Has Relationship-Based Care between Nurses and Patients Improved Patient-Satisfaction in Emergency Situations?

A Study to Investigate Whether the Relationship-Based Care between Nurses and Patients has Improved Patient-Satisfaction in Emergency Situations

Abstract

Relationship based care in hospital is fundamental among medical health workers. Creating a conducive environment were patients and medical staff co-exist in a manner that is peaceful is very important in a setting where the major business is saving lives. In order for good service delivery to be there in hospital good interpersonal relationship is necessary. Nurses who are the primary assist of doctors and are the ones who spend most of their time around patients need to have a good relationship with the patients. When dressing a patient wound, when giving an injection, when helping a patient to dress-up, when giving a patient medicine and when helping a pregnant woman give birth. All these mentioned activities should be done with love and care for the patient so that patients get well quickly and are able to get on their feet, go home and perform their daily routines. We are going to be mainly looking at a hospital in Hong Kong China In which l did a thorough research on the patient’s relationship with nurses and how this relationship has improved patient’s satisfaction during emergency situations.

Kwong Wah Hospital, a district general hospital in Hong Kong specifically Yau Ma Tei has been providing a lot of services to the community and also the greater China. It provides full medical services such as urology services, dental care, cardiology services, maternal services to mention but a few. There are many staff in the hospital who are responsible for running different department in the hospital. Examples of these sections are the kitchen section which is headed by the chief cook, the nursing department which is headed by a matron, then there are doctors and pharmacists who are responsible for the medical activities in the hospital (Strong, 2014). The hospitals activities are funded by the government this means that all major staff are paid by the government. There are other subordinate staff such as watchmen. Cooks and other doctors who visit on locums who are paid by the hospital who government funding. Our main focus was on the relationship between the nurses and patients in the hospital and how relationship-based care was a game changer in terms of performance.

Relationship based care simply means that nurses are trained on how to form basic personal relationship with a patient so that a patient feels warm and welcome in the case where he or she ones to express himself. Relationship based care also helps a nurse to be most comfortable whenever he or she is handling a patient. It makes the two parties form a strong and formidable bond between each other.  In Hong Kong China, this kind of practice has taken center stage due to its success. It has enabled many patients develop a positive attitude towards nurses since it was a common notion that nurses were rude and did not show empathy for the sick people, they were taking care of. In kwong Wah hospital, before the introduction of relationship-based care there were a lot of complaint among community members on the way nurses delivered services (Strong, 2014). One of the finding l came up with was in the maternity ward. Most women after delivering their babies said it was the worst experience they had ever had. Not because of the pain associated with child birth but because of ill treatment from maternity nurses who abused and harassed them. These complains were heard and it led to the introduction of relationship-based care.

Nurses were put under training which equipped them with necessary skills to handle a patient. In my research l used questioners, interviews and general talking to patients in all areas of the hospital e.g., oncology wards, maternity ward to mention but a few.  Most patients agreed that care given to them gives them hope and will to fight on. Emergency situations in hospitals had had an improved success rate due to good relationship between nurses who are the primary care givers and the patients. From this study we learn that in deed having good social between a patient and nurse is very important. Success in emergency situation is very much dependent on there is personal touch (Strong, 2014). Looking forward to figuring out how to implement a variety of interventions to hasten quality of services provided by these health-care facilities. The study hopes to produce useful knowledge for the administrators of health services which will be used to develop more improved quality of care that are in line with the patients’ expectations. This analysis was carried out with the aid of a descriptive correction.

A total of 250 patients were recruited and used during the report with different medical, gynecological, and operational diagnoses. In order to collect information from the patient based on personal opinions, two main research tools, together with a sociodemographic data type, were used to complete this analysis. Quality Questionnaires were also distributed to patients’ expectations and patient satisfaction with healthcare questions (Strong, 2014). The results showed that most people were satisfied with the current program based on relationships and ethical aspects of Kwong Who hospital’s healthcare services. Patient satisfaction has been the most significant goal for the majority of non-profit government hospitals. It is possible to create a measurement of the effectiveness and success of these service providers in the health facilities of China by patient satisfaction.

