Institute for Medical Sociology, Health Services Research and Rehabilitation Science, Faculty of Human Science and Faculty of Medicine, University of Cologne, Germany.
Cancer Nurs. 2012 May-Jun;35(3):221-8. doi: 10.1097/NCC.0b013e318229df11.
Only a few studies have investigated the association between hospital characteristics and breast cancer patients' satisfaction with nursing staff.
The aim of this study was to determine whether the satisfaction of newly diagnosed breast cancer patients with nursing staff correlates with hospital characteristics after taking the relevant patient characteristics into account.
Multilevel regression analysis was applied, combining survey data from newly diagnosed breast cancer patients regarding their characteristics and satisfaction with nursing staff with data on the characteristics of the hospitals in which the patients were treated.
Data from 2945 patients from 81 hospitals were analyzed in multilevel logistic regression models. The patients were significantly more likely to be satisfied with the nursing staff in hospitals that employed breast care nurses (BCNs) at the time of the survey. At the patient level, patients were significantly more likely to be satisfied with nursing staff if the patients were native speakers and rated their own health more highly. Cross-level interaction analysis suggested that the increased patient satisfaction with nursing staff that resulted from employing BCNs was largely limited to native German-speaking patients.
The results demonstrate that patient satisfaction with nursing staff is higher if BCNs are employed in the treatment hospital. However, only the satisfaction of native speakers was significantly higher when BCNs were employed.
These findings suggest that hospitals should invest in employing specialist nurses. Special attention should be paid to the care of non-native-speaking patients.
仅有少数研究调查了医院特征与乳腺癌患者对护理人员满意度之间的关系。
本研究旨在确定在考虑相关患者特征后，新诊断乳腺癌患者对护理人员的满意度是否与医院特征相关。
采用多水平回归分析，将新诊断乳腺癌患者的特征及其对护理人员的满意度调查数据与患者所接受治疗的医院特征数据相结合。
在多水平逻辑回归模型中对 81 家医院的 2945 名患者的数据进行了分析。与未雇用乳腺护理护士（BCN）的医院相比，在调查时雇用 BCN 的医院中患者对护理人员的满意度明显更高。在患者层面上，如果患者是母语为德语的患者且自评健康状况较高，则患者对护理人员的满意度明显更高。跨水平交互分析表明，雇用 BCN 后患者对护理人员满意度的提高主要局限于母语为德语的患者。
研究结果表明，如果在治疗医院雇用 BCN，患者对护理人员的满意度会更高。然而，只有在雇用 BCN 时，母语为德语的患者的满意度才会显著提高。
这些发现表明，医院应投资雇用专科护士。应特别关注非母语患者的护理。
