Levels Of Family Satisfaction Research Articles

Social trust and health seeking behaviours: A longitudinal study of a community-based active tuberculosis case finding program in the Philippines.

IntroductionSocial trust is an important driver of health seeking behaviours and plays a particularly important role for diseases that have a high degree of stigma associated with them, such as tuberculosis (TB). Individuals experiencing poverty also face additional social and financial barriers in accessing care for TB. We examined an active case finding (ACF) initiative embedded in a program targeting those living in poverty (Transform) implemented by International Care Ministries (ICM), a Philippine-based non-governmental organization (NGO), and analyzed how different forms of social trust may affect the initial uptake of ACF.MethodsProgram monitoring data and a cross-sectional survey conducted at the beginning of Transform included six dimensions of social trust: satisfaction with family life, satisfaction with friendships, and level of trust in relatives, neighbours, pastor or religious leader, and local government officials. Amongst individuals suspected of having TB who received referrals post-screening, multilevel modelling examined the effects of social trust on rural health unit (RHU) attendance.ResultsAmong the subset of 3350 individuals who received TB screening in 51 communities, 889 (26.5%) were symptom positive and required referral to the RHU, but only 24.1% of those who received referrals successfully attended the RHU. Multilevel regression analysis showed that for each unit increase on the Likert scale in baseline level of family satisfaction and level of trust in relatives, the odds of attending an RHU was 1.03 times (95% CI: 0.99, 1.07) and 1.06 times greater (95% CI: 1.00, 1.11), respectively, independent of other factors.ConclusionThese results suggest that social trust in family members could play a valuable role in addressing stigma and rejection, both cited as barriers to higher screening rates. It is recommended that ACF programs that target TB, or other diseases that are stigmatized, prioritize trust-building as an important component of their intervention.

Satisfação familiar em unidades de cuidados intensivos: revisão integrativa da literatura

Enquadramento: a dificuldade para avaliar a satisfação do doente numa unidade de cuidados intensivos (UCI) determina que para aferir a qualidade dos cuidados nestas unidades seja considerada a satisfação familiar. Objetivos: verificar a viabilidade do questionário ‘FS-ICU-24’ enquanto instrumento para avaliar a satisfação familiar; identificar níveis de satisfação através do questionário com enfase nos itens onde os níveis são mais baixos e estratégias para aumentar a satisfação. Metodologia: revisão integrativa com análise de artigos publicados entre 2014 e 2019 na base de dados EBSCO e no FSICU.org. Descritores: Satisfação do doente; Cuidados intensivos; FS-ICU-24. Para sistematizar a informação, foi elaborada uma tabela com os pontos: autores e ano; país, objetivos do estudo; resultados e participantes. Resultados: o FS-ICU-24 é um bom instrumento para aferir a satisfação familiar na UCI. Os níveis de satisfação familiar são altos (Superiores a 70%). Nas questões de resposta aberta, familiares indicam aspetos menos positivos como o ambiente físico e a comunicação. Algumas das hipóteses de melhoria sugeridas são proporcionar privacidade na sala de espera e treino à equipa em comunicação. Conclusão: a revisão integrativa evidencia que o FS-ICU-24 permite aferir a satisfação familiar e identificar pontos a melhorar na UCI.

NATURE OF THE INTERACTIONS BETWEEN WORK AND FAMILY SATISFACTION IN WOMEN

The aim of the present study was to specify the nature of the relationships between work and marital satisfaction in the women. In addition it aimed at revealing as to whether demographic variables, such as age, position, length of service, marriage duration, and the number of children have an impact upon the work and marital satisfaction in working women. The present study included 120 married, working women, and analyses the relationship between job satisfaction and marital satisfaction, taking into consideration emotional and cognitive factors. The participants were mostly office workers, of whom 20 (8%) occupied management positions. The Descriptions Inventory, Job Affect Scale, Questionnaire of Well-matched Marriage, and a scale of work-job interactions were administered. Significant positive correlations across almost all variables of job and marital satisfaction were observed. This means that the increase of marital satisfaction corresponds with the increase in job satisfaction, although the work/family conflict resulted in experiencing negative emotions at work. Moreover, the level of job satisfaction was higher than the level of family satisfaction. It was also found that the age and time spent at work proved to have a negative impact upon job satisfaction. Work-family facilitation proved to be crucial since its exclusion made the interface between all factors of family satisfaction and work insignificant. At the same time, the managerial women suffered from work/family conflict to a greater degree than did office workers. The study revealed also that the needs of older workers should be taken into account to maintain their work/life balance.