Introduction and background

            Relation based nursing is a care delivery model whose aim is to improve nursing care. Its main aim is transforming nursing from a task force to a service and care model. Working in a safe and friendly environment is always the dream of any nurse whose passion is helping patients. There are three relations involved in this model. The caregiver and the patient’s self-consciousness, nurse and patients. Having a clear conscious is very important to a practicing nurse since one needs a clear mind to perform duties since mistakes may cost a patient his or her life (Murdock et al, 2013). Personal problems should always be kept separate in times of work. Good relationship between a colleague and a nurse provides a clear working environment, an environment not crowded by animosity and bad blood which may result to poor service delivery to the patients.

Relationship based care was started after clear analysis of nursing trends in Hong Kong China. It was found that there was an increased mortality rate among patients especially pregnant women who died during child birth. The causes of death were majorly due to ignorance and laxity among nurses on duty. This was a major concern which needed to be looked into to. The medical sector in the country quickly introduced a form of training on how to handle patients with different kind of conditions such as HIV/aids, diabetes, heart disease to mention but a few (Matis et al, 2009). Nursing was quicky being changed from a normal workforce to an actual service delivery. In order to become a good nurse, one had to undergo regular training on the upcoming trends on social behaviors of human beings. Patients react differently to messages from nurses.

Nurses had to learn this and try and to get to know a patient better before giving him or her sensitive information. Back before introduction of relation-based care which is a common trend in many countries now patients used to act out and some used to attack nurses (Murdock et al, 2013). Take for example an insensitive nurse comes and tells a patient that he has a very time to live without showing some kind of empathy, depending on the patient, some may opt to attack the nurse, others may cry while others may resort back to outright denial. Another practical example is during child birth among pregnant women in labor wards.

Some nurse lacks love and empathy for patients and may end up abusing the pregnant mothers trying bring forth life. Relationship based care is centered on promoting equality promoting love safety and general patients excellent experience in a hospital. the establishments (Abdel, 2012). However, measuring the response of patients from health facilities and thus determining whether both clinical and non-cline results can influence patient satisfactory outcomes is extremely difficult to quantify and estimate the degree of satisfaction obtained from healthcare facilities (Murdock et al, 2013).

Patient satisfaction, on the other hand, was described by Friesner et al. (2009) as the patient’s subjective assessment based on his or her cognitive emotional reaction as a result of his or her relationship with his or her expectations for health care and the actual experience of the nurse or the actual services that the patient receives (Murdock et al, 2013). It can be described as a personal assessment that a particular consumed product, or rather, a particular service function, provides a certain level of pleasurable consumption-related fulfillment. The patient is the primary beneficiary of a healthy health-care system (Layde, 2002). He or she is the primary patient and recipient of the health-care services rendered by health-care agencies.

The patient, as a beneficiary of the health-care institution, is the institution’s or rather the health-care delivery system’s primary target, as they strive to provide the best services to the patient. The majority of health-care executives seem to be unconcerned about patients’ perceptions of the health-care system in developed countries (Matis et al, 2009). Patient satisfaction is entirely dependent on a variety of factors, such as the quality of health services provided in that specific area. The actions of physicians and other health care service providers, the cost of services, the current infrastructures and health care related facilities, the current physical conditions and comfort, and the emotional support that is offered are all factors to consider.

Respect for the patient’s wishes as well as to the patient (Abdel, 2012). Any mismatch between the patient’s expectations and the service provided to that particular patient will lead to a decrease in customer satisfaction. As a result, assessing the patient’s experience will provide insight that can help health institutions become more responsive to the needs and desires of their patients. Patient satisfaction is also one of the goals of a not-for-profit organization. valuable research to be conducted by healthcare providers as well as their administrators, the opportunity to come up with appropriate and desired changes to their facilities’ services Respect for the patient’s wishes as well as to the patient (Abdel, 2012). Any mismatch between the patient’s expectations and the service provided to that particular patient will lead to a decrease in customer satisfaction. AS a result, assessing the patient’s experience will provide insight that can help health institutions become more responsive to the needs and desires of their patients.

