Home Satisfaction Research Articles

Association of Nursing Home Residents' Demographic and Clinical Attributes and Nursing Home Characteristics With Self-Reported Ratings of Nursing Home Satisfaction.

The current study explored the association of nursing home (NH) residents' demographic and clinical attributes and NH characteristics with resident-reported satisfaction with NH communities. Pearson correlations and multiple linear regression were used to test the association of demographic and clinical attributes of residents and NH characteristics with resident-reported NH satisfaction with 197 NH residents from 28 NHs. Correlational analysis and regressions indicated an association among residents' demographic and clinical characteristics, NH characteristics, and self-reported NH satisfaction. Higher age, higher education, and race (minority status) were associated with greater resident-reported NH satisfaction. Greater NH staffing and for-profit ownership status were associated with less NH satisfaction. Greater resident depressive symptoms and dressing assistance were associated with lower resident-reported NH satisfaction. Administrators and staff should look beyond NH characteristics and consider their residents' diverse personal characteristics to create an environment that promotes satisfaction and well-being. [Journal of Gerontological Nursing, 50(11), 6-12.].

TURKISH VALIDITY AND RELIABILITY OF THE POUND SATISFACTION SCALE IN STROKE PATIENTS UNDERGOING REHABILITATION

Purpose: This study aimed to evaluate the Turkish validity and reliability of the Pound Satisfaction Scale (PSS). Methods: For the adaptation of the PSS to Turkish (PSS-Tr), the translation and back-translation process was carried out by following the international guidelines. Confirmatory factor analysis (CFA) was performed to measure structural validity. The relationship between PSS-Tr and the Patient Satisfaction Scale in Physiotherapy (PSSP) and the SF-36 was assessed for construct validity. Convergent validity was evaluated computing by the Average Variance Extracted (AVE). Cronbach's alpha coefficient and Composite reliability (CR) for internal consistency of the PSS-Tr and Bland-Altman plot and test-retest reliability analysis for temporal consistency were used. Results: The study included 130 stroke patients. The fit index values of the CFA showed that the structural validity of the PSS-Tr was appropriate (χ2/sd=1.779, RMSEA=0.075, GFI=0.911, AGFI=0.853, CFI=0.955, NFI=0.905). A high correlation was found between the PSS-Tr total score and the PSSP (p=0.001, r=0.672). A moderate correlation was found between the hospital satisfaction sub-dimension of PSS-Tr, and the sub-dimensions of SF-36 (p=0.001, r=0.484-0.609), while a low correlation was found between the home satisfaction sub-dimension of the PSS-Tr and the physical functioning (p=0.002, r=0.266) and physical role (p=0.035, r=0.180) sub-dimensions of SF-36. And also the PSS-Tr was found to have good internal (Cronbach alpha= 0.895, CR=0.94) and temporal consistency (ICC = 0.976). Conclusion: The Turkish version of the Pound Satisfaction Scale (PSS-Tr) is reliable and valid. The PSS-Tr may be useful for clinicians and researchers in assessing satisfaction with rehabilitation in stroke patients.

Working from home: When is it too much of a good thing?

AbstractBased on an integration of meta‐theoretical perspectives on the “too much of a good thing” effect with psychological demands and resources theories, we propose and test nonlinear relations between the percentage of time people work from home and a variety of important work‐related outcomes (i.e., professional isolation, work from home satisfaction, work from home self‐efficacy, work performance, job satisfaction). Then, also based on resource theories, we explore whether and how certain work from home resources (i.e., previous experience working from home, appropriate technologies to facilitate working from home, dedicated workspaces) buffer these nonlinear relations. Data on working from home were provided by n = 994 employees in Germany across 32 monthly measurement waves between April 2020 and December 2022. Our results support the general idea that the percentage of time people work from home has nonlinear associations with a variety of important work‐related outcomes. However, only in a few cases (i.e., work performance, job satisfaction) do these relations take the form of inverse U‐shapes that would be indicative of “too much of a good thing.” Our exploratory analysis suggests that, in several cases, work from home resources can buffer these nonlinear associations. These findings have implications for the continued development of meta‐theoretical perspectives on “too much of a good thing” and for employees' and organizations' attempts to make working from home a positive and productive experience.

