Organizational influences on patient perceptions of symptom management.

Abstract:

:We tested a theoretical model of the relationships of hospital context, nursing unit structure, and patient characteristics to patients' perceptions of the extent to which nurses met their expectations for management of troubling symptoms. In our sample of 2,720 patients randomly selected from 278 nursing units in 143 hospitals, we found that patient age was positively associated with patients' perceptions of symptom management. The proportion of registered nurses as caregivers on the unit was not a significant predictor of symptom management, but better work conditions on the unit (nurses' autonomy, participation in decision-making, and collaboration with other disciplines [relational coordination]) significantly contributed to patients' perceptions of better symptom management.

journal_name

Res Nurs Health

authors

Bacon CT,Hughes LC,Mark BA

doi

10.1002/nur.20319

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

321-34

issue

3

eissn

0160-6891

issn

1098-240X

journal_volume

32

pub_type

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