title: Sensitivity of patient report of care to organizational change.
abstract: Patient report of care is a popular outcome measure believed to be sensitive to nursing care and institutional changes that effect the delivery of nursing care. However, data collected over a 5-year period of organizational change in a pediatric teaching hospital showed no change in parent report of care. The authors discuss possible reasons for the absence of change and caution readers that patient report of care should not be the sole measure of the effect of restructuring on patients.
authors.affiliation: Nursing/Patient Services, Children's Hospital, Boston, MA, USA.
authors.forename: B L
authors.initials: BL
authors.lastname: Marino
authors.forename: C C
authors.initials: CC
authors.lastname: Ganser
mesh_terms: D000293:Adolescent; D000328:Adult; D001900:Boston; D002648:Child; D002675:Child, Preschool; D006776:Hospitals, Pediatric / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007223:Infant; D007902:Length of Stay; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D010290:Parents; D017060:Patient Satisfaction; D010371:Pediatric Nursing / Q000458:organization & administration / Q000592:standards*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration