Pediatric Nurses' Perceptions of Patient Satisfaction.

PEDIATRIC nurses; PILOT projects; RESEARCH; WORK environment; PSYCHOLOGICAL burnout; NURSES' attitudes; SOCIAL support; PATIENT satisfaction; MEDICAL personnel; CONTINUING education units; QUANTITATIVE research; NURSE-patient relationships; PATIENTS' families; SURVEYS; QUALITATIVE research; FAMILY-centered care; COMPARATIVE studies; URBAN hospitals; QUALITY assurance; SECONDARY traumatic stress; JOB satisfaction; NURSES; DISEASE prevalence; DESCRIPTIVE statistics; LATENT semantic analysis; COMMUNICATION; CRITICAL care medicine; QUESTIONNAIRES; SCALE analysis (Psychology); CONTINUING education of nurses; CONTENT analysis; STATISTICAL correlation; PSYCHOLOGICAL resilience

Purpose: Improvements in patient satisfaction are perpetual goals for health care organizations, and nurses are the health care providers most frequently in contact with patients and families. Understanding relationships between compassion satisfaction (CS), compassion fatigue (CF), and nurses' perceptions of their role with patient satisfaction may identify opportunities for improvement. Methods: A quality improvement survey pilot project was undertaken to establish data on the prevalence of CS and CF, as well as nurses' demographics and perceptions regarding patient satisfaction from a representative sample of hospital registered nurses from five clinical units. Descriptive statistics were used to analyze quantitative data, and for qualitative data, semantic content analysis was used. Outcomes: A total of 102 nurses voluntarily participated, and findings indicated moderate-high prevalence of CS (3.83 to 4.05) and moderate-low prevalence of CF (2.04 to 2.39) across all five pilot units without significant relationships with unit patient satisfaction ratings. Nurses (60%) perceived themselves as accountable for patient satisfaction and identified similar codes (> 75%) in open-ended responses. Conclusion: Implications for pediatric nursing were increased risk for CF, which can be mediated with proactive interventions that support nurse resiliency, and CS. Further investigation of correlations between nurse satisfaction and patient satisfaction, nursing work environment, communication, and family care in pediatrics is warranted. [ABSTRACT FROM AUTHOR]

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