Research article summary (published 30 May 2009):

Organizational influences on patient perceptions of symptom management.

Full 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. (c) 2009 Wiley Periodicals, Inc.

Author information

Author/s: Bacon, Cynthia Thornton (CT); Hughes, Linda C (LC); Mark, Barbara A (BA);

Affiliation: School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Grants: 5R01 NR 003149 (Agency:NINR NIH HHS) ; 5T32 NR 008856 (Agency:NINR NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: Research in nursing & health (Res Nurs Health), published in United States. (Language: eng)

Reference: 2009-Jun; vol 32 (issue 3) : pp 321-34

Dates: Created 2009/05/07; Completed 2009/05/28;

PMID: 19204940, status: MEDLINE (last retrieval date: 5/28/2009, IMS Date: 28 May 2009 00:00:00)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Age Factors Analysis of Variance Decision Making, Organizational Factor Analysis, Statistical Female Health Facility Environment - organization & administration Hospital Units - organization & administration Humans Inpatients - psychology Interprofessional Relations Male Middle Aged Models, Nursing

Models, Nursing Models, Psychological Nurse's Role - psychology Nursing Methodology Research Nursing Staff, Hospital - education; organization & administration; psychology Organizational Culture Patient Satisfaction Personnel Staffing and Scheduling - organization & administration Professional Autonomy Questionnaires Regression Analysis United States Workplace - organization & administration; psychology

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