Maternal satisfaction with reduced postnatal length of stay in Brussels: evidence from the KOZI&Home program

BackgroundReducing the length of stay (LOS) after childbirth is a trend, including cost savings, a more family-centered approach and lower risk for nosocomial infection. Evaluating the impact of reduced LOS is important to improve the outcomes of care, which include maternal satisfaction. The aim of this study was to compare the maternal satisfaction, before and after the reduced LOS.MethodsThis study was conducted in the University Hospital Brussels, before and after implementing the KOZI&Home program (intervention). This KOZI&Home program consisted of a reduced length of stay of at least one day for both vaginal delivery and caesarean section. It also included three extra antenatal visits with the midwife, preparing for discharge and postnatal home care by an independent midwife. Women completed a questionnaire, including the Maternity Satisfaction Questionnaire (MSQ) and Home Satisfaction Questionnaire (HSQ), respectively at discharge and two weeks postpartum. Satisfaction was split into five dimensions: ‘Midwives time investment’, ‘Provision of information’, ‘Physical environment’, ‘Privacy’ and ‘Readiness for discharge’. A combination of forward and backward model selection (both directions) was used for statistical analysis.ResultsIn total, 585 women were included in this study. 332 women in the non-intervention group and 253 women in the intervention group. Satisfaction with ‘provision of information’ at home had a higher mean score of 4.47/5 in the intervention group versus 4.08/5 in the non-intervention group (p < 0.001). Women in the KOZI&Home group were more satisfied regarding ‘privacy at home’ (mean 4.74/5 versus 4.48/5) (p < 0.001) and ‘readiness for discharge’ (p = 0.02).ConclusionThe intervention was associated with a higher score in some of dimensions of satisfaction. Our study concludes that this integrated care program is acceptable for postpartum women and associated with some favourable outcomes.

Learning from home: the impact of COVID-19 on teaching and learning

PurposeWith the impact of COVID-19, the educational system across the world had to be reviewed and readapted. Both learners and tutors were forced to adopt the online teaching and learning mechanism. Learners had to cope with the drastic teaching mode. In all of these, the student’s level of satisfaction remains pivotal. Teaching and learning remain successful if the students are satisfied and engaged. Therefore, this study aims to identify and assess factors that influenced students’ level of learning from home satisfaction.Design/methodology/approachThis study followed a mixed-method approach. Online focus groups were arranged to devise indicators for factors like the accessibility of lecturers, support from university and conducive home environment. A questionnaire was designed and disseminated through an online survey. A response rate of (N = 169) was received. The proposed framework was tested in two phases: confirmatory factor analysis and partial least square structural equation modeling.FindingsThe findings revealed that education/life balance and learners’ commitment have a positive and significant relationship with learning from home satisfaction. Accessibility of lecturers and a conducive home environment positively influenced education and life balance. Learners’ commitment was influenced by the accessibility of lecturers, education and life balance and support from the university. Support from university was positively influenced by the accessibility of lecturers and a conducive home environment.Originality/valueVarious studies focused on the quality of online teaching and learning, and very few studies paid attention to the day-to-day lives of learners at the tertiary level. This study has borrowed organizational factors and adapted them to the students’ lives with two theoretical foundations which will enable a better understanding of the students.

There is no place like home: home satisfaction and customer satisfaction in online grocery retailing

ABSTRACT This study acknowledges that home is a central and valenced place for most people, and therefore it is assumed that (a) the content in people’s general category for home issues can be activated easily, particularly by various home-related stimuli, and that (b) the affective charge of such content can have a valence-congruent impact on evaluations of home-related stimuli. These assumptions were the basis for two empirical studies carried out in an online grocery shopping context with respect to home delivery. Both studies indicate that home satisfaction had a positive influence on satisfaction with home delivery – and that home satisfaction had an indirect and positive influence of overall satisfaction with the retailer that provides home delivery. These findings, then, emphasize the need to ‘emplace’ the contemporary online shopper: although the shopper faces an abundance of alternatives only a mouse-click away, he or she is still emplaced in an environment when orders are placed and when goods are received. And when this environment is home, it is particularly likely to influence home-related offers.

Did the Communication Barriers During the Lockdown Reduce Students’ Satisfaction?

The lockdown control measures implemented against the pandemic of COVID-19 have had a global effect on various aspects of our lives as a society. Considering the impact of the lockdown caused by COVID-19 on adolescents, we conducted practical longitudinal research on the changes in adolescent satisfaction before and after lockdown. A total of 221 students aged 13–19 years from a professional adolescent football school in China participated in a self-report satisfaction questionnaire before and after the lockdown. The results showed that the satisfaction of adolescents improved significantly after the lockdown. There were significant differences based on age in the improvement rate, but the correlation between the students’ home regions (and how they were affected by COVID-19) and satisfaction improvement was not significant. To examine the possible reasons behind the improvement in adolescent satisfaction, we then analyzed in detail the online teaching and training methods implemented by the school during the lockdown. Based on this investigation, we outlined recommendations to guide future practice. This research is expected to deepen the theory and practice associated with the development of Chinese adolescent teaching, which may be applied to other training institutions.

Nursing Home Satisfaction Surveys: Differences by Race, Age, and Gender

Nursing home satisfaction information has gained substantial traction as a quality indicator representing the consumers perspective. However, very little research has examined differences in satisfaction related to race, age and gender. As a quality metric, satisfaction measures are variously used for quality improvement, benchmarking, public reporting, and for adjustment to payments. As such, valid comparisons among facilities are important. To our knowledge, no adjustment to satisfaction scores are currently used for nursing homes. However, in many other settings this is a common practice. In this research, nursing home resident, family, and discharge satisfaction scores were examined from >4,000 participants. The data were collected in 2020 and come from 420 facilities. Satisfaction information came from the CoreQ surveys, which include 23 individual questions four of which can be combined to produce an overall satisfaction score. These CoreQ nursing home surveys are endorsed by NQF. Generally lower overall satisfaction scores were found for family members compared to current residents or discharged residents. Minorities (Black, Asian, Hispanic) had lower overall satisfaction scores compared to whites; however, the differences were not significant at conventional levels. Participants of the lowest age (<65 years) were significantly (p=<.05) less satisfied than older participants (>75 years) and males were significantly (p=<.05) less satisfied than females. The findings indicate that some case-mix adjustment may be applicable for nursing home satisfaction scores.

Effect of Physical Characteristics on Resident’s Satisfaction in a High-Density Area of Ilorin Metropolis

This study looked at the impact of a resident’s physical attributes on housing satisfaction in Ilorin to figure out how to uncover the significant relationship in Ilorin. The research took a quantitative method. A questionnaire was designed and distributed to 126 household heads, with 94 responses. Households were polled using systematic random sampling to collect information on socio-economic variables and housing satisfaction. To analyze the effect of variables, the data were subjected to descriptive statistics and linear regression using SPSS. The study found that physical factors have a substantial impact on home satisfaction in the studied area. The study discovered that toilet facilities, rendered and painted walls, tiles, a well-equipped kitchen, no finishing wall, electricity and generator as an alternative means of lighting a kitchen without modern facilities, concrete, and a pit toilet are all factors that influence residents’ satisfaction. It was also discovered that the most excellent mean score was for bathroom facilities, rendered and painted walls, and tiles. It was suggested that the government make the missing social amenities available and rehabilitate the deteriorating ones as urgent. To improve resident satisfaction in the study region, proper routine management of social amenities should be done.

Learning from Home Satisfaction for Graduate Biology Students in the COVID-19 Era

The study aims to assess the level of satisfaction for Biology master’s students understudying in online learning mode henceforth learning from home at Yogyakarta State University. A structured questionnaire was employed to view student satisfaction around 7 dimensions namely; resource availability and well-operating tools, instructor support & interaction, lesson quality and quality of delivery, assessment mechanism, teaching method, learning environment, and satisfaction. Of 49 students was surveyed and asked to answer questions relating to learning from home experience and the level of their satisfaction. Out of which participants over 80% were females and around 19% males where the major part of them belonged to 21-30 years of age. Data were analyzed using SPSS software and item’s reliability was found higher (over 0.75) that substantiated the reliability of the questionnaire used. Based on calculating the mean and SD, data reveal that students are highly satisfied by the learning from home system. Findings suggest that the implementation of the learning from home program was a very great idea during this dire disease era as the majority of the students supported the initiative. However, the study discovered also that the quality and distribution of internet connectivity, non-updated devices for some students was the main challenge that might be rending online learning more ineffective.

HOME-RELATED SUBJECTIVE WELL-BEING BASED ON WELL-BEING STUDIES AND ITS DETERMINANTS

Studies about well-being (WB) have been used to build an interdisciplinary research area centered on positive psychology and economics of happiness. WB research is characterized by active use of subjective data about one’s life, called subjective wellbeing (SWB), as indicators of the quality of an individual’s life or their society. SWB has various domains, including ones related to cognitive and emotional well-being, and each has different determinants. For example, life satisfaction, which is the cognitive aspect of SWB, is strongly correlated with income, while emotional well-being has a relatively strong correlation with health and social relationships. There are various theories about SWB’s composition, and the OECD has defined three basic domains of SWB: life evaluation (life satisfaction), emotion (affect, mood), and eudaimonia. Conventional research for assessing residential environments has used “housing satisfaction” as a subjective indicator of housing quality, which belongs to the “cognitive evaluation” domain. However, based on the findings of WB research, it can be inferred that there are diverse subjective domains related to housing quality. Therefore, in the current study, we attempted to construct home-related subjective well-being (HOME-SWB) based on the OECD’s SWB definition: “home satisfaction,” “positive emotions at home,” “negative emotions at home,” and “eudaimonia derived from home.” “Home satisfaction” is the cognitive aspect of HOME-SWB, which is similar to the conventional subjective indicator, housing satisfaction. “Positive emotions at home” includes the frequency of positive emotional experiences at home, such as feeling happy, cheerful, or joyful, while “negative emotions at home” includes the frequency of negative emotional experiences, such as feeling depressed, stressed out, or lonely at home. “Eudaimonia derived from home” indicate to what extent residents obtain experiences of eudaimonic well-being from their homes, such as self-esteem and the sense that life is worth living. The purpose of this study is to investigate the current status of HOME-SWB among 4,000 residents in the Tokyo area and the determinants of each domain of HOME-SWB using ordinary least squares (OLS) regression analysis.

Identification and Critical Appraisal of Food Service Satisfaction Questionnaires for Use in Nursing Homes: A Systematic Review

BackgroundFood service provision in nursing homes is a complex, adaptive system through which multiple stakeholders interface. Organizational stakeholders include staff involved in preparing and delivering meals. Consumer stakeholders are the end users including residents and family. Questionnaires can be an economical and efficient method of measuring food service satisfaction in nursing homes and a powerful quality improvement tool. Objective(1) To identify questionnaires that measure food service satisfaction of various stakeholders in a nursing homes and (2) to critically appraise the psychometric properties of identified questionnaires. MethodsFive electronic databases were searched (Cumulative Index to Nursing and Allied Health Literature, Medline, ProQuest, Scopus, and Cochrane) in April 2020. Data from the eligible studies were extracted, and the psychometric properties were critically appraised using the Consensus-Based Standards for the Selection of Health Measurement Instruments. ResultsThis review identified 129 studies that used a questionnaire to measure food service satisfaction in nursing homes. Of those, 107 studies representing 75 unique general nursing home satisfaction questionnaires were excluded for failing to adequately explore aspects related to food service. From the remaining 22 studies, 7 food service satisfaction questionnaires were identified; 5 intended for consumers (residents) and 2 intended for organizational stakeholders (staff). Using the Consensus-Based Standards for the Selection of Health Measurement Instruments quality criteria, most questionnaires had flaws in content validity and construct validity, primarily due to small sample sizes. No questionnaires explored food service satisfaction from the family perspective. ConclusionsNursing homes collect satisfaction information for accreditation, marketing, benchmarking, and quality improvement. Although questionnaires are easy to administer, the quality of the data they collect is impacted by the validity and reliability of the questionnaires used. Using unreliable satisfaction data may mean that nursing homes are not accurately able to understand the impact of changes in the system on stakeholder satisfaction.

Vitamin Nature: How Coronavirus Disease 2019 Has Highlighted Factors Contributing to the Frequency of Nature Visits in Flanders, Belgium.

Visiting nature is positively associated with physical and mental well-being. The role of nature became more pronounced during the coronavirus outbreak in the spring of 2020. Countries all over the world implemented confinement measures to reduce the transmission of the virus. These included but were not limited to the cancelation of public events, schools, and non-essential businesses and the prohibition of non-essential travels. However, going outside to exercise was recommended by the Belgian government. During this period, we conducted an online survey to determine if people visit nature more frequently than before and to identify the factors that contribute to this. The results are based on data from 11,352 participants in Flanders, Belgium. With the use of a bivariate and multiple regression analysis, results indicate that people visit nature more frequently than before and that nature helped to maintain social relationships during the coronavirus period. Gardens were reported to be the most popular place, followed by parks. More than half of the people experienced nature in a more positive way, and the belief that nature visits are important for general health increased. In addition, we found a positive association between nature visits and home satisfaction, as well as a positive association with subjective mental and physical health. Lastly, we identified several demographic factors contributing to the frequency of nature visits such as age, gender, and socioeconomic status. Our findings indicate the importance of nature visits for general well-being and highlight the need for nearby green infrastructure.

지각된 일과 삶의 균형이 삶의 질에 미치는 영향에 관한 연구: 직무만족, 여가만족, 복지제도 만족을 중심으로

The purpose of this study is to investigate the effects of leisure satisfaction and job satisfaction welfare system on work-life balance and quality of life. In this research, a survey was conducted on employees of five-star hotels located in five regions in Korea, and multiple regression analysis was used to investigate the hypothesis. Through the sub-factors of work-family and work-leisure on work-life balance, it was confirmed that the perception of work-family balance affects the satisfaction of leisure, which improves the quality of life. On the other hand, job satisfaction and satisfaction in the welfare system only affected work and home satisfaction. This can be attributed to irregular working conditions of hotel employees subject to research, which could lead to the need to supplement the system accordingly. However, since the data collected for this study has a difference in the ratio of working departments, and it was selected and conducted by random companies, there is a limit for the results of the research to be representative. Therefore, in the follow-up study, if the research is conducted on the human resources managers of each hotel company, it will be able to contribute effectively and realistically in improving the work-life balance and quality of life of hotel employees.

Cross-National Variation in the Predictors of Wellbeing: Life Domains and Positive Personality Traits

Background: Previous research has demonstrated cross-national variation in domain-life satisfaction relationships, with neither health, family, social life, personal safety, financial situation, home life or job satisfaction being universal predictors of wellbeing. The largest limitation of this previous research was a lack of appropriate control variables. Past research has shown that personality traits are powerful predictors of wellbeing, with three particularly important constructs being self-esteem, optimism and self-efficacy. Aims: The present study examined whether after controlling for positive personality traits, domain-life satisfaction relationships would vary cross-nationally and whether a direct cross-national comparison of domain-life satisfaction would reveal significant differences. It was predicted that the cross-national differences would be smaller than those found using more countries with greater cross-cultural differences. Methods: These hypotheses were tested using an online survey with samples from the USA and India, recruited using Mechanical Turk. Results: Both hypotheses were supported in that there was cross-national variation in domain-life satisfaction relationships, even after controlling for positive personality traits. In the Indian sample, health, financial and job satisfaction predicted life satisfaction. Amongst Americans, family, social life, financial situation and home satisfaction predicted it. Direct comparison revealed significant differences in the predictive power of home and job satisfaction, supporting the second hypothesis. As expected, the differences noted in this study were smaller than those revealed through our analysis of the World Values Scale and Eurobarometer. Conclusions: Domain life satisfaction relationships vary cross-nationally, even when personality traits are controlled.

Perceived Housing Conditions, Home Satisfaction, Control Beliefs over Aging Experience, and Life Satisfaction among Chinese Older Adults: A Path Analysis Study

Background Knowledge about the mechanisms of home satisfaction affecting life satisfaction among elderly during the aging process is limited. This study aims to investigate the mediating effect of perceived control over aging experience on the relationship between home satisfaction and life satisfaction. Methods The secondary data collected from face-to-face questionnaire interviews with a sample of 755 community-dwelling Chinese older adults were used. The path analysis was applied to examine the mediating effect of perceived control in the relationship between home satisfaction and life satisfaction after controlling for other covariates. The bootstrap approach was employed. Results Goodness-of-fit indices were obtained for the final model and the model explained 30% of the variance of life satisfaction. Perceived housing conditions include poor lighting (β = −0.32, p < 0.001), uneven thresholds/floors (β = −0.10, p = 0.007), and lack of emergency alarm (β = −0.14, p < 0.001) and were associated with lower home satisfaction. Home satisfaction was positively associated with life satisfaction (β = 0.23, p < 0.001), and control belief over aging experience was a significant mediator, explaining 11.5% between home satisfaction and life satisfaction. Such mediating effect was only significant among those aged 60 − 79 years old. Conclusion The mediation effect of perceived control over aging experience underscores the importance of accommodating housing needs among older adults.

Impact of inpatient hospitalization on opiate usage for minimally invasive hysterectomy amongst gynecologic oncology patients.

e18109 Background: The overdose death rate related to opiates has quadrupled in the last two decades. Up to 27% of chronic opiate users report initiation in the post-op period. Among cancer patients, 10% of opioid-naive patients continue chronic use one year after surgery. Restrictive opiate prescribing has demonstrated promise in other studies. However, lacking from current literature is an analysis of the effect that same day discharge (SDD) has on post-op opiate usage at home. The objective of this study is to evaluate the impact of SDD versus physician-elected observation for 1 to 2 days on acute post-op opiate usage and safety following minimally-invasive hysterectomy (MIH). Methods: This is a prospective observational study of women undergoing MIH. Sixty patients were assigned to either the SDD or hospitalization group at provider discretion based on practice pattern, distance from hospital, or comorbidities. One patient was lost to follow up. Patients were followed through 30 days after surgery. Total opiate usage included the inpatient usage (if hospitalized) and home usage assessed at the post-op visit. Anonymous surveys were used to collect home opiate usage practices, satisfaction, and self-reported risk factors for continued use. Continuous variables were analyzed by independent Student’s t-test and the Mann-Whitney U test. Categorical variables were analyzed using Chi-square test and Fisher's Exact test. Results: 29 SDD and 30 hospitalized patients were available for review. Demographics including age, BMI, tobacco use, and procedure indication were well matched. SDD patients used a median 5.0 (1.5-13.5) versus 8.5 (2.25-14.25) 5mg oxycodone tabs (p 0.33). SDD patients used opiates less for non-pain indications including to sleep (4 vs 9, p 0.24) or relax (3 vs 5, p 0.71). One SDD patient had a complication of a cuff hematoma, which spontaneously drained. There were no readmissions. Only one SDD patient felt she would have benefited from longer stay due to nausea. All hospitalized patients took their own opiates at home while 7 SDD had a family member dispense. Psychiatric disorders were the highest comorbidities in both groups (depression n = 12 and 10, anxiety n = 10 and 12). Conclusions: SDD demonstrated a trend towards less opiate usage, although not statistically significant. Patients did not feel that they needed to stay longer in the hospital. The safety of SDD is supported by lack of readmissions and one minor post-op complication. The high rates of psychiatric disease are a concerning risk factor for chronic use.

Looking homeward with the life course: Early origins of adult dwelling satisfaction?

The long-term influence of childhood economic and social exposures on adult health and well-being is well-known. Most childhood circumstances transpire in or near the home, yet research has largely neglected how early exposures shape people's experience of their residential context in adulthood. To help address this gap, we use retrospective longitudinal data from the Midlife Development in the United States (MIDUS) study. Drawing on a life course framework, we test the potential mediating roles of adult social, economic, and mental health processes. Results suggest that childhood parental warmth and maltreatment have an enduring influence on people's satisfaction with their adult home, while there is little indication that childhood economic conditions shape adult dwelling satisfaction. Analyses of average controlled direct effects suggest that the effects of childhood parental warmth are mediated slightly by adult socioeconomic attainment and psychological adjustment but especially by supportive family relationships during adulthood. This pattern is consistent with an attachment-based interpretation of the importance of childhood conditions for adult relationships as well as home satisfaction. Taken together, our results suggest that parent-child bonds cast a long shadow over how people experience their residential context decades later, through a diffuse, multifaceted set of intervening pathways.

Work-life balance and its implication on the health of working women in India

This research intends to study the Indian working women who juggle their job duties and their household responsibilities, in order to examine which aspects are central in helping them acquire a work-life balance. The aim is to investigate Job Satisfaction, Home Satisfaction and Work-Life Conflict of these women, in relation to their health. A sample of 104 working women across 30 different institutes of Western India was collected. The results found that overall, women are in good health and are satisfied with their home and work life on average, however, they seem to experience some work-life conflict. The study also found that the home-life is more significant in predicting the imbalance between the two roles as well as in predicting their health. It is concluded that a woman requires a supportive family and a healthy environment at home to balance her two roles as well as to remain healthy.

Efektivitas Penerapan Discharge Planning Terhadap Kesiapan Pulang dan Kepuasan Pasien Congestive Hearth Failure (CHF) Di Murni Teguh Memorial Hospital

Congestive Hearth Failure (CHF) is one of the biggest contributors to death in the world. The recurrence of recurrence after hospitalization in CHF patients increases every year due to lack of knowledge of the disease, treatment to be undertaken and care after returning from health services. One effort that can be done in reducing the recurrence rate in patients with CHF yaiyu is by planning treatment activities that will be undertaken by patients starting from thebeginning of entering health services until planning to go home.Discharge Planning is a process that starts when a patient enters health services to return home from health services so that patients get continuous health care both in the healing process and in maintaining their health status until the patient feels ready to return to his environment and is satisfied with treatment that has been undertaken in health services. The purpose of this study was to determine the effectiveness of the application of discharge planning to the readiness of returning home and patient satisfaction of Congestive Heart Failure (CHF) patients at Murni Teguh Memorial Hospital. The research method that will be used in this study is Quasi Experiment (quasi-experimental) post test only non equivalent control group, where in this design there are no restrictions on randomization when entering subjects into the treatment group or the control group. The sample in this study were 90 respondents (45 treatment group respondents and 45 control group respondents). The sampling technique in this study with non probability techniques with consecutive sampling approach. Bivariate analysis is performed to test hypotheses or to determine the effectiveness of the relevant variables used are non-parametric statistics with the type of test mann withney t-test. The results of the study are significant if the p value is less than 0.05 (p value &lt;0.05). The results of this study indicate that the application of discharge planning is effective in increasing the readiness and satisfaction of CHF patients.