Estilos de aprendizaje y satisfacción familiar en un grupo de estudiantes de alto y bajo rendimiento de una universidad privada de Lima

The present investigation is of a comparative descriptive type, with the objective of describing and comparing the learning style and the level of family satisfaction in a group of high and low performance students of a private university in Lima. The non-probabilistic sample, available sampling, made up of a total of 90 students, of which 28 have low academic performance and 62 high academic performance. The instruments used are: Katlen Buttler's Preference Inventory (Learning Styles) (1988) and the Family Satisfaction Scale for Adjectives. Barraca, J & Lopez – Yarto, L. (2000). With respect to learning styles, the Sequential Abstract learning style is the one that is most developed in the entire sample studied and the Sequential Concrete learning style, in both groups they are concentrated at a Medium and High level, this learning style being the most preferred of the study group. The Total Family Satisfaction of both groups mostly presents a Low level (82.1% and 82.1% respectively).

Experienced workplace incivility, anger, guilt, and family satisfaction: The double-edged effect of narcissism

Little research has focused on the role of specific discrete emotions (i.e. anger, guilt, sadness, and fear/anxiety) and individual differences (i.e. narcissism) when investigating the effect of incivility. The current research aims to examine the effect of experienced workplace incivility on employees’ family satisfaction through emotions and the moderating effect of narcissism. 167 employees were asked to think about a previous experience of uncivil treatment or a fictional character and then completed the measurements of narcissism, discrete emotions including anger, guilt, sadness, and fear/anxiety, and family satisfaction. The results showed that employees who recalled an experience of workplace incivility instigated by their coworkers or supervisors would report low levels of family satisfaction and this effect was mediated by their intense emotional reactions of anger and guilt towards uncivil treatment. Moreover, we found narcissism yielded a double-edged effect. On the one hand, narcissistic employees responded to incivility with higher levels of anger and consequently experienced lower levels of family satisfaction. On the other hand, narcissists were less inclined to experience guilt when confronted with incivility, which allowed them to sustain family satisfaction. Our findings support our hypotheses, demonstrating that narcissism has complex effects on the relationships between incivility and discrete emotions.

Palliation of Thirst in Intensive Care Unit Patients: Translating Research Into Practice.

Thirst is prevalent among patients in intensive care units. A research-based "thirst bundle" was shown to significantly decrease thirst in these patients. To implement a research-based thirst intervention performed by intensive care unit nurses and patients' family members. Nurses and family members were taught the thirst intervention through video training and project team reinforcement. The intervention was performed by nurses for 123 patients and by family members for 13 patients. Thirst was measured with a numeric rating scale of 0 to 10, a word scale of 0 to 3, or "yes/no" answers, whichever was easiest for the patient. Inferential statistics were used to assess changes in thirst scores over time. Also assessed were nurse and family member burden levels, family level of satisfaction, and patient enjoyment. Thirst scores on the numeric rating scale decreased significantly: from a mean (SD) of 7.9 (2.0) before to 3.9 (2.7) after the intervention for nurses (P < .001); and from 9.2 (1.5) to 5.3 (2.6) for family members (n = 13; P = .002). Word scale scores also decreased significantly, from a median (interquartile range) of 3 (3-3) before to 2 (1-2) after the intervention for nurses (P < .001). Most patients (96%) reported enjoying the procedure. Median burden levels were less than 2 on a numeric rating scale of 0 to 10. The palliative "thirst bundle" significantly alleviated patients' thirst and resulted in little caregiver burden. Further efforts are warranted to incorporate this intervention into intensive care unit practice.

