A Study to Assess the Satisfaction Level of Clients towards Team of Psychiatric Care Admitted in Selected Psychiatric Hospital, Kolkata

Abstract

Patient satisfaction has been viewed as valid outcome measure of a health care delivery system. Assessing patient satisfaction with team of psychiatric care is important in evaluating whether patients’ needs are fulfilled and subsequently facilitating in the planning as well as implementing appropriate interventions for patients. The investigator has conducted a study to assess the satisfaction level of clients towards team of psychiatric care admitted in selected Psychiatric Hospital, Kolkata. The objective of the study was to find out satisfaction level of clients towards team of psychiatric care. Conceptual framework of the study was based on Fishbone Model created by Kaoru Ishikawa (1968). Non-experimental descriptive survey design was adopted for the study. 112 samples were selected by non- probability purposive sampling technique. Demographic data was collected by interviewing using the semi-structured interview schedule and record analysis. Data related to patients’ level of satisfaction regarding psychiatric nursing care, medical care and others’ care were collected by interviewing method using rating scale. The study results revealed that most (65.18%) of the patients are males. It is found that majority of the patients are partially satisfied with psychiatric nursing care whereas 45.54% of patients are satisfied with psychiatric medical care and half (50.89%) of the patients are partially satisfied with others’ care. Most (65.18%) of the patients are partially satisfied with therapeutic care of nurses. Maximum (54.47%) numbers of patients are satisfied with therapeutic relationship maintained by psychiatrist with them. Most (77.68%) of the patients show their dissatisfaction in the area of cleaning patients’ utensils which are provided by group D staff. The obtained x2 in gender is more than table value at 0.05 level of significance which implies that there is a significant association between gender and level of satisfaction of the patients. The findings of this study have several implications for nursing practice, education, administration and research.

Introduction

I. INTRODUCTION

Patient’s satisfaction has become increasingly popular, as a critical component in the measurement of quality of care. Satisfaction is one of the care outcomes for healthcare. Patients’ satisfaction is defined as patient’s subjective evaluation of their cognitive and emotional reaction as a result of interaction between their expectation regarding ideal medical, nursing, and care provided by other care givers and their perceptions of care. The main indication for measuring patients’ satisfaction with psychiatric health care team is to identify area for improvement. Assessing patient satisfaction with care provided by psychiatric health care team is important in evaluating whether patients’ needs are filled and subsequently facilitating in the planning as well as implementing appropriate interventions for patients.

A. Problem Statement

A study to assess the satisfaction level of clients towards team of psychiatric care admitted in selected Psychiatric Hospital, Kolkata.

B. Objectives

1. To assess the satisfaction level of clients towards psychiatric nursing care.
2. To assess the satisfaction level of the clients towards psychiatric medical care.
3. To assess the satisfaction level of the clients regarding care provided by other care givers.
4. To find out association between satisfaction level and selected demographic variables.

II. METHODOLOGY

A. Research Design

Descriptive survey design

B. Population

Psychiatric patients

C. Setting

Calcutta Pavlov Hospital, 18, Gobra Road, Gobindo Khatic Road, Kolkata-46.

D. Inclusion Criteria

1. Patients who are mentally stable and willing to participate
2. Patients who are admitted in Psychiatric Hospitals.
3. Patients who are certified by Psychiatrist to give consent and opinion regarding satisfaction towards team of psychiatric care.

E. Exclusion Criteria

The clients who are admitted for less than 7days are excluded

Sample Size: 112 patients

F. Sampling Technique

Non-probability purposive sampling.

G. Tool

1. Tool-I: Semi-structured questionnaire for demographic data.
2. Tool-II: Rating scale for level of satisfaction regarding psychiatric nursing care, psychiatric medical care and care provided by other’s care giver.

H. Findings

1. Section-I

Sample Characteristics

2. Section-II: Findings related to patient satisfaction with nursing care.

3. Section-III: Findings related to patient satisfaction towards psychiatric medical care.

4. Section-IV: Findings related to patient satisfaction regarding care provided by other care givers.

5. Section V: Finding association between patients’ level of satisfaction regarding psychiatric medical care, nursing care & care provided by other care givers with selected demographic variable.

I. Hypothesis

1. H1: There is a significant association between patients’ level of satisfaction regarding psychiatric medical care, nursing care and care provided by other care givers with gender.
2. H2: There is a significant association between patients’ level of satisfaction regarding psychiatric medical care and place of living of the patient.

III. DISCUSSION

In a descriptive study conducted by Rajeswari T [6] among 50 patients, the result indicated that there was statistical significance about patient satisfaction with nursing care with regard to age and no statistical significance in patient satisfaction with sex, marital status, education, income category, length of stay and previous admission. In the present study there is significant association with regard to satisfaction level of the patients with gender regarding psychiatric nursing, medical care and others’ care

Atallah M A, -Mansour A M, -Sayed M M and Aboshaiqah A [7], conducted a study on patients’ satisfaction with quality of nursing care provided. The study results showed 20% disagreement rate in the area of availability of nurses.

In the present study it is also found that only 8.93% patients were dissatisfied with the availability of the nurses. The

result of the study supports the present study.

Wai Mun Tang, Chi-Yang Soong and Wen Chieh Lim[8] conducted a study on patient Satisfaction with Nursing Care. The findings of the study revealed that patients rated their satisfaction of nursing care as being at moderate level of satisfaction.

In the present study majority [62.50%] of the patients have showed partial satisfaction with psychiatric nursing care.

IV. LIMITATIONS

The study was carried out to a small number of samples that limits the generalization of the findings.

V. RECOMMENDATIONS

A. A similar study can be conducted on a large sample in a different setting to make the findings generalized.

B. A comparative study can be conducted regarding patients’ satisfaction in private and Govt. hospitals.

C. A similar study can be done with other factors excluding the factors used in the present study.

D. A survey can be conducted to explore the factors for patient’s dissatisfaction.

Conclusion

From the present study it has been observed that patients are satisfied with psychiatric medical care whereas they are partially satisfied with the care provided by nurses and other care givers. Unfortunately, patients are not satisfied with psychiatric nursing care and it is probably due to some constraints from the part of the nurses. Thus, there is a need for improvement of nursing care in all areas so as to achieve the highest level of satisfaction among patients and to provide quality of care.

References

[1] Rajeswari T. A study to assess patient’s satisfaction with quality of nursing care. November 2011. Available at dspace.sctimst.ac.in/jspui/bitstream/123456789/1607/1/481.pd [2] Atallah A Mohammad, Hamdan M Ayman, AI M Mohammad, Aboshaiqah E Ahmad. Patients\' satisfaction with the quality of nursing care provided: The Saudi experience. International Journal of Nursing Practice. 2013 June-December; 19(6): 584-590 [3] Wai Mun Tang, Chi-Yang Soong, Wen Chieh Lim. Patient Satisfaction with Nursing Care: A Descriptive Study Using Interaction Model of Client Health Behavior. International Journal of Nursing Science. 2013; 3(2):51-56

Copyright

Copyright © 2023 Tulu Sikdar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.