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Wolf, Debra M. (2008) EFFECT OF PATIENT-CENTERED CARE ON PATIENT SATISFACTIONAT HOSPITAL DISCHARGE. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Patient-Centered Care (PCC), also known as individualized care, focuses on the patient¡¯s right to have his/her values and beliefs respected as an individual. The purpose of this study was to examine the effect of PCC on a patient¡¯s level of satisfaction at discharge from an acute healthcare setting. The study examined the effect of PCC on patient satisfaction, the quality of patient care and the patient¡¯s perception of nursing care. Participants consisted of 116 patients scheduled to undergo gastric bypass surgery within a community hospital. Eligibility criteria included: a) age > 18 years, b) scheduled for bariatric surgery c) surgical procedure performed by one predefined surgeon; and d) expected hospital stay of ¡Ý 2 days. Exclusion criteria consisted of: a) prior admission to the study unit or b) bariatric surgery performed by a surgeon other than the predefined surgeon c) transfer off study unit, and d) scheduled for a LAP Band procedure. Subjects (aged 46 ¡À 12 years) were randomized to the experimental (n=58) or control (n=58) group. The experimental group was called 24 to 48 hours prior to the scheduled admission and cared for by nurses trained in providing PCC. The Control group received usual care. Both groups completed two questionnaires at discharge and were contacted 24 to 48 hours post discharge to complete a structured interview. There were no statistically significant differences between groups in age, gender, race or marital status, but a greater number of females were found in the PCC group (n=50) vs. usual care group (n=41), p= 0.07; there was no difference in LOS, p=.776; postoperative infection, p=1.0; falls, p=1.0 or post-op complications. When measuring overall satisfaction no statistically significant differences were found between groups, p=.247. Findings indicate that PCC did not significantly impact patient outcomes examined in the setting utilized in this study


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Wolf, Debra
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairHoffman, Leslielhof@pitt.eduLHOF
Committee MemberSchmid,
Committee MemberRosenzweig, Margaretmros@pitt.eduMROS
Committee MemberFriede, Samuelfriede@pitt.eduFRIEDE
Committee MemberZullo,
Date: 16 January 2008
Date Type: Completion
Defense Date: 3 December 2007
Approval Date: 16 January 2008
Submission Date: 8 January 2008
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Nursing > Nursing
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: nursing outcomes; patient satisfaction; Patient-centered care; quality of care
Other ID:, etd-01082008-193739
Date Deposited: 10 Nov 2011 19:30
Last Modified: 15 Nov 2016 13:36


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