Significant Predictors Of Overall Satisfaction Research Articles

Maximizing Satisfaction in Orthopedic Outpatient Clinics: Evidence From Ireland.

Background Patient satisfaction is a critical metric in healthcare, reflecting the quality of care provided and influencing clinical outcomes and healthcare utilization. In orthopedic outpatient clinics, patient satisfaction affects patient adherence to treatment plans and overall health outcomes. This study aims to identify and analyze key factors influencing patient satisfaction in orthopedic outpatient clinics. Methodology This cross-sectional study was conducted from April to May 2024 across 10 orthopedic outpatient clinics. In this study, family members were included as respondents to the Patient Satisfaction Questionnaire (PSQ) when patients were unable to complete the survey due to age, cognitive impairment, or physical disabilities. This approach was adopted to ensure that the experiences of all patients, particularly minors, elderly individuals, and those with disabilities, were accurately captured. The PSQ assessed various aspects of patient satisfaction, including communication, treatment plans, addressing concerns, clinic environment, and overall satisfaction. Quantitative data were analyzed using SPSS version 27.0 (IBM Corp., Armonk, NY, USA). Results The study included 172 respondents. High levels of overall satisfaction were reported, with 142 (82.6%) respondents very satisfied and 28 (16.2%) somewhat satisfied. Significant associations were found between overall satisfaction and several factors, namely, effective communication, thorough explanation of treatment plans, addressing patient concerns, and a clean, comfortable clinic environment. Shorter waiting times were also associated with higher satisfaction. Regression analysis revealed that staff rating and the thoroughness of treatment plans were significant predictors of overall satisfaction. Conclusions Effective communication, thorough treatment explanations, addressing patient concerns, and maintaining a clean clinic environment are key determinants of patient satisfaction in orthopedic outpatient clinics. Reducing waiting times and investing in staff training on communication and empathetic care can further enhance patient satisfaction. These findings provide valuable insights for healthcare providers and administrators aiming to improve patient experiences in orthopedic outpatient settings. Further research is recommended to explore these relationships in diverse settings and develop targeted interventions.

User satisfaction with antenatal care in Norway.

In Norway, antenatal care is delivered free of charge in the municipality. Satisfaction with care is considered to be an important predictor of utilization of health care. The aim of this study was to examine women's satisfaction with antenatal care, and to identify factors that predict overall satisfaction with the service. A total of 611 women completed a survey that collected information on demographic variables, pregnancy variables, and aspects of antenatal care; it also contained one open-ended question. A hierarchical multiple regression analysis was conducted to predict Overall Satisfaction with antenatal care based on four specific scales: User Participation, Accessibility, Information, and Midwife, adjusted for demographic variables. Survey responses showed that 95% of women were satisfied with antenatal care in general. The expectant mother's age, having Norwegian as the native language, and the scales User Participation, Information, and Midwife were all significant predictors of Overall Satisfaction with antenatal care. The open-ended user comments underlined the important role of midwifes in antenatal care. The results of this study indicate that women who attended antenatal care in Norway were satisfied with the care they received. Midwives had an important role, and their relational and professional competence was highly valuated by expectant mothers. The findings also suggest that there are still opportunities to improve satisfaction with antenatal care, for example, by increasing the focus on mental health during antenatal consultations.

Investigating Residents and DMO’s Co-Creation Relationship: The Case of Co-Organizing a Medieval Summer Festival

The value of co-creation among destination stakeholders is becoming an increasingly popular tool for creating unique tourism products and preserving local cultural values and identity. The main purpose of this study was to investigate what factors determine residents’ satisfaction with the process of co-creating a traditional cultural event with a local destination management organization (DMO). To conduct a survey of residents, a questionnaire was developed that included four main concepts: satisfaction with the co-creation, the role of the DMO in the co-creation process, the importance of the event to local food and wine and personal attachment to the event. An explanatory Principal Component Analysis (PCA) with Oblimin rotation was performed. The findings suggest that the DMO’s central role in the co-creation process and the importance of the event to a local food and wine are significant predictors of the residents’ satisfaction with co-creation. However, a personal attachment to the event did not prove to be a significant predictor of overall satisfaction with the co-creation process. By exploring, in detail, the inner thoughts of a destination’s key stakeholders, it is possible to improve the co-creation process and ultimately create greater value for all involved.

Patient Preference, Visual Quality, and Multivariate Regression Analysis with Contralateral Bifocal and Trifocal Intraocular Lenses.

