La Monica-Oberst Patient Satisfaction Scale Research Articles

EVALUATION OF NURSE-PATIENT COMMUNICATION AND ITS IMPACT ON PATIENT SATISFACTION

Effective nurse-patient communication is critical to patient satisfaction, particularly in specialized care units like burn units. Poor communication can lead to adverse patient outcomes and dissatisfaction, highlighting the need for focused studies to evaluate and improve communication practices in healthcare settings. Objective: To assess nurse-patient communication and its impact on patient satisfaction in the burn unit of Nishtar Medical Hospital, Multan. Methods: A descriptive, cross-sectional study was conducted in the Burn Unit of Nishtar Medical Hospital, Multan, from May 2023 to May 2024. Three hundred patients admitted to the burn unit were selected using convenience sampling at discharge. Data were collected using two modified questionnaires: the La Monica Oberst Patient Satisfaction Scale (LOPSS) and the Nurse Quality of Communication with Patient Questionnaire (NQCPQ), both translated into English and Urdu. Patients were presented with the questionnaires before discharge and were given adequate time to complete them. Statistical analysis was performed to evaluate the results. Results: The mean score of LOPSS was 150.47 ± 9.09, indicating patient dissatisfaction in several areas, including the nurses' reluctance to consider patients' choices, inadequate assessments, and insufficient explanation of treatment plans, leading to patients feeling like mere cases. The mean score of NQCPQ was 89.29 ± 6.10, with the highest communication scores noted in the patient's active involvement in maintaining personal hygiene and the nurses' assistance with mobility, diet, and hygiene. Gender showed a direct statistical association with satisfaction scores and communication quality. Conclusion: Weak nurse-patient communication led to poor patient satisfaction scores. Enhancing professional communication among healthcare staff is imperative to improving the quality of care and patient satisfaction in burn units.

Investigating the Correlation Between the Level of Satisfaction of COVID-19 Patients from Nursing Care with the Level of Observing Patient’s Bill of Rights

Background: Observance of patients’ rights and patient satisfaction with hospital services is one of the most influential factors contributing to the efficiency and quality of hospital services. Objectives: This study aimed to investigate the satisfaction of COVID-19 patients with patients’ bill of rights. Methods: This descriptive, correlational study was performed in 2021 in Iran. A total of 147 patients with COVID-19 and meeting the inclusion criteria were included in this study using the available sampling method. Two questionnaires of “observing patient’s bill of rights” and “La Monica Oberst Patient Satisfaction Scale (LOPSS)” were used to collect the required data. Statistical analysis was performed using SPSS version 20 software. Results: There was a positive and significant relationship between patients’ satisfaction and observing patient’s bill of rights (r = 0.7, P < 0.001). The mean satisfaction of COVID-19 patients was 214.19 ± 52.02, and the mean of patients’ bill of rights was 118.23 ± 20.5, which were desirable. There was a significant relationship between age and patient satisfaction (P < 0.05). A significant relationship was also detected between the income level, education level, and length of hospital stay with patients’ bill of rights (P < 0.05). Conclusions: In order to increase patient satisfaction and improve service provision, it was necessary to respect the patient’s rights. Therefore, it was recommended that effective strategies should be adopted in order to exercise the patients’ bill of rights when providing services to them.

Nurses Communication Skills Training and Its Effect on Patients’ Satisfaction in Teaching Hospitals of Shiraz University of Medical Sciences

Background and purpose: Communication skill is a key ability and an integral part of the nursing profession. This study aimed to investigate the effect of communication skills training of nurses on patients’ satisfaction with nursing staff in teaching hospitals affiliated to Shiraz University of Medical Sciences.Method: This Cross-sectional study was carried out in 2017. The research population consisted of the patients visiting 13 SUMS-affiliated hospitals, 581 nurses who participated in communication skills training courses, and 2,207 nurses who did not receive this training. From this population, a total of 400 patients were selected through convenience sampling and 50 trained nurses and 50 untrained nurses were chosen randomly. The data collection instruments were the Nurse Quality of Communication with Patient Questionnaire (NQCPQ) and La Monica-Oberst Patient Satisfaction Scale (LOPSS). Data were analyzed in SPSS using T-test, ANOVA, Tukey test, and Pearson correlation coefficient at α = 5%.Results: A significant correlation was found between nursing-patient commination score and patient satisfaction (LOPSS) score (P=0.021, r = 0.647). Patients under the care of trained nurses were also found to be more satisfied with nursing services than those served by untrained nurses (P=0.011, t=2.56). The results showed that patient satisfaction had a significant relationship with age and marital status (p =0.027).Conclusions: The results of the present study showed that the implementation of communication skills training courses for nurses can lead to improved patient satisfaction. Hospital directors were then recommended to hold regular communication skills training courses for their nursing staff.

