scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

2019 ◽  
Vol 35 (1) ◽  
pp. 15-30 ◽  
Author(s):  
Asad Khan ◽  
Mohamad Noorman Masrek ◽  
Khalid Mahmood

PurposeIn addition to instrumental assumptions, behavioural researchers suggest the study of individual traits such as personal innovativeness (PI), users’ satisfaction and other theoretical beliefs for example quality and general usage patterns as the latent determinants of early and post-adoptions of technological innovations. In the context of Higher Education Commission digital library of Pakistan, the purpose of this paper is to examine the relationship of PI, quality of digital resources and generic usability of digital libraries (DL) with users’ satisfaction.Design/methodology/approachTo guide the conceptual model of this study, five hypothesized relationships were formulated. Adopting a quantitative approach, snowball sampling techniques were used. A total of 464 users of DL enrolled in different programs of study in the universities of Pakistan participated and responded to the survey. For data analyses, partial least squares, a method in the structural equation modeling was used.FindingsAnalyses reveal positive and strong relationships of PI, quality of digital resources and generic usability of DL with users’ satisfaction. Thus, the findings of this study established personal traits as the significant determinants of intention to adopt DL.Research limitations/implicationsThe decision of effective adoption is manipulated by the extent of users’ willing (PI), level of satisfaction, the image of quality and users’ past experience with the use of related innovations. Thus, librarians in addition to the system features should also focus on individual characteristics and quality of resources that probably influence adequate adoption of DL.Originality/valueIn the Pakistani context, this study is the first attempt that examined the relationship of PI, the usability of DL and quality of digital resources with users’ satisfaction. Research model of this study can be used in future research. Also, this study extended the scope of theories of adoption towards DL.


2018 ◽  
Vol 11 (2) ◽  
pp. 140-150
Author(s):  
Mei Fitria Kurniati ◽  
Ahmad Zainal Abidin Abidin

The nurse is obligated to examine the basic human needs for determining the action plan and implementation to be delivered tro the patient. Patient satisfaction is one indicator of the quality of service we provide and patient satisfaction is a capital to get more patients and to get patients loyalty.The purpose of this study is to know the relationship of implementation of nursing actions based on basic human needs from Virginia Handerson with satisfaction of patient at Bhayangkara Wahyu tutuko Bojonegoro Hospital This research desaign using Cross Sectional. The sampling methode used is Purposive Sampling. A sampling of 23 nurses and 30 patients met the inclution criteria. The variables studied are the independent variables of nursing action and the dependent variable is patient satisfaction. Data were collected using questionnaire and analyzed by using Spearman Rho test with significance level 0,05. The result showed that all nurses performed a good nursing action that is as much  as 23 respondents (100 %).Patient satisfaction data found that most of respondents stated very satisfied that as many as 29 respondents (96.7%) and 1 respondent (3.3%) expressed satisfaction. The result of Spearman Rho test showed sig. ρ = 0,000 means ρ <0.05 so that  is accepted so that there is a relationship of implementation of nursing actions based on basic human needs from Virginia Handerson with satisfaction of patient at Bhayangkara Wahyu tutuko Bojonegoro Hospital. Nurses should be more active to improve the quality of the implementation of nursing actions by meeting basic human needs as a responsibility in providing professional services to improve patient satisfaction as a service user


2018 ◽  
Vol 3 (1) ◽  
pp. 61-71 ◽  
Author(s):  
Agus Widodo Mardijuwono ◽  
Charis Subianto

Purpose The purpose of this paper is to obtain empirical evidence of the relationship of independence, professionalism and skepticism with the quality of audit produced. Design/methodology/approach This research was conducted with questionnaires distributed to all auditors working in KAP Surabaya and Sidoarjo. The population in this study was all auditors working in KAP 45 Surabaya and KAP 1 Sidoarjo. Hypothesis testing was performed by using the partial least square test with the help of SmartPLS software version 3.0. Findings The results from this study found that auditor independence is positively related to audit quality but is not significant. Variable auditor professionalism is positively related to audit quality and proved significant, while the skepticism variable of auditor professionalism is positively related to audit quality and is significant. Originality/value The results of this study indicate that auditor independence, professionalism and skepticism are positively related to audit quality.


2001 ◽  
Vol 28 (6) ◽  
pp. 716-732 ◽  
Author(s):  
Paul W. Speer ◽  
Courtney B. Jackson ◽  
N. Andrew Peterson

Empowerment theory represents an expansive view of individual and collective behavior that includes the active participation of individuals and groups in altering and shaping the socioenvironmental context. Critical to health educators are local interventions that yield participation of community members and empowerment for participants. The concept of social cohesion embraces participation but expands this behavioral emphasis to incorporate notions of trust, connectedness, and civic engagement. This study presents two data sets on the relationship of participation to empowerment. The first replicates and extends previous research by examining participation with interactional as well as intrapersonal empowerment. Second is the examination of how the quality of the participatory experience—the cohesive nature of participation—is related to interactional and intrapersonal empowerment. Findings support and extend previous findings, reliably cluster residents by the degree of connectedness in their participatory experiences, and reveal that social cohesion is related to intrapersonal empowerment.


