Patient satisfaction with nursing care: a concept analysis within a nursing framework.
OBJECTIVE
This paper is a report of a concept analysis of patient satisfaction with nursing care.


BACKGROUND
Patient satisfaction is an important indicator of quality of care, and healthcare facilities are interested in maintaining high levels of satisfaction in order to stay competitive in the healthcare market. Nursing care has a prominent role in patient satisfaction. Using a nursing model to measure patient satisfaction with nursing care helps define and clarify this concept.


METHODS
Rodgers' evolutionary method of concept analysis provided the framework for this analysis. Data were retrieved from the Cumulative Index of Nursing and Allied Health Literature and MEDLINE databases and the ABI/INFORM global business database. The literature search used the keywords patient satisfaction, nursing care and hospital. The sample included 44 papers published in English, between 1998 and 2007.


RESULTS
Cox's Interaction Model of Client Health Behavior was used to analyse the concept of patient satisfaction with nursing care. The attributes leading to the health outcome of patient satisfaction with nursing care were categorized as affective support, health information, decisional control and professional/technical competencies. Antecedents embodied the uniqueness of the patient in terms of demographic data, social influence, previous healthcare experiences, environmental resources, intrinsic motivation, cognitive appraisal and affective response. Consequences of achieving patient satisfaction with nursing care included greater market share of healthcare finances, compliance with healthcare regimens and better health outcomes.


CONCLUSIONS
The meaning of patient satisfaction continues to evolve. Using a nursing model to measure patient satisfaction with nursing care delineates the concept from other measures of patient satisfaction.
Wagner
Debra
D
Barry University, Miami Shores, Florida, USA. dwagnerauthor@aol.com
Bear
Mary
M
D003210:Concept Formation; D006801:Humans; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009732:Nursing Care / Q000523:psychology*; D017060:Patient Satisfaction; D011787:Quality of Health Care / Q000592:standards*