College of Business Administration, Belmont University, Nashville, Tennessee, USA.
J Pain Symptom Manage. 2009 Nov;38(5):708-16. doi: 10.1016/j.jpainsymman.2009.03.002. Epub 2009 Aug 21.
Families often draw their conclusions about the quality of care received by a family member during the last months of life from their interactions with professional caregivers. A more comprehensive understanding of how these relationships influence the care experience should include an investigation of the association between employee job satisfaction and family perception of the quality of care. This cross-sectional study investigated the association at a regional hospice. Using the Kendall's tau correlation, employee satisfaction scores for care teams trended toward a positive correlation with family overall satisfaction scores from the Family Evaluation of Hospice Care (tau=0.47, P=0.10). A trend for differences in employee satisfaction between the care teams to associate with differences in overall family perceptions of the quality of care also was found using the Kruskal-Wallis analysis of variance (chi(2)(K-W)=9.236, P=0.075). Post hoc tests indicated that overall family perceptions of quality of care differed between the hospice's Residence Team and Non-Hospice Facilities Team. Finally, positive associations between employee satisfaction and the families' Intent to recommend hospice (tau=0.55, P=0.059) and Inform and communicate about patient (tau=0.55, P=0.059) were noted. Selected employee and family comments provide complementarity to further clarify or explain the respondent data. These results suggest that employee satisfaction is associated with family perceptions of the quality of hospice care. Opportunities for improving both employee job satisfaction and family perceptions of the quality of care are discussed.
家庭通常通过与专业护理人员的互动来得出他们对家庭成员在生命最后几个月所接受的护理质量的结论。更全面地了解这些关系如何影响护理体验，应该包括调查员工工作满意度与家庭对护理质量的感知之间的关联。这项横断面研究调查了一家地区临终关怀机构的这种关联。使用 Kendall's tau 相关性，护理团队的员工满意度评分与家庭对临终关怀护理的总体满意度评分呈正相关趋势（tau=0.47，P=0.10）。使用 Kruskal-Wallis 方差分析（chi(2)(K-W)=9.236，P=0.075）还发现了护理团队之间员工满意度的差异与家庭对整体护理质量感知的差异之间存在趋势。事后检验表明，家庭对护理质量的总体看法在临终关怀的居住团队和非临终关怀设施团队之间存在差异。最后，员工满意度与家庭的推荐意向（tau=0.55，P=0.059）和向家庭告知和交流患者信息（tau=0.55，P=0.059）之间存在正相关。员工和家庭的一些意见补充了进一步澄清或解释受访者数据的内容。这些结果表明，员工满意度与家庭对临终关怀护理质量的感知有关。讨论了提高员工工作满意度和家庭对护理质量的感知的机会。
