J Korean Acad Nurs Adm.  2021 Dec;27(5):323-333. 10.11111/jkana.2021.27.5.323.

Exploring the Subjective Frame of Patient Satisfaction among Patients Admitted to the Comprehensive Nursing Care Service: Q Methodology Application

• Lee YN
• Kim J
• Go G
• Kang P

• KMID: 2526015
• DOI: http://doi.org/10.11111/jkana.2021.27.5.323

Abstract

Purpose
This study examined the subjective frame of patient satisfaction in the comprehensive nursing care services and explored future directions by investigating subjective frame types.
Methods
P-Samples were collected from 30 patients who underwent the comprehensive nursing care service. To enable a forced normal distribution, 31 Q-samples were classified on a 9-point scale considering the degree of agreement. The collected data were analyzed by principal component factor analysis and varimax rotation using the PQ method program.
Results
The subjective frame of patient satisfaction with the comprehensive nursing care service was divided into four types. Considering the characteristics of each, the types were labeled as “the formation of relationships with the surroundings”, “autonomous decision-making”, “non-verbal empathy”, and “therapeutic support resources”. Each type can be classified into therapeutic relationship and therapeutic process categories.
Conclusion
This study revealed changes in expectations regarding new medical services and that the subjective frames that affect the formation of satisfaction are diverse. The study results are expected to be used as basic data to develop strategies for creating a therapeutic environment that improves patient satisfaction in the comprehensive nursing care service.

Keyword

Comprehensive nursing care services; Qualitative research; Patient satisfaction; Patients