To compare patient preference and visual quality of a bifocal IOL versus a trifocal IOL when one of each lens is implanted in the same patient. Patients received a +3.25 Tecnis bifocal IOL in one eye and a PanOptix trifocal IOL in the opposite eye. Eyes were unilaterally evaluated and included UDVA, UIVA, UNVA, mesopic contrast sensitivity testing, and subjective questionnaires about overall satisfaction, and IOL preference. Regression was used to detect which objective or subjective metrics significantly predicted overall satisfaction for each eye. Sixty eyes of thirty patients were evaluated. Patients preferred (p=0.028) +3.25 to PanOptix. Overall satisfaction was significantly greater (p=0.05) for +3.25 (4.70 vs 4.43/5.00). UDVA (p=0.032) and "freq. of glasses use distance" (p=0.05) were significantly better for +3.25 eyes. Objective intermediate (Jaeger) vision was significantly better (p=0.034) for PanOptix eyes. "Freq. of glasses use intermediate" favored +3.25. Regression revealed variables related to intermediate vision and "ability to read fine print without glasses" were significant predictors of overall satisfaction for both IOLs. Variables related to contrast sensitivity both with and without glare were significant predictors exclusively for PanOptix eyes. Patient preference favored +3.25 eyes (p=0.022). Individual rankings for each eye of "overall satisfaction" were significantly greater (p=0.05) for +3.25 eyes. UNVA and distance vision trended in favor of +3.25. Regression strongly suggests issues related to contrast sensitivity with PanOptix may be responsible for the significant patient preference of +3.25.

An Exploration of Leisure Motivation as Cultural Practices: A Cross-Cultural Approach

Positioning leisure as a cross-cultural construct, this study aims to explore leisure motivation as cultural practices. Kelly’s conceptualization of leisure was carefully repositioned within the framework of individualism-collectivism to investigate the culturally shaped dimensions of leisure motivation. We examined this issue in a cross-cultural study of 298 Korean and 297 French subjects using a survey-based questionnaire employing the Recreation Experience Preference scales. Results from an exploratory factor analysis identified four components of cultural leisure motivation: Unconditional, recuperative and compensatory, relational and role-determined. Results from a regression analysis revealed cultural differences: Recuperative and compensatory motivation for leisure participation was the most significant predictor of overall satisfaction for Korean respondents; the overall leisure satisfaction for French participants was significantly explained by unconditional motivation. Theoretical and practical implications of our findings were discussed.

Modeling domestic tourism: motivations, satisfaction and tourist behavioral intentions

Investigating the antecedents of tourist behavioral intentions and its relations with the preceding factors has become an interest of researchers very recently. However, domestic tourism is one of the neglected forms of tourism among academics and policymakers in developing countries in general. This study, therefore, has tried to simultaneously analyze (i) the relationships among motivations (push and pull), satisfaction and behavioral intentions (intention to revisit and willingness to recommend), and (ii) the direct and indirect effects of motivations on the behavioural intentions of domestic tourists in the formation of domestic tourism behavioural model. The relationships were structurally analyzed with Maximum Likelihood Estimation (MLE) method of Structural Equation Modeling (SEM) using data collected from 386 domestic tourists from four destination sites in Ethiopia. The results revealed that both pull and push travel motivations were found to be significant predictors of overall satisfaction. Moreover, the direct effects of pull travel motivation on revisit intention as well as willingness to recommend were observed. On the other hand, overall satisfaction influenced revisit intention more significantly than the willingness to recommend. Overall satisfaction also partially mediated the relationships between travel motivations and revisit intention. Furthermore, the direct and indirect effects of push travel motivation were assessed in this study. The results of this study hold important implications for destination managers and researchers to consider the influences of motivations factors on satisfaction and behavioral intentions in their attempt to develop domestic tourism.

Brand Image Benefit And Satisfaction: Roles of Symbolic, Functional, Social, And Experiential Benefits

The aim of this study is to examine the effects of brand image benefits of symbolic, functional, social, and experiential on the overall satisfaction. A survey using 400 respondents is used to measure these effects. The theoretical and statistical relationship among these constructs are developed and verified by Smart Partial Least square (PLS) statistical software. Result show that symbolic, experiental, and function benefit are significant predictor of overall satisfaction, with experiential benefit as the most important followed by functional benefits. This study provides important implications on marketing and brand positioning.

Clients' satisfaction with HIV treatment services in Bamenda, Cameroon: a cross-sectional study.