107 Quality Improvement in Action! The Development of a Delirium Bay

Abstract Background As illustrated in a cross-sectional study at a Galway hospital, delirium is common with a 29% incidence in hospitalised older adults. This is associated with adverse clinical outcomes. Guidelines support specialised environments in the management of delirium to reduce morbidity and mortality. A delirium bay is a specialised unit with a standardised approach to comprehensive geriatric assessment for older adults with delirium. Methods We aimed to improve the care of the delirious older adult within our existing framework by creating a ‘Delirium Bay’ utilising the principles of quality improvement. An interdisciplinary team completed ‘Quality Improvement in Action’ training run by the Royal College of Physicians of Ireland from October 2018-March 2019. This involved defining our problem statement and ‘SMART’ aim (Specific, Measurable, Achievable, Realistic, Timely). Measures for improvement included the rate of adverse events, the duration of episodes, patient/family satisfaction, and the use of one-to-one supervision of patients. Results Stakeholder analysis included nursing, catering, multidisciplinary and healthcare assistance staff. We liaised with hospital management regarding restructuring staffing and maintenance regarding environmental changes. An educational programme on delirium was delivered.. We collected baseline data utilising the ‘Plan, Do, Study, Act’ Model and utilised this to guide our changes. A Standard Operating Procedures document was drafted. We opened our four-bedded delirium bay on 11th March 2019. Preliminary data indicates improved management of delirium with preserved continence, reduced risk of falls and high patient and family satisfaction levels. Interventions have been implemented with minimal funding and infrastructural changes. Staffing reconfiguration involved standardised planning replacing a pre-existing ad-hoc system. Conclusion Delirium in hospitalised older adults is common and associated with increased morbidity and mortality, yet amenable to interventions. We demonstrate that a delirium bay can be set up with a quality improvement approach. Pilot data suggests improved management of these patients within the framework of existing resources. Further collection of data on clinical outcomes is ongoing.

Family satisfaction with intensive care services: A survey from three tertiary hospital units

Objectives: We aimed to investigate the level of family satisfaction in three intensive care units (ICUs) in a tertiary hospital in the United Arab Emirates, which is a multicultural society. Methods: This was a cross-sectional study. Family members of patients who were admitted to the ICU for more than 48 h were included in the study. Families were approached with a validated FS24-ICU Family Satisfaction Survey Questionnaire. One hundred questionnaires were collected over 3 months from January 1, 2016, to March 31, 2016, in the pediatric medical-surgical and cardiac, adult cardiac, and adult medical/surgical ICUs. Results: The overall level of satisfaction measured as total satisfaction score, medical care score, and decision-making score were 75.1 ± 14.2, 80.1 ± 18.6, and 68.1 ± 11.5, respectively. These results are comparable to other high-income and developed countries. Conclusions: This is the very first study from the UAE demonstrating a high level of patient family satisfaction in both adult and pediatric ICUs. This study also highlighted areas where further improvement needs to occur.

가족건강성이 힐링에 미치는 영향력에 관한 연구: 자원봉사기관의 자원봉사자를 중심으로

The purpose of this study was to investigate the relationship between sociodemographic variables (marital status, gender, age, educational level, level of living, religion, health status). And the effect of healing on the family health variables (family members’ appreciation respect. Communication for family problem solving, Bond with socialty. Economic stability, value sharing). The subjects were 310 volunteer volunteers. The results of t-test and ANOVA analysis were as follows: The higher the level of living and the higher the degree of healing, the more interest and support from family and people around you. The higher the level of living, the higher the level of health, the higher the level of healing semantic perception, the higher the level of satisfaction with family needs. appear. Family sharing time was higher for women than for men, for the higher living standards, the better the health status, and the higher the level of healing sense perception. The higher the level of living, the better the health condition, the higher the level of healing meaning, the higher the family health. According to the sociodemographic variables, healing was higher in married than married, married, higher living standards, healing more. In order to test statistically the relative influence of sociodemographic, family life, and family health on healing, healing was used as a subordinate variable in the sociodemographic variables at the first stage, at the family life variables at the second stage, As a result of the regression analysis, the third step was statistically significant (p&lt;.001) as a result of additional family health variables. The explanatory power of statistics was 82.9% and the explanatory power of statistics was 3.6% (p&lt;.001). The variables that affected healing were higher hearing level, higher level of family satisfaction, more family sharing time, higher appreciation of respect, communication for family problem solving, higher hearing level. The sociodemographic variables of the volunteers, family life, and family health are the factors that affect the healing of the family and the people around them. Healing has a heart, family conflicts and problems, when problems are solved through rational communication, and have a bond with society. Economic stability, and shared family values together, family health factors were found to have a great influence on healing. Future research is hoped to study this paper. In our society, the divorce rate of the family and the dismantling of the family are increasing with rapid social change. The family life we are living in is in serious crisis and the importance of family is emphasized. Modern society should raise the satisfaction of life through healing through home health. In addition, we conducted a continuous study on health, family health, and healing focusing on the significant static factors that I suggest. affect healing (family members’ appreciation, communication for family problem solving, social ties, economic stability, shared family values together).

