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Nurses’ Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units

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  • Stephen J. Aragon
  • Liana J. Richardson
  • Wanda Lawrence
  • Sabina B. Gesell

Abstract

Objective . This study examined to what degree patient-centeredness—measured as an underlying ability of obstetrical nurses—influenced Medicaid patients’ satisfaction with care in hospital obstetrical units. Design . Multigroup structural equation modeling design, using three cross-sectional random samples ( each) from the 2003 Press Ganey National Inpatient Database. Setting . Self-administered mail surveys. Participants . 900 Medicaid recipients recently discharged from inpatient hospital obstetrical units across the United States. Methods . Multigroup structural equation modeling was used to test the goodness of fit between a hypothesized model based on the Primary Provider Theory and patients’ ratings of nurses. Results . The model fitted the data well, was stable across three random samples, and was sustained when compared to a competing model. The patient-centeredness of nurses significantly influenced overall patient satisfaction and explained 66% of its variability. When nurses’ patient-centeredness increased by one standard deviation, patients’ satisfaction increased by 0.80 standard deviation. Conclusion . This study offers a novel approach to the measurement of the patient-centeredness of nurses and a paradigm for increasing it and its influence on Medicaid patients’ satisfaction in hospital obstetrical units.

Suggested Citation

  • Stephen J. Aragon & Liana J. Richardson & Wanda Lawrence & Sabina B. Gesell, 2013. "Nurses’ Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-7, August.
    • Handle: RePEc:hin:jnlnrp:563282
    DOI: 10.1155/2013/563282
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    2. Epstein, Ronald M. & Franks, Peter & Fiscella, Kevin & Shields, Cleveland G. & Meldrum, Sean C. & Kravitz, Richard L. & Duberstein, Paul R., 2005. "Measuring patient-centered communication in Patient-Physician consultations: Theoretical and practical issues," Social Science & Medicine, Elsevier, vol. 61(7), pages 1516-1528, October.
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