BackgroundClients have explicit desires or requests for services when visiting hospitals; inadequate discovery of their needs may result in dissatisfaction. Patient satisfaction influences retention in HIV care, adherence to HAART and serves as determinant to HIV suppression. This study’s objectives were to quantify clients’ satisfaction with HIV services in Bamenda and determine relationship between satisfaction and clients’ socio-demographic/structural characteristics.MethodsA cross-sectional study was conducted on HIV-positive patients followed-up, on treatment and who consulted in the Bamenda Regional Hospital treatment centre between July and August 2014. Participants consent was sought and data collected on client’s level of satisfaction to staff-patient-communication, staff attitudes, privacy and confidentiality and staffing and amenities situations in the hospital. Data was collected using a structured questionnaire interviewer-administered by investigator and trained health personnel. Collected data was analyzed using Epi Info version 3.5.4 and clients’ satisfaction measured using frequencies and percentages.ResultsA total of 384 participants took part in this study and their median age was 37 years (IQR: 29-46). Two hundred and seventy-four (71.4 %) participants were females. Overall satisfaction with HIV services was 91.2 % and participants reported less satisfaction with overall staffing and amenities situation of the centre (3.6 %). In the multivariate analysis, only being female, employed and perceiving high number of nurses working at the treatment centre remained significant predictors of overall satisfaction with HIV services.ConclusionA high proportion of participants expressed satisfaction with HIV services. However, some dissatisfaction is masked in this high satisfaction level. This dissatisfaction underscores need to improve staff attitudes, staff-patient-communication, employ more staff and build better patient facilities. Future studies need to focus on assessing long-term progression of satisfaction levels with services and determinants of satisfaction involving larger samples in many treatment centres.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1512-5) contains supplementary material, which is available to authorized users.

An analysis of relationship between burnout and job satisfaction among emergency health professionals

Burnout among emergency medical practitioners and personnel negatively affects career satisfaction and job performance and leads to a high prevalence of mental health issues, including anxiety, depression and suicide. This study investigates the relationship between the perceptions of burnout and job satisfaction for those working in emergency services in two public hospitals in Turkey. This study also examines the levels of burnout and job satisfaction in terms of gender, marital status, education and occupation. Participants in this study include 250 emergency service personnel. The Maslach Burnout Inventory Scale, which assesses emotional exhaustion, depersonalisation and personal accomplishment, and the Minnesota Satisfaction Questionnaire, which assesses internal satisfaction, external satisfaction and overall satisfaction, were used for data collection. The results of this study indicate that there is a significant relationship between burnout and job satisfaction. This study also shows that education, marital status and occupation affect burnout and job satisfaction. However, gender was also determined to have a significant effect on job satisfaction. Moreover, this study reveals that emotional exhaustion is a significant predictor of overall satisfaction, that emotional exhaustion and depersonalisation are significant predictors of intrinsic job satisfaction and that emotional exhaustion and personal accomplishment are significant predictors of extrinsic job satisfaction. Therefore, the results of this study suggest that emotional exhaustion is the significant regressor affecting job satisfaction.

Family caregiver satisfaction with home-based nursing and physician care over the palliative care trajectory: Results from a longitudinal survey questionnaire

Background: A limited understanding of satisfaction with home-based palliative care currently exists. Aim: This study measured family caregivers’ satisfaction with home-based physician and nursing palliative care services, and explored predictors of satisfaction, across the palliative care trajectory. Design: A longitudinal, cohort design was used. Family caregivers were interviewed by telephone by-weekly from palliative care admission until death. Satisfaction was assessed using the Quality of End-of-Life care and Satisfaction with Treatment (QUEST) questionnaire. Multiple logistic regression models were used to determine the extent to which demographic, quality of care, and service related variables predicted satisfaction. Setting/Participants: Family caregivers (N=104) of palliative care patients. Results: Each of the nine quality of care parameters were consistently found to be significant predictors of overall satisfaction with palliative care. Conclusions: The results may inform key health policy issues. Specifically, knowledge of how quality of care parameters predict family caregivers’ satisfaction over the course of the palliative care trajectory may aid managers responsible for resource allocation and the determination of home care standards

Comparison of Levels of Satisfaction with Distance Education and On-campus Programs

Introduction The study compared the level of satisfaction of 101 graduates with a distance education versus an on-campus program. Methods A self-administered anonymous survey was used to gather information about satisfaction from the recent graduates of a university personnel preparation program in visual impairments (response rate = 57.7%). The survey measured graduates’ satisfaction with their programs in six subareas: (1) faculty-student interaction, (2) student-student interaction, (3) fairness of evaluations, (4) organization of courses, (5) adequacy of the difficulty of courses, and (6) practicum or internship experience. Results The program modality was not a significant predictor of overall satisfaction with a program once we controlled for the confounding variables, including age, program area, and presence of visual impairments (—.277 – .226, 95% CI). However, it was a significant independent predictor of faculty-student interaction (—.616 – —.012, 95% CI) and student-student interaction (—.875 – —.073, 95% CI). Discussion There was no significant difference in the two groups of graduates’ overall satisfaction with the program, but although the findings are preliminary in nature, the graduates from the on-campus program indicated a higher level of faculty-student and student-student interactions. Implications for practitioners Given the findings of this study, prospective students who are interested in university personnel preparation programs in visual impairments may consider distance education programs an option that may satisfy them. Similarly, these programs may consider continuing their distance education programs as a satisfactory option for many students. However, the lower level of faculty-student and student-student interactions perceived by the distance education graduates may suggest a need to ensure a mechanism that facilitates such interactions more effectively.

