NURSING CARE QUALITY WITH PATIENT SATISFACTION

2025-03-25T14:15:08+07:00

Abstract

Background

The community satisfaction index has decreased compared to the previous year, along with a decline in patient satisfaction. This reflects a growing public dissatisfaction with the services provided. The purpose of this study was to prove the effect of nursing care quality on patient satisfaction.

Method

This research was analytic observational research with a cross sectional design. The sample was 125 respondents obtained from 4 health clinics which selected by cluster sampling technique. The Perceptions of the Quality Nursing Care Scale to measure quality of nursing care and the Patient Satisfaction with Nursing Care Quality Questionnaire instrument was used to measure patient satisfaction. Data was analyzed with multiple linear regression.

Result

Based on the results of regression analysis, it can be concluded that the calculated F value is 666.4 and a significance value of 0.000. So it can be concluded that there is an effect of nursing care quality variables on patient satisfaction simultaneously. The coefficient of determination of nursing care quality variables on patient satisfaction is 0.901, which means that the influence of interpersonal care, efficiency, comfort, information, environment and competence variables simultaneously on patient satisfaction variables is 90%, the remaining 10% is influenced by other variables not examined in this study.

Conclusion

There is an influence of nursing care quality on patient satisfaction. The most dominant variable is nurse competence, where there are indicators of cognitive ability, skills and ability to communicate effectively and assertively. Increasing patient satisfaction will be easily achieved when service quality is maintained and patient safety becomes the main thing that is prioritized.

THE EFFECT OF CLINICAL PATHWAY COMPLIANCE ON THE QUALITY AND COST OF CABG PROCEDURES

2025-04-22T13:45:24+07:00

Abstract

Background Coronary Artery Bypass Graft (CABG) is a surgical procedure with a fairly high number of cases and risks. To handle the procedure, the implementation of Clinical Pathway is required. The purpose of this study was to analyze the effect of Clinical Pathway compliance on the quality and cost of CABG procedures at Dr. Soetomo Hospital, Surabaya.

Method Quantitative with an observational analytical approach, cross-sectional design. The population size was 99 medical records, with a total sampling technique of 95 medical records obtained according to the inclusion criteria, descriptive data analysis. Secondary data were obtained from medical records, incident data from the PPI Committee and the hospital's financial report in 2023.

Result The average age of patients was 53 years with male gender of 80%. Compliance of officers in implementing the Clinical Pathway for CABG procedures with a compliant category 14.7%, a less compliant category 78.9% and a non-compliant category of 6.3%. There were no incidents of SSI for CABG procedures (0%). LOS of CABG procedures with length of stay ≤10 days were 70.5% and >10 days were 29.5%. Costs for CABG procedures with large Disparity (+) were 1.1%, small Disparity (+) were 54.7%, large Disparity (-) were 13.7% and small Disparity (-) were 30.5%.

Conclusion There is an inverse effect between Clinical Pathway compliance and Length Of Stay (LOS), there is no effect of Clinical Pathway compliance on surgical wound infection rates and there is an effect of Clinical Pathway compliance on cost disparities.

International Journal of Patient Safety and Quality

NURSING CARE QUALITY WITH PATIENT SATISFACTION

THE EFFECT OF CLINICAL PATHWAY COMPLIANCE ON THE QUALITY AND COST OF CABG PROCEDURES