Satisfaction of Family about Health Care Services in the Oncology and Blood Diseases Centre

Family satisfaction is defined as the degree to which family members feel happy and satisfied with one another. The actual symptoms of a disease, its treatment and the perception of patients, family members and society can cause difficulties with family satisfaction with health care services. The objectives of this study are to assess the levels of family satisfaction with health care services in Al Hussein Medical City, the relationship between family satisfaction and health care services and the relationship between family satisfaction and demographic data. A quantitative descriptive study was carried out in order to achieve the goals stated earlier. The result shows that there is a clear correlation between family satisfaction and health care services (71.3%). Most family members were very satisfied with the care given to cancer patients. Efforts to improve the nature of interactions and communication with families may lead to improvements in satisfaction. Families can provide valuable information about the quality of care provided at end-of-life chemotherapy centres. Their perceptions of communication, decision-making, nursing care, the intensive care environment and spiritual support strongly influence their satisfaction or dissatisfaction with the care. Personal and frequent contact assists in the decision-making process as does compassionate nursing care.

Family Satisfaction in a Medical College Multidisciplinary Intensive Care Unit (ICU)-How Can We Improve?

ABSTRACTBackground and AimsIn recent years, patient and family-centered implications are being recognized as important outcome measures and one of the quality indicators of health care system worldwide. Most of the Intensive Care Unit patients cannot make decisions themselves, accordingly family members are surrogate decision-makers and judges of care quality. This study was conducted as a prospective observational study using Family Satisfaction-Intensive Care Unit questionnaire to ascertain the level of family satisfaction of care and their involvement in the decision making process of their patient's treatment.Materials and methodsThe study was conducted over 3 months with 100 family members by FS-ICU questionnaire survey method. After 48 hours of ICU admission, the questionnaire was administered to an eligible family member by a resident who was not involved in the treatment of the patient, in a language understood by them (English/Kannada). Each question was scored using 5 point Likert response Scale and the scores were transformed into 0 (least satisfied) to100 (most satisfied) scale.ResultsSatisfaction with overall care was 65.31±23.62 (FS-ICU/Care). Satisfaction with decision making process was 73.06±22.154 (FS-ICU/ DM). Individual factors which contributed to lower scores were management of pain and agitation of the patient, waiting room atmosphere and emotional support.ConclusionThis study identified the individual factors which contributed to the high and low satisfaction scores. With this baseline data as reference, there is scope to enhance the aspects of quality care for patients and their family members.How to cite this articleJanardhanIyengar SM, Srinivasan R et al. Family Satisfaction in a Medical College Multidisciplinary Intensive Care Unit (ICU)-How Can We Improve? Indian J of Crit Care Med 2019;23(2):83-88.

Abstract PR110

Background & Objectives: Patient and family satisfaction levels are important outcomes for measuring the quality of intensive care. The objectives of this study are to evaluate the patient and family satisfaction levels in the intensive care unit (ICU) and to identify parameters for quality improvement in adults undergoing elective coronary artery bypass graft, with or without valve replacement surgery. Materials & Methods: Data was taken from an ongoing two-group, parallel, superiority, double-blinded randomized controlled trial (n = 100) of a preoperative patient education intervention (video and ICU tour) versus standard education (control). The 24-item Family Satisfaction in the ICU1 and its adapted patient version, were given to a family member and the patient respectively on the third day after surgery to measure their perspectives on the level of satisfaction with overall ICU care and information/decision-making in the ICU. Results: The overall satisfaction scores and subscores on satisfaction with overall ICU care and information/decision-making between groups are comparable to a Swiss study2 (Table 1). Lower satisfaction levels in both patient and family members were associated with lower ratings for “consistency of information” and “inclusion in decision-making” items. In contrast, “concern and caring given by ICU staff” was associated with higher satisfaction levels in both groups.Table 1.: Mean and standard deviation (SD) of satisfaction scores by groupsConclusion: Overall, our patients and family members were moderately satisfied but areas such as “consistency of information” and “inclusion in decision-making” can be improved upon.

The Role of Rigidity in Adaptive and Maladaptive Families Assessed by FACES IV: The Points of View of Adolescents.

