.1177/1527154408327094. Epub 2008 Dec 11.
The purpose of this study was to discover if there was relationship between nurse perception of autonomy, control over practice, or relationships with physicians and patient satisfaction with care related to pain management, teaching, or physical care on medical surgical units. The study design was correlational, descriptive, and cross-sectional. The hospital sample was a purposive convenience sample of acute care hospitals in California, with a total of 21 hospitals, 60 medical surgical nursing units, 314 nurses, and 470 patients. Findings indicated that higher patient functional status and having a doctor in the hospital 24 hours/day were related to patient satisfaction with pain management. Lower nurse perception of autonomy, having a doctor in the hospital 24 hours/day, and higher number of patient years of education were related to higher patient satisfaction with teaching. Lower total hours worked by the nurses was related to higher patient satisfaction with physical care.
本研究的目的是探究护士对自主权的认知、对执业的掌控程度或与医生的关系，与患者对医疗外科病房疼痛管理、教学或身体护理方面护理的满意度之间是否存在关联。该研究设计为相关性、描述性和横断面研究。医院样本是加利福尼亚州急性护理医院的一个方便抽样，共有21家医院、60个医疗外科护理单元、314名护士和470名患者。研究结果表明，较高的患者功能状态以及医院每天24小时都有医生值班，与患者对疼痛管理的满意度相关。护士对自主权的认知较低、医院每天24小时都有医生值班以及患者受教育年限较高，与患者对教学的较高满意度相关。护士的总工作时长较短，与患者对身体护理的较高满意度相关。