Patient satisfaction is also one of the goals of a hospital such as Kwong Wah in China. Despite competition from other existing health facilities such as private hospitals.  it is critical that each health care facility be able to satisfy its patients from all angles. A dependable method of service delivery that provides a pleasant atmosphere for patients during service delivery should be created (Ruffinen, 2007). Furthermore, policies must be placed in place to ensure that all health care agencies provide high-quality services. The essence and types of programs provided by healthcare organizations are heavily influenced by government policies. For example, government policies can have an impact on the operation of such facilities in a given country, preventing them from providing the best care to their patients.

Several studies on patient satisfaction have gained prominence in recent years, and they have been regarded as the most valuable research to be conducted by health-care systems (Saleh et al, 2011). This is especially important when it comes to healthcare organizations, as many stakeholders are interested in learning more about how they function and how they are able to meet the needs of patients seeking medical assistance. they’re coming from These studies are often thought to be very useful because they offer private, public, and non-profit health care providers as well as their administrators the opportunity to in most cases, patients were more pleased with the technological as well as ethical aspects that prevailed at this health care facility, according to the survey (Matis et al, 2009). These high levels of satisfaction were also serene in other ways, such as the health care provider’s ability to care for patient as well as their competence, maintaining anonymity, being very sympathetic, and showing respect and more civil contact.

The patients, on the other hand, were dissatisfied with the clinical information given to them by the nurses about the illness, their health status, the investigation procedures, and the prognosis of their conditions, according to the report (Griffin, 2014). Some conclusions about the status of nurses in not-for-profit health care facilities can be derived from the findings, in the sense that they have in most cases shied away from providing adequate information that is acceptable to patients, which has often been considered as a task that was supposed to be carried out by the doctor (Strong et al, 2014). This crucial position as information provider that the general public expects from health care professionals, such as nurses, is the most important factor in the empowerment of nurses through their main positions as advocates for their own patients.

In most cases, the studies emphasize the role of nurses in providing patients with knowledge about their diagnosis, treatment protocols, and prognosis as a vital part of advocating for human rights and making educated decisions about their care. Because of the “ritualized nurse-doctor relationship,” Martin (2013) defined all of the challenges that nurses are likely to face when they assume their roles as advocates. This refers to the relationship between doctors and nurses. The nurses were still forced to recognize the status quo in this situation, it was noted (Mahdzir et al, 2012). In the vast majority of cases, such circumstances result in a severe problem, as nurses are supposed to express themselves. They are expected to show concern while still adhering to the doctor’s disclosure of details and distancing themselves from the patient. If a health-care organization wishes to increase patient satisfaction, it must prioritize them in all aspects of its operations they’ve considered.

They are supposed to focus their efforts on the patients’ needs. Staff members and other health care providers, for example, are expected to be gentle with patients (Gok et al, 2013). This is because patients constantly assess the quality of the care they receive, and their level of satisfaction is determined by this. When a patient is treated with dignity, for example, they are more likely to be pleased with the care they got. Patients’ comments, anecdotes, and verbatims are meant to be used by health-care systems to improve outcomes. The majority of developed health-care facilities that have high levels of patient satisfaction rely on patient reviews and comments to drive change in their facilities (Turner et al, 2014). In every company, this is a critical factor to consider.

If there is any discontent among the patients, it is important to perform a survey of the patients to determine the root of the dissatisfaction. When they receive feedback from patients, they will have firsthand knowledge from which to discuss their needs, and as a result, they will experience high levels of patient satisfaction. It is also important to have direct contact between caregivers in order to increase the patient’s satisfaction. Since patients are not medical experts, they often rely on proxy indicators such as correspondence between nurses and physicians to determine the quality of the treatment they are receiving (Friesner et al, 2009). Some patients may feel that they are providing substandard care due to a perceived lack of good communication between the doctor and the nurse come up with appropriate and desired changes to their facilities’ services within the confines of a specific country the input from the investigational patients will be collected in this study.

This paper is focused on a longitudinal analysis that will be performed based on the opinions and perspectives of respondents, who are primarily some of the recipients of health care services provided by Kwong Wah hospital in China.

Review (study) of Literature

The primary incentive to carry out and assess patient satisfaction in the case of emergency in relation to relationship-based delivery. This has been increasingly motivated by the overarching political ideas of the “modern public management” as well as the concomitant that arose in the health-care consumer movement. Patient satisfaction has been the most expressed goal for the delivery of health care services so far in this campaign. With the recent emergence of the patient’s rights movement, there has been much discussion about the proper relationship that exists between patient satisfaction as a metric or mechanism and well-established technical care standards (Williamson, 2011). As a result, using patient satisfaction as a metric in the healthcare sector, especially in not-for-profit organizations, has become a requirement, and it is now being done on a wide scale in order to figure out various ways to enhance the services that are being offered.

For example, since 1998, measuring patient satisfaction has been a requirement for all French hospitals (Ugiliweneza, 2011). This data is typically used to enhance the hospital’s service delivery, as well as the atmosphere, patient services, and facilities in a consumerist context. Despite the fact that many detailed patient satisfaction surveys and research are published in books and other peer-reviewed publications, there is a specific body of study that is used to objectively analyze the literature as well as the examination of its construct and its results. Take advantage of (Layde, 2002). This paper focuses on particular agreements that state that patient satisfaction may face a number of challenges, including insufficient conceptualization of the construct by not-for-profit organizations (Williamson, 2011). Furthermore, there has been no agreement on what the required acceptable criteria are that the patients need.

This is due to the fact that patients have varying levels of satisfaction and desires. What one patient finds satisfying may not be the same as what other finds satisfying. Despite this, there are general satisfaction levels that can be used to determine the outcomes and types of health care services offered by these non-profit organizations. Crowe (2002) identifies 37 studies that are used to investigate methodological problems, as well as 138 studies that are used to investigate the primary and fundamental determinants of what is referred to as satisfaction. They primarily stated that there is widespread consensus that a straightforward, definitive conceptualization of patient satisfaction with the health-care system has yet to be achieved, and that a common understanding of the mechanism by which a patient can become pleased or frustrated at any time remains unanswered (Lee, 2010). These studies also show that satisfaction is a very subjective term.

Furthermore, it can only be used to mean that appropriate facilities are being delivered in a specific health-care facility. Furthermore, Crowe (2002) stated in his study that patient satisfaction is more of a cognitive assessment of the form and quality of services being given, which is emotionally influenced. As a result, it becomes a subjective experience for each person (Gill et al, 2009). There has been consistent proof in a variety of environments. Interpersonal partnerships, as well as other similar facets of health care service provision, are suggested to be the most significant and key determinants of individual satisfaction. What everybody agrees on is that satisfaction has evolved into a kind of end point in the process. As a result of the study and other benchmarking programs, the following outcomes have been discovered: (Ball, 2006). Patient satisfaction has now become the most important component of the quality of health-care outcomes, which includes all other factors such as clinical outcomes, economic indicators, and the patients’ health-related quality of life. Instruments that are used to assess a patient’s level of satisfaction with their medical treatment.

Some authors, such as (Hulka, 1970), developed the first steps that can be used to calculate patient satisfaction levels in health care service providers, which also includes the patient satisfaction levels. The creation of the so-called “Satisfaction with Physician and Primary Care Scale” kicked off this process. The “Patient Satisfaction Questionnaire,” developed by Ware and Syder (1975), was then used to compare this scale of patient satisfaction with the one developed by Ware and Syder (1975). This one was designed to aid in the related planning, administration, and assessment of health care service delivery systems. Another one, known as the “Client Satisfaction Questionnaire” developed by Larsen et al, was developed towards the end of the 1970s (1979). It was an eight-item scale that was used to measure the patient’s overall satisfaction with the type of health care services that were provided. This one was superseded by another, known as the “Patient Satisfaction Scale,” which was established by the same people in 1984.In the marketing of health care services, there is a high level of satisfaction.