2018 ◽  
Vol 21 (1) ◽  
pp. 130
Author(s):  
Andyan Pradipta Utama

The purpose of this study was to determine the relationship of service quality with patient satisfaction in Husada hospital Jakarta in order to provide a draft proposal regarding the quality of service in an effort to improve customer satisfaction. The variables of this study is the quality of service (independent variable) and customer satisfaction (dependent variable). Subjects were patients at the Husada hospital Jakarta totaling 100 patients were assigned to the non-probability sampling method accidental sampling. Measurements were made using a scale of Quality of Service which consists of 20 items, and Patient Satisfaction scale consisted of 12 items that are already on the validity and reliability. By using the technique of linear regression through SPSS for Windows version 21.0 was obtained in the regression R = 0.78 and R square = 0.609, p = 0.000 (p <0.05) indicating that patient satisfaction positively and significantly related to the quality of service equal to 0.780 and the role of service quality variables are able to explain the variable of 60.9% patient satisfaction. The study hypothesis which states "quality of care can improve patient satisfaction in Husada hospital Jakarta ", is accepted. Means the better the quality of service will be followed by increased patient satisfaction in Husada hospital Jakarta.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Angela Christin Tiwa ◽  
Jimmy Posangi ◽  
Herman Warouw

Abstract: A service although can be counted satisfy to patient but the aplication do not according to the ethical code and atandart, it is not a quality service. It is, therefore very important the role of  nursing care is very important the affect the patient's satisfaction. The purpose of research know is to the relationship of quality nursing care to the level of satisfaction of hospitalized patients at the department of Irina A Prof Dr R D Kandou Manado. The study design is using observational analytic cross-sectional approach. The Population of the patients who cared at department of Irina A Prof Dr R D Kandou Manado with the average of 180 patients a month. Sixtyvive samples were used in this research . The data is processed by using univariate and bivariate chi square calculations. The results show the relationship of quality nursing care to inpatient satisfaction majority of good quality (58.5%) and poor (41.5%) and to the satisfaction of the majority of the patients were less satisfied (50.8%) and the satisfied (49.2%). As a Conclusion, there is a significant correlation between the quality of nursing care with the patient satisfaction and quality of serviceis assumed as good. As a suggestion the quality of nursing care services of hospital management should be further enhance which can support the profesionalism of the nurses, so the patient satisfaction archieved can be maximized. Keywords: nursing service, patient satisfaction.     Abstrak: Suatu pelayanan sekalipun di nilai dapat memuaskan pasien tetapi penyelenggaraannya tidak sesuai dengan kode etik dan standar bukanlah pelayanan yang bermutu. Oleh karena itu perawat sangat berperan penting dalan pelayanan keperawatan karena berpengaruh dengan kepuasan pasien. Tujuan penelitin mengetahui hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap di Irina A RSUP Prof Dr R D Kandou Manado. Desain penelitian observasional analitik dengan pendekatan cross sectional. Populasi seluruh pasien yang berada di ruang rawat inap Irina A RSUP Prof Dr R D Kandou Manado dengan rata-rata pasien per bulan sebanyak 180. Sampel penelitian 65 pasien. Data diolah secara univariat dan bivariat dengan menggunakan perhitungan chi square. Hasil penelitian menunjukkan hubungan kualitas pelayanan keperawatan dengan tingkat kepuasan pasien rawat inap mayoritas kuaitas pelayanan keperawatan yang baik (58,5%) dan yang kurang baik (41,5%) dan untuk kepuasan mayoritas pasien kurang puas (50,8%) dan yang puas (49,2%). Kesimpulan terdapat hubungan  yang bermakna antara kualitas pelayanan keperawatan dengan tingkat kepuasan pasien dan kualitas pelayanannya sudah baik. Saran pihak manajemen rumah sakit hendaknya lebih meningkatkan lagi kualitas pelayanan keperawatan yang dapat menunjang profesionalitas seorang perawat sehingga tingkat kepuasan  pasien bisa maksimal. Kata Kunci: pelayanan keperawatan,  kepuasan pasien.


2020 ◽  
Vol 29 (12) ◽  
pp. 52-58
Author(s):  
E.P. Meleshkina ◽  
◽  
S.N. Kolomiets ◽  
A.S. Cheskidova ◽  
◽  
...  

Objectively and reliably determined indicators of rheological properties of the dough were identified using the alveograph device to create a system of classifications of wheat and flour from it for the intended purpose in the future. The analysis of the relationship of standardized quality indicators, as well as newly developed indicators for identifying them, differentiating the quality of wheat flour for the intended purpose, i.e. for finished products. To do this, we use mathematical statistics methods.


2020 ◽  
Vol 17 (6) ◽  
pp. 76-91
Author(s):  
E. D. Solozhentsev

The scientific problem of economics “Managing the quality of human life” is formulated on the basis of artificial intelligence, algebra of logic and logical-probabilistic calculus. Managing the quality of human life is represented by managing the processes of his treatment, training and decision making. Events in these processes and the corresponding logical variables relate to the behavior of a person, other persons and infrastructure. The processes of the quality of human life are modeled, analyzed and managed with the participation of the person himself. Scenarios and structural, logical and probabilistic models of managing the quality of human life are given. Special software for quality management is described. The relationship of human quality of life and the digital economy is examined. We consider the role of public opinion in the management of the “bottom” based on the synthesis of many studies on the management of the economics and the state. The bottom management is also feedback from the top management.


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