Determinants of Firm-Customer Relationship Quality: An Empirical Investigation using SME Technique

The aim of the study is to develop and empirically test a conceptual model that demonstrates the determinants of firm-customer relationship quality in the Bangladeshi mobile telecom sector. To test the theoretical model, 630 customers subscribed to different mobile operators in Bangladesh were surveyed. Structural equation modeling was applied to investigate the associations between the constructs in the model. The findings of the study reveal that of the different underpinnings of relationship marketing (RM), communication was the only underpinning having direct, nonetheless, negative impact on firm-customer relationship quality. Results further reflect that the key determinants of relationship marketing are significant predictors of overall satisfaction, which in turn impacts relationship quality.

Predictors of Dutch and Finnish Children’s Satisfaction with Schooling

Considerable research has shown that there are clear links among satisfaction with schooling, overall life satisfaction, and physical and psychological well-being. In this investigation, we expand on that line of research by identifying the predictors of overall satisfaction with schooling of 331 Dutch and Finnish pupils aged 6–13. Similar to previous research, student age, student gender, and teacher likeability were strong predictors of students’ overall satisfaction with schooling. New findings from this investigation were that teacher gender and class size were significant predictors of overall satisfaction with schooling.

Toward a measure of service convenience: multiple‐item scale development and empirical test

PurposeThe purpose of this paper is to report on the development and nomological testing of a 17‐item scale measuring the five dimensions of service convenience (decision, access, transaction, benefit, and post‐benefit) as proposed by Berry, Seiders, and Grewal.Design/methodology/approachA cross‐sectional survey methodology was used to collect the data.FindingsReliability and validity assessments provided evidence of the scale's psychometric validity. Service convenience was found to be a significant predictor of overall satisfaction in the context of personal cellular telephone and internet usage.Research limitations/implicationsThis study uses a student sample which may limit its generalizability to other respondents. Also, the cross‐sectional survey methodology does not allow for the investigation of causation. Future research should investigate other contexts outside of the cellular and internet services examined in this study and across a broader sample. Furthermore, the ability to retrospectively rate service convenience, the trade‐off between price and convenience, and the continuum of convenience need to be investigated further.Originality/valueThis study provides psychometrically valid scales to measure service convenience as conceptualized by Berry et al..

Designing Retention Research for Assessment and Enhanced Competitive Advantage

Based on a longitudinal study of entering freshmen at a selective, private college in northeastern USA, this article provides a model for designing retention studies for assessment. Results from discriminant analysis revealed average high school grade, admission rating, and first semester average college grade as significant predictors of graduation. Regression analyses identified average high school grade, first semester average college grade, and satisfaction with academic advising as significant predictors of final average college grade. Perceived impact on intellectual self‐confidence and satisfaction with faculty attitude, business courses and sense of community were identified as significant predictors of overall satisfaction.

Hemodialysis and Peritoneal Dialysis

This study was undertaken to examine patient satisfaction with peritoneal dialysis (PD) and hemodialysis (HD) therapies, focusing attention on the positive and negative impact of the therapies on patients' lives. Patients were recruited from a free-standing PD unit and two free-standing HD units. A total of 94% (n = 62) of eligible PD and 84% (n = 84) of eligible HD patients participated. HD patients were significantly older and had higher Charlson Comorbidity Index scores than the PD patients, but there were no differences in duration of dialysis treatment, prevalence of diabetes, educational backgrounds, or home situations. Patients were asked to rate their overall satisfaction with and the overall impact of their dialysis therapy on their lives, using a 1 to 10 Likert scale. In addition, patients were asked to rate the impact of their therapy on 15 domains that had been cited previously as being important for patients' quality of life. The mean satisfaction score for PD patients (8.02 +/- 1.41) was higher than for HD patients (7.4 +/- 1.4; P = 0.15). PD patients indicated that there was less impact of the dialysis treatment on their lives globally (7.25 +/- 2.12 versus 6.19 +/- 2.83; P = 0.019). In addition, PD patients noted less impact of the therapy in 14 of the 15 domains examined. With the use of a proportional odds model analysis, the only significant predictor of overall satisfaction and impact of therapy was dialysis modality (P = 0.037 and P = 0.021, respectively). Patients also were asked to comment freely on the positive and negative effects of the dialysis treatments on their lives, and a taxonomy of patient perceptions and concerns was developed. This study suggests that PD patients in general are more satisfied with their overall care and believe that their treatment has less impact on their lives than HD patients.