Studies show that without standardized instruments and other high satisfaction scores from various studies, it would be almost impossible to make such significant and concrete associations between them. Rate scale for patient satisfaction (Steinwachs, 2006). Furthermore, it was recorded that between 40 and 60 percent of the total respondents exhibited some kind of acquiescent answer set that was biased. Others also suggested that the patient’s dependency makes it difficult for them to come out and express some frustration (Friesner et al, 2009).

Furthermore, it is said that the majority of patient satisfaction tools were developed in China for use in ad hoc hospitals. Since then, a significant amount of patient satisfaction research has been thoroughly investigated, resulting in the identification of over 3,000 published journal articles as well as hundreds of measuring instruments produced in the 10 years preceding the study of those materials. In order to gather information on the unresolved difficulties that are encountered in the satisfaction construct, it is clear from many service literatures sources that both a summary psychological condition as well as experiencing the specific difficulties are needed (Gok, 2013). The difference between previous expectations and actual performance, which includes both effective and cognitive elements, is the outcome state.

The fulfillment response as well as the experimental construct, as well as the response to both the process and the outcome, is the outcome state (Murdock, 2013). Given a broad variety of concepts, there has recently been a lot of debate in the marketing literature about the various ways to conceptualize and quantify the types of services that the recipient satisfaction is in the concept. The latest research on customer satisfaction have been primarily motivated by the dominant need to understand the behavioral intentions of consumers (Gill, 2009).

Despite this, its level and the nature of measurement can vary depending with the assumptions which are made as to what satisfaction means. A good number of the main approaches that are used in the measurements can be identified easily. Some of these measures include the expectancy disconfirmation, technical functional split, performance only, as well as satisfaction versus the service quality. This also includes the importance of the attribute. Patient satisfaction and the perceived quality of the services in the health care system. The amount of research conducted in the health-care sector into patients’ perceptions of various aspects of service quality has been severely reduced (Saleh, 2011). Despite this, research aimed at evaluating the various aspects of healthcare quality continue to be conducted.

Who is the one who is both compliant and self-sufficient? However, some work on clinical governance has been completed, and it can be used to highlight the importance of the patient’s viewpoint. The work has also been focused on some of the particular areas that are described as the most important by service providers, rather than what is actually considered to be the most important by patients. Contrary to popular belief, some studies have shown a substantial decrease in overall health-care costs as patients’ views of the quality of services increase (Matis et al, 2009). Furthermore, the complexities of poor service delivery have included squandering of resources, a lot of duplication, and the misapplication of professional workers. An improvement in functional efficiency also improves the medical illness’s outcomes. In controlled trials, such as those on diabetes, asthma, hypertension, and rheumatoid arthritis, this is more precise (Williamson, 2011).  This is when operating within a set organization, ensures the healthcare workers are focused on the patient and have knowledge of their behaviors in the hospital is accommodated through compassionate caring relationships with the patient and family, colleagues with whom you work and the self.

The related care model that has been provided includes an environment of care In meeting the physical needs of the individual, therapeutic environment plays a key role in promoting comfort and cure. The physical environment in which you get care provides an immediate context for your experience and can therefore have a bearing on how you connect to a comfortable environment. Concentrating on the available resources, and not the resources that are lacking, gives priority to the patient and family (Saleh, 2011). In providing compassionate relationship treatment, each healthcare professional has a role to play. By demonstrating compassion, the spirit of teamwork promotes responsibility for their own actions for each healthcare professional. This encourages leaders to emerge at all levels and emulates the view of the service provider’s relationship care.

Relation-based care ensures that health professionals focus on the patient and are aware of their actions in the treatment chain when operating within an organization. In general, it initiates structures and processes that support all team members in building relationships and ultimately ensure they have the capacity to offer compassionate care of a high standard. The focus is on the patient. Care is accommodated by caring for the patient and the family, the people with whom you work and yourself (Saleh, 2011). Promoting independence and leadership and making sure that the vision of the organization of care centered on people is known to all health care professionals. Encourage respect for everyone and dignity. Promoting a good environment by open communication.