Previous studies using Olson’s Circumplex Model and FACES IV, the self-report assessing family functioning, did not clarify the role of rigidity, a dimension of this model. Rigidity emerged as ambiguous: it was considered either as a functional or as a dysfunctional dimension. Building upon the results of previous studies, we provided a contribution intended to disambiguate the role of rigidity considering adolescents’ perceptions and using a non-a priori classification analysis. 320 Italian adolescents (13–21 years) participated in this study and responded to a questionnaire containing scales of the study variables. A latent class analysis was performed to identify the association of rigidity with the other dimensions of Olson’s model and with indicators of adaptive family functioning in adolescence: parental monitoring and family satisfaction. We found six clusters corresponding to family typologies and having different levels of functioning. Rigidity emerged as adaptive in the typologies named rigidly balanced and flexibly oscillating; it was associated with positive dimensions of family functioning, i.e. flexibility, cohesion, parental monitoring, and high levels of family satisfaction. Differently, when rigidity was associated with disengagement, low cohesion and flexibility, and lack of parental supervision, emerged as maladaptive. This was the case of two typologies: the rigidly disengaged and the chaotically disengaged. Adolescents of these families reported the lowest levels of satisfaction. In the two last typologies, the flexibly chaotic and the cohesively disorganized, rigidity indicated a mid-range functionality as these families were characterized by emotional connectedness but lack of containment. Clinical implications are discussed.

Patient and family satisfaction levels in the intensive care unit after elective cardiac surgery: study protocol for a randomised controlled trial of a preoperative patient education intervention

IntroductionPatients and their families are understandably anxious about the risk of complications and unfamiliar experiences following cardiac surgery. Providing information about postoperative care in the intensive care unit (ICU) to...

The Impact of Family Economic Structure on Dual-Earners’ Career and Family Satisfaction

The present study builds on the explanatory power of the “doing gender” perspective to understand the effects of family economic structure on the family and career satisfaction of husbands and wives. Using data from a two-panel, couple-level survey of full-time employed middle-class families in the Northeastern United States, we find that when wives’ earnings increase relative to their husbands’, their career satisfaction significantly increases whereas their husbands’ is significantly depressed. In contrast, family economic structure has little effect on women’ and men’s level of family satisfaction, although we find a significant reduction in family satisfaction among couples who have recently shifted towards a more equal-earner economic structure. Our findings underscore the importance of considering both husbands’ and wives’ attitudes towards work and career in understanding how “gender is done” in couples, and in addressing the resulting family and work relations and dynamics. Focusing on the disjuncture between longstanding gender norms and current employment and earning patterns, we highlight the potential impact of these findings for couples, counselors, and organizations.

Satisfacción familiar en mujeres jóvenes

The concept of family satisfaction is rarely analyzed in its dimensions; the objective of this study is to analyze the dimensions contained in the Family Satisfaction Scale by Adjectives, known by its acronym in Spanish - ESFA. This is a descriptive study; the sample consisted of 85 women between 16 to 24 years old. The instrument to be used is the ESFA.Results: The scale has an adequate content validity, validated through the technique of judging criteria. The global statistical reliability is high (Alpha de Cronbach .917 y un Coeficiente Guttman Split-Half de .934).The ESFA scale items, according to a jury of 4 specialists in the Family area. They grouped the same ones in 2 dimensions each of them conformed by two elements: I. Family Love (Holding and Sense of belonging to the family) and II. Happiness ( Joy and Tranquility). The group of study presents a High level of Family Satisfaction, and in all dimensions and elements a High level.

Intensive care unit family satisfaction survey

To examine the level of family satisfaction in a local intensive care unit and its performance in comparison with international standards, and to determine the factors independently associated with higher family satisfaction. Questionnaire survey. A medical-surgical adult intensive care unit in a regional hospital in Hong Kong. Adult family members of patients admitted to the intensive care unit for 48 hours or more between 15 June 2012 and 31 January 2014, and who had visited the patient at least once during their stay. Of the 961 eligible families, 736 questionnaires were returned (response rate, 76.6%). The mean (± standard deviation) total satisfaction score, and subscores on satisfaction with overall intensive care unit care and with decision-making were 78.1 ± 14.3, 78.0 ± 16.8, and 78.6 ± 13.6, respectively. When compared with a Canadian multicentre database with respective mean scores of 82.9 ± 14.8, 83.5 ± 15.4, and 82.6 ± 16.0 (P<0.001), there was still room for improvement. Independent factors associated with complete satisfaction with overall care were concern for patients and families, agitation management, frequency of communication by nurses, physician skill and competence, and the intensive care unit environment. A performance-importance plot identified the intensive care unit environment and agitation management as factors that required more urgent attention. This is the first intensive care unit family satisfaction survey published in Hong Kong. Although comparable with published data from other parts of the world, the results indicate room for improvement when compared with a Canadian multicentre database. Future directions should focus on improving the intensive care unit environment, agitation management, and communication with families.

Maternal and family factors and child eating pathology: risk and protective relationships.