A pilot study of a systematic method for translating patient satisfaction questionnaires

This paper is a report of a descriptive comparative pilot study of use of a method that simultaneously tests the content validity and quality of translation of English-to-Chinese translations of two patient satisfaction questionnaires: the La Monica-Oberst Patient Satisfaction Scale and Hospital Consumer Assessment of Healthcare Providers and Systems. Patient satisfaction is an important indicator of the quality of healthcare services. In China, however, few good translations of patient satisfaction instruments sensitive to nursing services exist. The descriptive pilot study took place in 2009 and used content validity indexing techniques to evaluate the content, context and criterion relevance of a survey question. The expert raters were 10 nursing faculty and 10 patients who evaluated the two patient satisfaction questionnaires. The experts evaluated the relevance of each item on a scale of 1-4 and the research team compared their responses to choose the most appropriate. Only the nurse faculty experts, who were bilingual, evaluated the quality of the translation using a binary rating. The 'Nurse Rater' relevance scores of the LaMonica-Oberst Patient Satisfaction Scale and the Hospital Consumer Assessment of Healthcare Providers and Systems were 0·96 and 0·95 respectively, whereas the patient's overall relevance scores were 0·89 and 0·95. A Mann-Whitney U-test demonstrated that results between the two groups were statistically significantly different (P = 0·0135). Using content validity indexing simultaneously with translation processes was valuable for selecting and evaluating survey instruments in different contexts.

Nurse burnout and patient satisfaction.

Amid a national nurse shortage, there is growing concern that high levels of nurse burnout could adversely affect patient outcomes. This study examines the effect of the nurse work environment on nurse burnout, and the effects of the nurse work environment and nurse burnout on patients' satisfaction with their nursing care. RESEARCH DESIGN/SUBJECTS: We conducted cross-sectional surveys of nurses (N=820) and patients (N=621) from 40 units in 20 urban hospitals across the United States. Nurse surveys included measures of nurses' practice environments derived from the revised Nursing Work Index (NWI-R) and nurse outcomes measured by the Maslach Burnout Inventory (MBI) and intentions to leave. Patients were interviewed about their satisfaction with nursing care using the La Monica-Oberst Patient Satisfaction Scale (LOPSS). Patients cared for on units that nurses characterized as having adequate staff, good administrative support for nursing care, and good relations between doctors and nurses were more than twice likely as other patients to report high satisfaction with their care, and their nurses reported significantly lower burnout. The overall level of nurse burnout on hospital units also affected patient satisfaction. Improvements in nurses' work environments in hospitals have the potential to simultaneously reduce nurses' high levels of job burnout and risk of turnover and increase patients' satisfaction with their care.

Patient satisfaction with nursing care: A measurement conundrum

Patient satisfaction is a major indicator of quality care. There are several theories on the types of concepts that should be measured concerning patient satisfaction with nursing care. Given the different theories of patient satisfaction, the issue of accurate measurement of this concept presents nurse researchers, clinicians and leaders with a challenge. This paper will discuss the findings of a patient satisfaction survey that was conducted in two acute care surgical wards, using the revised 28-item La Monica-Oberst patient satisfaction scale and telephone interviews. Data were analysed using descriptive statistics. Textual data were managed using NUD*IST and analysed for common emerging themes and categories. The findings of the quantitative and qualitative data were compared in order to determine similarities and differences. The survey results revealed very high levels of patient satisfaction; however, the qualitative data revealed some anomalies. Specifically, due to the numbers of nurses involved in the care, some patients had difficulties answering the questionnaire. Moreover, they were unable to discriminate nursing care from the rest of their overall patient experience. Within this study, it seemed that patients' perceptions of nurses influenced the way patients rated quality nursing care. Based on this information, the authors question the accuracy of the measurement of patient satisfaction and raise issues that need to be considered in order to further clarify the measurement of this concept.

Correlates of hospitalized patients' perceptions of service quality.

The purpose of this study was to examine hospital patients' perceptions of service quality in relation to four independent variables: (a) nurses' perceptions of human resource practices, (b) nurses' perceptions of autonomy in practice, (c) patient satisfaction with nursing care, and (d) patients' perceptions of organizational climate for service. The sample consisted of 102 nurse-patient dyads in an acute care hospital. Patients responded to the Modified Health Care Service Performance Instrument, the revised LaMonica-Oberst Patient Satisfaction Scale, and the Organizational Climate for Service Semantic Differential. Nurses responded to the Employee Turnover Diagnostic and the Dempster Practice Behaviors Scale. Two of the four correlational hypotheses were supported. Patient satisfaction with nursing care and patients' perceptions of organizational climate for service were each positively related to patients' perceptions of service quality. A multivariate regression hypothesis was not supported. Failure to support two theoretically based correlational hypotheses may be related to methodological problems experienced with dyadic research.