Methodology of the Research

Introduction to Methodology

This chapter contains a method for researching a dissertation, as indicated in the title. More details are provided in Chapter 1 on the research strategy, research method, research approach, data collection methods, sample selection, the research procedure, type of data analysis. This analysis has a method for researching the project, as indicated. In the study strategy, method of research, approach to research, methods for data collection, sample selection, investigation processes, type of data analysis is given in greater detail.

Research Subject or Topic

The research held with respect to this dissertation was an applied one, but not new. Rather, numerous pieces of previous academic research exist regarding the efficiency of relationship-based services in Kwong Wah hospital (Bell, 2005). As such, the proposed research took the form of a new research but on an existing research subject.

Research Method

In order to satisfy the objectives of the dissertation, a qualitative research. However, the effectiveness of qualitative research is heavily based on the skills and abilities of researchers, while the outcomes may not be perceived as reliable, because they mostly come from researcher’s personal judgments and interpretations (Bell, 2005).  Qualitative research aims at a complete and detailed description.

The aim is to classify features, count them, and construct statistical models in an attempt to explain what is observed. Researcher may only know roughly in advance what he/she is looking for. Researcher knows clearly in advance what he/she is looking for. Recommended during earlier phases of research projects. Recommended during latter phases of research projects. The design emerges as the study unfolds. All aspects of the study are carefully designed before data is collected. Researcher is the data gathering instrument. Researcher uses tools, such as questionnaires or equipment to collect numerical data. Data is in the form of words, pictures or objects (Bell, 2005). Data is in the form of numbers and statistics. Subjective – individuals’ interpretation of events is important, e.g., uses participant observation, in-depth interviews etc. Objective: seeks precise measurement & analysis of target concepts, e.g., uses surveys, questionnaires etc. Qualitative data is ‘richer’, time consuming, and less able to be generalized (Bell, 2005). Quantitative data is more efficient, able to test hypotheses, but may miss contextual detail. Researcher tends to become subjectively immersed in the subject matter. Researcher tends to remain objectively separated from the subject matter.

Research Approach

The research approach that was followed for the purposes of this research was the inductive one. According to this approach, researchers begin with specific observation, which are used to produce generalized theories and conclusions drawn from the research. The reasons for occupying the inductive approach were that it takes into account the context where research effort is active, while it is also most appropriate for small samples that produce qualitative data (Freedman et al., 2007). A total of 250 patients with various medical diagnoses were randomly selected from the population who were direct beneficiaries of non-profit health care institutions. They were enlisted to take part in this research, which was descriptive in nature. The Kwong Wah hospital has a total capacity of 200 beds, as well as 25 expansive outpatient clinics staffed by medical specialists. There was a total of 250 nurses present at the time of data collection, with 120 of them being registered nurses and the other 130 being practical nurses. Some of these registered nurses have a Bachelor’s degree in nursing, while others have completed 3-year diploma programs. Practical nurses typically have a two-year diploma, but some have a high school diploma in nursing. Patients were chosen for the study based on the hospital’s three main units, including the female medical surgical department, which has 21 beds and is serviced by a total of 13 nurses (Freedman et al., 2007). The male medical surgical department, which has a total of 23 beds, was the second group, followed by the obstetrics and gynecology department, which had a total of 21 beds and 13 nurses at the time. The eligibility criteria for the patient sample population are based on members of not-for-profit health-care services who were 18 years old or older.

They also included patients who had ever been hospitalized for at least two days during the time the data was being gathered. The respondents who were chosen were also those who were able to interact and consent to participate in the research, as well as those who were mentally and physically willing to participate in the interview (Freedman et al., 2007).

Data Collection Method and Tools

For research purposes, interviews were used.  interviews are personal and unstructured. whose aim is to identify individual’s emotions and feelings and opinions regarding a particular research subject. The signifanct advantage of personal interviews is that they involve personal and direct contact between interviewers and interviewees, as well as remove non-response rates, but interviewers need to have developed the necessary skills to successfully carry out an interview (Freedman et al., 2007). However, there is the risk that the interview may deviate from the prespecified research aims and objectives. As far as data collection tools were concerned, the conduction of the research involved the use of semi-structured questionnaire, which was used as an interview guide for the researcher (Freedman et al., 2007). Some questions were made for the researcher to guide the interview towards the utmost satisfaction of research objectives.

