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

Citation

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

Abstract

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.

URL

http://dx.doi.org/10.1155/2013/563282

Reference Type

Journal Article

Year Published

2013

Journal Title

Nursing Research and Practice

Author(s)

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

PMCID

PMC3762141