A Descriptive, Correlational Study of Patient Satisfaction, Provider Satisfaction, and Provider Workload at an Army Medical Center

Strong national interest in health care delivery systems and a highly competitive marketplace have mandated that military hospital commanders be increasingly aware of organizational performance. Historically, one variable that has been used to assess such performance is patient satisfaction with the care received. The purpose of this study was to measure patient satisfaction at a major military medical center and to assess how patient satisfaction correlated with the variables of provider satisfaction and nurse/patient ratio. One hundred eighty-eight patients completed the LaMonica-Oberst Patient Satisfaction Scale. Data analysis revealed that, although overall patient satisfaction was high, it was significantly higher on the intensive care units and in other areas where the nurse/patient ratio was high. Interestingly, there was no correlation between the staff's perceptions of their work environment and patient satisfaction. Findings from this study serve to highlight the continued need for a low nurse/patient ratio and are suggestive of the need for refinement of patient satisfaction survey tools available at present.

Re‐examination of the psychometric characteristics of the la monica–oberst patient satisfaction scale

The purpose of this study was to provide further psychometric testing of the 41-item La Monica-Oberst Patient Satisfaction Scale (LOPSS). Data were drawn from three studies designed to study a model of nurse specialist transitional care (n = 307). Previously, the scale had been tested with oncology patients. This study included three groups of nononcologic female patients. Potential scores on the LOPSS range from 41 to 205; actual scores ranged from 93 to 205, with a mean of 175 (SD = 24), indicating a positively skewed distribution. Coefficient alpha for the entire scale was .98. An examination of the individual items indicated that the LOPSS might be shortened without subsequent loss of information. Thirteen items with low item-total correlations or low variability were dropped. The resulting 28-item scale had a mean of 118.7 and a SD of 17.3. Coefficient alpha was .97. The results of a factor analysis of the revised scale were similar to those reported by La Monica, Oberst, Madea, and Wolf (1986). The results indicate that the scale is useful for nononcologic patients. The difficulty remains the positively skewed distribution of scores. More sensitive items need to be developed.

Relative satisfaction with nursing care of patients with ostomies.

Nurses and patients engage in an interactive process that is both supportive and educational. The ability of the nurse to communicate with the patient in a manner that the patient perceives as accepting will lead to transaction, goal attainment, effective nursing care, and satisfaction. This study was undertaken to examine the relationship between nurses' perceptions of patients with ostomies and those patients' satisfaction with nursing care. Data were also collected on nurses' confidence in caring for patients with ostomies, the length of time with the patient, and previous experience in caring for patients with new ostomies. Twelve patients with new ostomies and the registered nurses who cared for them on postoperative units at a regional medical center and a community hospital were identified. Reed's 1989 adaptation of Yuker, Block, and Young's 1972 Attitudes Toward Disabled Persons scale was used to obtain the nurse's perceptions of patients with ostomies. The LaMonica-Oberst Patient Satisfaction Scale was used to obtain the ostomy patients' satisfaction with nursing care. No statistically significant relationship was identified between nurses perceptions of patients with ostomies and these patients' satisfaction with care. However, the data suggest that there may be a relationship between higher patient satisfaction scores and three factors: the nurse's confidence in caring for patients with ostomies, the length of the nurse-patient relationship, and the employment of a certified ET nurse in the hospital in which the patient receives nursing care.(ABSTRACT TRUNCATED AT 250 WORDS)

Evaluation of a gerontological nursing continuing education programme: effect on nurses' knowledge and attitudes and on patients' perceptions and satisfaction.

The purpose of this study was to evaluate the effects of a four-session (8-hour) gerontological nursing continuing education (CE) programme on nurses' knowlege of and attitudes towards the elderly. The study also sought to ascertain the effects of the CE programme on patient satisfaction with and perceptions of nursing care. Seventy-six nurses completed the Miller-Dodder Revision of the Palmore Facts on Ageing Quiz and the Kogan Attitudes Towards Old People Scale before and after participating in the CE programme. Post-test scores on both measures were slightly but significantly higher than pretest scores. Thirty hospitalized elderly patients were interviewed before and 33 were interviewed after the CE programme was offered to the nurses on their hospital units, using the LaMonica-Oberst Patient Satisfaction Scale and the Harrison-Novak Patient Perception Scale. Post-test measures of patient satisfaction and perception were not significantly different from pretest scores. Patients were generally satisfied with their nursing care, but perceived that nurses did not focus on health promotion activities. In addition, 59% of the patients indicated that they were unable to distinguish nurses from other health care providers. The article identifies implications of the study for nursing education, practice and research.