Some sample questioned that were included in the questionnaire were

  • Question 1- what’s your general view on relationship-based care.
  • Question 2- Do you think it has had a positive impact on your patient nurse relationship
  • Question 3- Would you want it to continue.

Sample Selection

purposive sampling method was used to come up with the sample of the research under discussion. According to this process, which belongs to non-probability sampling techniques categories, sample individuals are selected on the basis of their IQ ship relationships and expertise regarding a research subject (Freedman et al., 2007). In the current study, the sample individuals who were selected had close relationship with the phenomenon under investigation, sufficient and relevant work experience in the field of healthcare, active involvement in several healthcare factors and partnerships, as well as background research and good understanding of raw data concerning healthcare. Within this context, the participants of this study were executives of 15 highly trained doctors in Kwong Wah hospital.

Research Process

Meetings were conducted in April and December of 2021 with the executives of the hospital staff mentioned above, to acquire acceptance of their inclusion in the research Process. To be more specific, the researcher came in touch with and asked them to participate in the research after explaining the nature and the scope of the study. In general terms the respondents were willing to participate in the research and the interviews were conducted between June to May 2021. The discussions were conducted at the offices of the executives and lasted about 15 to 45 minutes.  During the conduction of the interview, respondents were allowed to express their views

Data Analysis

Content analysis was used to analyze the data which was gathered from personal interviews. According to (Moore & McCabe, 2005), this is the type of research whereby data gathered is categorized in themes and sub-themes, so as to be able to be comparable. A main advantage of content analysis is that it helps in data collected being reduced and simplified, while at the same time producing results that may then measured using quantitative techniques.

Ethical Consideration

There were certain ethical problems in the current study. As mentioned above, through a signed consent and a briefing letter all participants have reported their written acceptance for their participation in the research.  The objective of both letters was to make sure that participants were voluntary in the research and that they were free to withdraw from it at any time and for any reason. In addition, the study objectives of the participants were fully informed and assured that their responses were treated as confidential and used for academic purposes only.

Research Limitations

This study had the following disadvantages:  The sample size was relatively small – 15 participants. A larger sample would probably increase the reliability of the research. Qualitative research is not quite completely honest in giving results (Turner et al, 2014).

Results/ Analysis

After a completing the research using the above-mentioned methodologies, I came up with results. Results were calculated on the basis of pure mathematical basis. This means that arithmetic precision took center stage in my result analysis. The overall result was based on whether many people in the hospital and also the general community appreciated relationship-based care. This was mainly done through compete transparency and honesty (Griffin, 2014). According to the report on the results many patients in Kwong Hospital in Hong Kong had a positive attitude towards relationship-based care. One said it has really encouraged him to fight on through his illness, this was a prostate cancer patient however he said to keep his name up wrap for confidentially reasons.

The top management were however reluctant to give me full details of the progress of the hospital in relation to relationship-based care. Looking at the results from the interviews most hospital staff in the hospital were rather reluctant to provide information about the hospital citing in was against the hospital policies and rules. The patient’s mean age was 36.4 years, with a standard deviation (SD) of 14.3 years, according to the study (Griffin, 2014). Male patients made up the bulk of the patients, accounting for 59 percent of the overall study. Female patients, on the other hand, made up 41% of the total study population. It was an interesting experience. Holders of secondary school education and post-secondary education were the most educated accounting for 52 percent of the samples, while those with a higher made for just 34 percent of the total population. It was also found out that 42 percent of the respondents had been in hospital for more than 34 days.

The findings of this study revealed that they were extremely pleased with the overall quality of the hospital’s service, as well as the nursing care, and that they would also recommend this hospital to some of their family and friends.