BackgroundPrevious studies have found associations between maternal and family factors and child eating disorder symptoms. However, it is not clear whether family factors predict eating disorder symptoms specifically, or relate to more general child psychopathology, of which eating disorder symptoms may be one component. This study aimed to identify maternal and family factors that may predict increases or decreases in child eating disorder symptoms over time, accounting for children’s body mass index z-scores and levels of general psychological distress.MethodsParticipants were 221 mother-child dyads from the Childhood Growth and Development Study, a prospective cohort study in Western Australia. Participants were assessed at baseline, 1-year follow-up and 2-year follow-up using interview and self-report measures. Children had a mean age of 10 years at baseline and 46% were male. Linear mixed models and generalised estimating equations were used to identify predictors of children’s eating disorder symptoms, with outcome variables including a global index of eating disorder psychopathology, levels of dietary restraint, levels of emotional eating, and the presence of loss of control (‘binge’) eating.ResultsChildren of mothers with a current or past eating disorder reported significantly higher levels of global eating disorder symptoms and emotional eating than other children, and mothers with a current or past eating disorder reported significantly more concern about their children’s weight than other mothers. Maternal concern about child weight, rather than maternal eating disorder symptoms, was significant in predicting child eating disorder symptoms over time. Family exposure to stress and low maternal education were additional risk factors for eating disorder symptoms, whilst child-reported family satisfaction was a protective factor.ConclusionsAfter adjusting for relevant confounding variables, maternal concern about child weight, children’s level of family satisfaction, family exposure to stress, and maternal education are unique predictors of child eating disorder symptoms.

EPA-0399 – Impact of group psychoeducation on anxious and depressive symptoms in relatives of patients with addictive behaviours

Family psychoeducation is an effective intervention extensively used in the treatment of mental disorders. To examine the efficacy of group psychoeducation in anxious and depressive symptoms in relatives of patients with addictive behaviours. To investigate satisfaction levels in relatives. Seventy relatives of 53 outpatients were included into group psychoeducation between January and July 2012. This 8 session structured psychoeducational group is designed as follows: 1.5 hours every 3 weeks. To assess psychopathological symptoms, we used the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI), at baseline and at the end of the follow-up period. Family satisfaction levels were assessed by using the Visual Analogue Scale (VAS). 59% of relatives were men, and mean age was 55 years. 45% of the patients had a cocaine dependence disorder, 34% alcohol dependence disorder, and 93% co-dependence disorders. 74% had a dual diagnosis (Psychosis, affective disorders, or personality disorders). 90% had psychosocial stress (60% moderate or severe). Anxious symptoms were found in 30% of the relatives, being psychic anxiety most common in women than in men. Furthermore, depressive symptoms were found in 30% of relatives (mild:30%; moderate:25%, severe:15%). Women were more likely to have moderate-severe depression and men mild-depression disorders. After 8 sessions, mean satisfaction levels assessed by EVA Scale were 9.2 Statistically significant gender differences in anxious and depressive symptoms were found in relatives. Satisfaction levels were higher than expected, and a significant reduction in anxiety and depression was found after the group psychoeducation.

Examining the Effect of the Case Management Model on Patient Results in the Palliative Care of Patients With Cancer

We aimed to investigate the improvement in symptoms, quality of life, patient and family satisfaction with care, and direct costs resulting from a palliative care program based case management model. The research was implemented at the Medical Oncology Clinic hospital of a University between September 2009 and September 2011. The research sample consisted of a total of 44 patients (22 control and 22 intervention group). The research tools were the Edmonton Symptom Diagnosis System, the Karnofsky Performance Scale, the EORTCQLQ-C30 Quality of Life Scale, a patient and family satisfaction form, and a patient cost record form. The difference between total symptom mean scores and the sub-dimension symptoms of pain, fatigue, nausea, depression, anxiety, lack of appetite, lethargy, well-being, dyspnea, and constipation post-hospitalization and post-discharge of patients in the control and experimental groups were found to be statistically significant (p < 0.05). The level of decrease in symptom severity in the experimental group patients was more than in the control group (p < 0.000). The satisfaction level of patients and family in the palliative care based case management service was higher than that for conventional service in the control group (p < 0.05). No statistical difference was detected between the experimental and control groups regarding health costs and duration of hospitalization (p > 0.05). We provided a better symptom control, improved the patient s quality of life (excluding physical and congnitive functions), and patient and family satisfaction levels were higher in the palliative care based case management intervention group, but direct health costs were not affected.