Nurses' Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units

Aragon, Stephen J.; Richardson, Liana J.; Lawrence, Wanda; & Gesell, Sabina B. (2013). Nurses' Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units. Nursing Research and Practice, 2013, 563282. PMCID: PMC3762141

Aragon, Stephen J.; Richardson, Liana J.; Lawrence, Wanda; & Gesell, Sabina B. (2013). Nurses' Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units. Nursing Research and Practice, 2013, 563282. PMCID: PMC3762141

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Objective: This study examined to what degree patient-centeredness-measured as an underlying ability of obstetrical nurses-influenced Medicaid patients' satisfaction with care in hospital obstetrical units. Design: Multigroup structural equation modeling design, using three cross-sectional random samples (n = 300 each) from the 2003 Press Ganey National Inpatient Database. Setting: Self-administered mail surveys. Participants: 900 Medicaid recipients recently discharged from inpatient hospital obstetrical units across the United States. Methods: Multigroup structural equation modeling was used to test the goodness of fit between a hypothesized model based on the Primary Provider Theory and patients' ratings of nurses. Results: The model fitted the data well, was stable across three random samples, and was sustained when compared to a competing model. The patient-centeredness of nurses significantly influenced overall patient satisfaction and explained 66% of its variability. When nurses' patient-centeredness increased by one standard deviation, patients' satisfaction increased by 0.80 standard deviation. Conclusion: This study offers a novel approach to the measurement of the patient-centeredness of nurses and a paradigm for increasing it and its influence on Medicaid patients' satisfaction in hospital obstetrical units.


Population and Health Policies and Programs


JOUR



Aragon, Stephen J.
Richardson, Liana J.
Lawrence, Wanda
Gesell, Sabina B.



2013


Nursing Research and Practice

2013


563282








PMC3762141


7930

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