Discussion

In most cases, patients were more pleased with relationship- based care among nurses and patients as well as ethical aspects that prevailed at this health care facility, according to the survey. These high levels of satisfaction were also seen in other ways, such as the health care provider’s ability to care for patients.as well as their competence, maintaining anonymity, being very sympathetic, and showing respect and more civil contact. The patients, on the other hand, were dissatisfied with the clinical information given to them by the nurses about the illness, their health status, the investigation procedures, and the prognosis of their conditions, according to the report (Griffin, 2014). Some conclusions about the status of nurses in not-for-profit health care facilities can be derived from the findings, in the sense that they have in most cases shied away from providing adequate information that is acceptable to patients, which has often been considered as a task that was supposed to be carried out by the doctor (Strong, 2014).

This crucial position as information provider that the general public expects from health care professionals, such as nurses, is the most important factor in the empowerment of nurses through their main positions as advocates for their own patients. In most cases, the studies emphasize the role of nurses in providing patients with knowledge about their diagnosis, treatment protocols, and prognosis as a vital part of advocating for human rights and making educated decisions about their care. Because of the “ritualized nurse-doctor relationship,” Martin (2013) defined all of the challenges that nurses are likely to face when they assume their roles as advocates. This refers to the relationship between doctors and nurses. The nurses were still forced to recognize the status quo in this situation, it was noted (Mahdzir, 2012). In the vast majority of cases, such circumstances result in a severe problem, as nurses are supposed to express themselves.

They are expected to show concern while still adhering to the doctor’s disclosure of details and distancing themselves from the patient. If a health-care organization wishes to increase patient satisfaction, it must prioritize them in all aspects of its operations they’ve considered They are supposed to focus their efforts on the patients’ needs. Staff members and other health care providers, for example, are expected to be gentle with patients (Gok, 2013). This is because patients constantly assess the quality of the care they receive, and their level of satisfaction is determined by this. When a patient is treated with dignity, for example, they are more likely to be pleased with the care they got. Patients’ comments, anecdotes, and verbatims are meant to be used by health-care systems to improve outcomes. The majority of developed health-care facilities that have high levels of patient satisfaction rely on patient reviews and comments to drive change in their facilities (Turner et al, 2014). In every company, this is a critical factor to consider.

If there is any discontent among the patients, it is important to perform a survey of the patients to determine the root of the dissatisfaction. When they receive feedback from patients, they will have firsthand knowledge from which to discuss their needs, and as a result, they will experience high levels of patient satisfaction. It is also important to have direct contact between caregivers in order to increase the patient’s satisfaction. Since patients are not medical experts, they often rely on proxy indicators such as correspondence between nurses and physicians to determine the quality of the treatment they are receiving (Friesner et al, 2009). Some patients may feel that they are providing substandard care due to a perceived lack of good communication between the doctor and the nurse.

Conclusion

The majority of health-care programs have tended to assess patient satisfaction (Gok et al, 2013). There is a lack of clear clarification about how to decide the best way to determine the relationship between patient satisfaction and how much they value their healthcare. Other scholars argued that much of the research on patient satisfaction is focused on correlation and basic descriptive statistics rather than a theoretical context (Lee, 2010). They came to the conclusion that less emphasis should be placed on patient satisfaction and more emphasis should be placed on technological and functional quality measurement.

Furthermore, research on patient discharge revealed several key details about patient satisfaction in not-for-profit organizations. More proof of a consistent distribution exists between the perceived service level and the one of the patient’s satisfaction was also provided by the hospital’s perceived quality of services as well as the patient’s satisfaction (Griffin, 2014). According to the findings of the report, patient satisfaction tends to mediate the impact of perceived service quality on behavioral intentions, which in this case include adherence to the treatment regimen as well as the ability to obey the guidance of health professionals (Zimmerman, 2002). Another research that was carried out was as follows.

Stated that satisfaction surveys conducted in health care facilities do not primarily assess the quality of care because they do not include other critical and vital aspects of care, such as being treated with dignity and being involved in some of the most important decisions. Treatment options are available. The three main assumptions are said to underpin the most basic concepts relating to healthcare relationships. They involve the specialist professional, the structure as the gatekeeper for socially funded services, and finally the ideal patients.

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