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Title: Surgical patient satisfaction as an outcome of nurses’ caring behaviors: a descriptive and correlational study in six european countries
Authors: Merkouris, Anastasios 
Papastavrou, Evridiki 
Tomietto, Marco 
Suhonen, Riitta A. 
Efstathiou, Georgios 
Tsangari, Haritini 
Jarosova, Darja 
Leino-Kilpi, Helena T. 
Patiraki, Elisabeth I. 
Karlou, Chryssoula 
Balogh, Zoltán 
Major Field of Science: Medical and Health Sciences
Field Category: Health Sciences
Keywords: Caring;Patient satisfaction;Caring Behaviours Inventory;Cross-national;European;Patient Satisfaction Scale;Stepwise multiple regression analysis
Issue Date: Dec-2011
Source: Journal of Nursing Scholarship, 2011, vol. 43, no. 4, pp. 341-350
Volume: 43
Issue: 4
Start page: 341
End page: 350
Journal: Journal of Nursing Scholarship 
Abstract: Purpose: Theoretically, patient satisfaction is correlated with nursing care, but there is not sufficient evidence to support it. The aim of this study was to address three research questions: (a) What is the correlation between caring as perceived by patients and patient satisfaction? (b) Are there differences across various countries on the correlation on caring as perceived by patients and patient satisfaction? (c) Do caring behaviors affect patient satisfaction? Design: A multicenter correlational design was adopted involving surgical patients from six European countries: Cyprus, Czech Republic, Greece, Finland, Hungary, and Italy. Methods: A convenience sample of 1,565 patients was recruited in autumn 2009. The short version of the Caring Behaviours Inventory (CBI; 24 items) and Patient Satisfaction Scale (PSS; 11 items) were used. Data analysis included descriptive statistics, as well as correlation analysis and stepwise multiple regression, to examine relations between caring behaviors and patient satisfaction. Findings: According to the patients involved, nurses performed caring behaviors between very frequently (score = 5) and always (score = 6). Patient satisfaction with nursing care was also high, between satisfied (score = 3) and very satisfied (score = 4). A positive correlation emerged between CBI and PPS (r= 0.66, p < .01) ranging between countries from 0.27 to 0.85 (Czech Republic r= 0.27, Cyprus r= 0.76, Finland r= 0.71, Greece r= 0.85, Hungary r= 0.63, and Italy r= 0.45 [p < .01]). Among the CBI dimensions, “connectedness” mainly explains patient satisfaction (R2= 0.404, p < .001), followed by “assurance” (R2= 0.032, p < .001) and “respectful” (R2= 0.005, p < .001). Conclusions: Caring behaviors enacted by nurses determine a consistent proportion of patient satisfaction. This association between them suggests several implications for nursing education, practice, and management. Clinical Relevance: The results may be utilized by policymakers, nurse ward managers, nurse educators, and clinical nurses as a background for taking appropriate measures to improve nursing care provided, thereby enhancing patient satisfaction.
ISSN: 15475069
DOI: 10.1111/j.1547-5069.2011.01413.x
Rights: © Sigma Theta Tau International
Type: Article
Affiliation : Cyprus University of Technology 
University of Udine 
University of Turku 
University of Nicosia 
University of Ostrava 
National and Kapodistrian University of Athens 
Semmelweis University 
Appears in Collections:Άρθρα/Articles

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