Inpatient satisfaction and job satisfaction/stress of medical workers in a hospital with the 7:1 nursing care system (in which 1 nurse cares for 7 patients at a time)

Fujimura, Yuko; Tanii, Hideji; Saijoh, Kiyofumi

doi:10.1007/s12199-010-0174-x

Environmental Health and Preventive Medicine

Table 1 Demographic characteristics of inpatients and their QOL before hospitalization and satisfaction after admission

From: Inpatient satisfaction and job satisfaction/stress of medical workers in a hospital with the 7:1 nursing care system (in which 1 nurse cares for 7 patients at a time)

	Total	Men	Women	P ^c	LOS <15	LOS ≥15	P ^c	10:1 system	7:1 system	P ^c
n, %	202	134, 66.3	68, 33.7		113, 55.9	89, 44.1		91, 45.1	111, 55.0
Mean age, years	56.9 ± 11.7	57.9 ± 10.9	54.9 ± 12.9		55.3 ± 12.1	58.8 ± 10.9	*	58.5 ± 11.9	55.2 ± 11.4	*
Median age, years	59.0	59.0	57.5		58.0	60.0		61.0	57.0
Mean LOS, days	14.2 ± 8.4	13.8 ± 8.0	15.0 ± 9.3		8.9 ± 3.4	20.9 ± 8.2	***	15.2 ± 6.9	13.3 ± 9.5
Median LOS, days	13.5	13.0	14.0		9.0	19.0		15.0	11.0
QOL before hospitalization^a
Norm-based scores of each item
Physical Functioning	45.8 ± 12.4	48.4 ± 8.9	40.8 ± 16.2	***	47.9 ± 11.0	43.2 ± 13.6	**	45.1 ± 13.5	46.3 ± 11.4
Role-Physical	41.8 ± 13.0	43.4 ± 11.3	38.7 ± 15.6	*	44.2 ± 11.9	38.7 ± 13.8	**	41.2 ± 13.6	42.3 ± 12.6
Bodily Pain	47.1 ± 10.7	48.4 ± 9.6	44.6 ± 12.3	*	48.2 ± 10.6	45.7 ± 10.8		47.0 ± 11.0	47.2 ± 10.5
General Health Perception	39.3 ± 7.0	39.5 ± 7.0	38.8 ± 7.0		40.5 ± 6.5	37.8 ± 7.3	**	38.9 ± 6.8	39.6 ± 7.2
Vitality	46.7 ± 10.2	47.9 ± 9.6	44.4 ± 11.1	*	47.6 ± 10.0	45.5 ± 10.4		47.1 ± 9.4	46.4 ± 10.9
Social Functioning	45.0 ± 11.2	46.2 ± 9.3	42.7 ± 14.1		46.6 ± 11.2	43.0 ± 10.9	*	44.5 ± 10.3	45.5 ± 11.9
Role-Emotional	44.3 ± 11.6	45.7 ± 10.2	41.6 ± 13.6	*	46.9 ± 9.9	41.0 ± 12.9	***	43.9 ± 11.7	44.7 ± 11.6
Mental Health Perception	45.5 ± 10.0	46.0 ± 9.7	44.5 ± 10.6		46.1 ± 9.8	44.8 ± 10.4		45.4 ± 9.0	45.6 ± 10.8
Norm-based scores of summary scores
Physical Component Summary	43.3 ± 12.1	45.6 ± 10.0	38.9 ± 14.6	***	46.3 ± 10.6	39.6 ± 13.1	***	42.5 ± 13.3	44.0 ± 11.1
Mental Component Summary	45.8 ± 8.8	46.0 ± 8.6	45.3 ± 9.0		46.0 ± 8.7	45.5 ± 8.9		45.9 ± 7.8	45.6 ± 9.5
Satisfaction^b
Medical Care	4.14 ± 0.75	4.13 ± 0.73	4.17 ± 0.79		4.17 ± 0.72	4.11 ± 0.78		4.01 ± 0.78	4.26 ± 0.70	*
Nursing Care	4.24 ± 0.65	4.22 ± 0.66	4.28 ± 0.66		4.29 ± 0.60	4.19 ± 0.72		4.07 ± 0.69	4.38 ± 0.59	***
Physical/Mental Recovery	4.01 ± 0.70	4.03 ± 0.68	3.97 ± 0.74		4.11 ± 0.63	3.89 ± 0.77	*	3.86 ± 0.76	4.14 ± 0.63	**
Overall Satisfaction	4.21 ± 0.70	4.22 ± 0.65	4.19 ± 0.78		4.27 ± 0.63	4.12 ± 0.77		4.05 ± 0.79	4.33 ± 0.58	**

^aSF-36 was used to examine the inpatients’ QOL before hospitalization. The scores of each item were calculated by the norm-based score (Mean = 50.0)
^bSatisfaction was scored using Likert-type 5-points scalelike very satisfied, somewhat satisfied, neither satisfied nor dissatisfied, somewhat dissatisfied, and very dissatisfied. Questionnaire for Satisfaction for Medical/Nursing Care consisted of 7 items so that the sum score was divided by 7 in order to make comparison with Satisfaction for Physical/Mental Recovery and Overall Satisfaction easy
^cStudent's t-test (*P < 0.05, **P < 0.01, and ***P < 0.001)

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