A Case Study to Determine the Impact of Offering Selective Menus on Customer Satisfaction in a Health-Care Foodservice Operation

In an effort to improve patients' satisfaction with healthcare foodservice, many hospitals are implementing a selective menu program. The purpose of this study was to identify the impact of a selective menu program on customer satisfaction in a health-care foodservice setting in Korea. The results of this study indicate that patients' perceptions of food and service dimensions are significant predictors of overall satisfaction with hospital foodservices. Patients who opted for a selective menu program at high levels of frequency showed more satisfaction with the selective menu program than those in the low-user group. “Food variety,” “taste,” and “offering nutritional information about menu items” are the key drivers of overall satisfaction.

Involvement and the tourist shopper: Using the involvement construct to segment the American tourist shopper at the mall

There is great interest in understanding the complex behaviors of consumers. One facet of consumer behavior is the ‘involvement’ construct. Involvement is a person’s perceived relevance of the object based on inherent needs, values, and interests. There is a plethora of shopping malls all over the US. Major metropolitan cities are over-malled! Despite the abundance of malls close to their residence, American travelers shop at comparable malls while tourists in another city. There exists a gap in the literature about this phenomenon. This study surveyed 485 tourist shoppers residing in metropolitan areas to address this gap. It examined the interplay of their shopping involvement with demographics, push motivators, pull motivators, shopper-tourist cluster typologies, and the amount of time and money spent shopping while on a trip. This study created a profile of tourists based on their level of shopping involvement. It segmented them into high-, medium-, or low-involvement tourist shoppers. The more highly involved tourist shoppers were female and had limited formal education. Further, they indicated they were more interested in shopping than in many other activities. Involvement levels were consistently associated with both push and pull factors in a hierarchical manner. Respondents strongly motivated to shop by push and pull factors were consistently found to be highly involved tourist shoppers. Involvement was a significant predictor of overall satisfaction with a shopping center. Involvement levels were significantly linked to tourist-shopper cluster typologies. High-involvement tourist shoppers were significantly more likely to have saved for shopping on their trip. However, involvement was not found to be a predictor of time or money spent on shopping while on a trip.

Nurses’ self-assessment of their nursing competencies, job demands and job performance in the Taiwan hospital system

This exploratory study investigated nurses’ self-assessment of their own nursing competencies, job demands and job performance in Taiwan. Nurses’ self-evaluation on their own job performance was conceptualized as an indicator of nursing care quality. A total of 21 competencies were clustered into three groups: basic-level patient care skills, intermediate-level patient care and fundamental management skills, and advanced-level patient care and supervision skills. Nurse subjects were randomly selected from the member roster of Kaohsiung Nurse Association; 850 nurses were invited to participate and questionnaire packets were sent to their homes. The overall response rate was 35.8%. Multiple regression analyses found that nurses’ self-assessment of intermediate patient care skills, the difference between nurses’ self-assessment and job demands for basic patient care skills, and nurses’ overall satisfaction with their own nursing competencies were three significant predictors of overall satisfaction with nurses’ own job performance. Nurses’ self-assessment on basic patient care skills and advanced patient care skills contributed to nurses’ levels of overall satisfaction with their own nursing competencies. These results suggest a relationship between competency and performance. These findings may serve as a guide to amend academic nursing courses and on-job training programs as appropriate to place a greater emphasis on the competencies desired for providing high quality of nursing services.

Patient Satisfaction and Referral Intention

The study brought a cultural perspective into the mainstream model of health service quality by taking into account minorities' unique experience, patient-physician match on ethnic origin and cultural similarity. Survey data from Asian-American respondents supported a three-dimensional humaneness-professionalism-competence model of physician attributes. Physician humaneness and professionalism, patient-physician match on ethnic origin and cultural similarity predicted patient overall satisfaction and referral intention among Asian-Americans. Interestingly, the 3-dimensional model of physician attributes was also revealed in a Caucasian-American sample. However, Caucasian-Americans differ from Asian-Americans in several ways: physician competence was a significant predictor of overall satisfaction; professionalism was the only determinant of referral intention; and cultural similarity was not a significant factor with regards to either overall satisfaction or referral intention.