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  Level of medical-surgical patient satisfaction with the nursing care at Adventist hospitals in the Philippines

  (Adventist International Institute of Advanced Studies, 1994-06) Ferrer, Lucilyn Israel

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  There is a need to create a tool that will help clinical instructors identify the origin of the satisfactory and unsatisfactory behavior of the clinical nursing student. This tool, clinical nursing teaching diagnosis, is modeled on the format of the nursing diagnosis. A sample of 44 nurses from Mindanao supplied the initial data from which a list of nursing student diagnoses were derived. Bloom's Taxonomy became the organizing structure for the teaching diagnoses in three domains: cognitive, affective, and psychomotor. The steps of the nursing process, especially the assessment and intervention phases guided the research process. The 44 subjects and search of literature contributed a list of clinical nursing educator teaching diagnoses. The present list is composed of the learning problems and strengths with definitions, behavioral indicators, probable causes, and interventions. A panel of 11 expert nursing educators validated the list of teaching diagnoses. The panel members critiqued the list and recommended additions, acceptance, rejection, redefining, or restating of the items in the list. The list presented in this study incorporated these recommendations. The validated list resulted to 26 learning problems and strengths. These diagnoses consist of nine in the cognitive, eleven in the affective, and two in the psychomotor domains. The four learning strengths are under the cognitive domain. The major recommendation is, a group of nurse educators be appointed in the schools of nursing in the Philippines to continue refinement and development of the tool.

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  Level of medical-surgical patient satisfaction with the nursing care at Adventist hospitals in the Philippines

  (Adventist International Institute of Advanced Studies, 1995-05) Ferrer, Lucilyn Israel

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  The purpose of the study was to discover the levels of patient satisfaction with nursing care in five adventist hospitals in the Philippines two teaching and three nonteaching. The study was also designed to find out what factors in the nursing care are associated with patients' satisfaction or dissatisfaction. Fifty-three patients met the criteria for the study, but data were gathered on 50. The nursing process was used as the conceptual framework. The study used both descriptive statistics for demographics and inferential statistics for similarities and differences. A 35 item questionnaire was used and was treated with ANOVA for hypothesis one and t test for hypotheses 2-5. Alpha level was set at .05. The results from testing the four hypotheses indicated there were no significant differences in patient satisfaction between teaching and nonteaching hospitals. There was no significant difference among the three nonteaching hospitals. There was no significant difference in patient satisfaction scores between the two teaching hospitals. There was a significant difference between steps of the nursing process on total score for patient satisfaction. The planning step of the nursing process had the highest mean score while the evaluation step had the lowest mean score. Nursing behaviors which are satisfying to patients are sincere interest and concern about the patient as an intelligent participant in health care. Patients are least satisfied with behaviors that indicate lack of concern, unwillingness to include the patient in decisions, and rote or stereotyped action. Based on the findings, it is recommended that the nursing service administration use this information in planning in-service education programs to improve quality of nursing care, to increase nurse's sensitivity to patient satisfaction. It is also recommended that quality care be qiven top priority, and that nurses set standards of practice and monitor the quality of care. The nursing process needs more emphasis on evaluation and improvement in implementation, and assessment.

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