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Patients’ experiences of care quality and satisfaction during hospital stay: a qualitative study

Vigdis Abrahamsen Grondahl, Bodil Wilde-Larsson, Ingela Karlsson, Marie Louise Hall-Lord


Rationale, aim and objectives: Patients experiencing high care quality and satisfied patients are more likely to follow treatments. Patient satisfaction is an important contributor to physical and mental health-related quality of life. Research emphasises the need to further study satisfaction from the patients’ perspective. The aim was to describe patients’ experiences of care quality and the relation to their satisfaction during hospital stay. 

Methods: A qualitative descriptive design was used. Interviews were conducted with 22 patients discharged from hospital. Data was analysed by conventional content analysis.

Results: Four categories and seven subcategories describing patients’ experiences of care quality and the relation to their satisfaction emerged. Desire to regain health comprised waiting for treatment, being cured, having hopes of being cured and described the treatment and health outcome of hospitalisation. Need to be met in a professional way as a unique person comprised receiving personalized knowledge, receiving healthcare by competent healthcare personnel and described the way patients need to be met by healthcare personnel. Need to be involved comprised taking responsibility for own health, leaving responsibility for own health and concerned the patients’ way of handling hospitalisation. Need to have balance between privacy and companionship concerned the relationship to fellow patients.

Conclusions: Health condition is of great importance to patients’ experiences of quality of care and their satisfaction in relation to hospital stay. The healthcare personnel need to be aware that seriously ill patients may never be completely satisfied. Furthermore, healthcare personnel must do their utmost to provide the patients with person-centered care.  Hospital managers must consider the design of wards with respect to such matters as multiple-bed versus single-bed rooms and heads of nursing must carefully plan each patient’s accommodation.

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Tasso, K., Beha-Horenstein, L.S., Aumille, A., Gamble, K., Grimaudo, N., Guin, P., Mandell, T. & Ramey, B. (2002). Assessing patient satisfaction and quality of care through observation and interview. Hospital topics: research and perspectives on healthcare 80, 4-10.

Raftopoulos, V. (2005). A grounded theory for patients’ satisfaction with quality of hospital care. ICUs and Nursing Web Journal 22, 1-15.

Paiva, S.M.A. & Gomes, E.L.R. (2007). Hospital care: assessment of users’ satisfaction during hospital stay. Revista Latino-Americana de Enfermagem 14, 973-979.

Merkouris, A., Papathanassoglou, E.D.E. & Lemonidou, C. (2004). Evaluation of patient satisfaction with nursing care: quantitative or qualitative approach? International Journal of Nursing Studies 41, 355-367.

Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A. & Storey, L. (2002). The measurement of satisfaction with health care: implication for practice from a systematic review of the literature. Health Technology Assessment 6, 1-244.

Sofaer, S. & Firminger, K. (2005). Patient perceptions of the quality of health services. Annual Review of Public Health 26, 513-559.

Vukmir, R.B. (2006). Customer satisfaction. International Journal of Health Care Quality Assurance 19, 8-31.

Jenkinson, C., Coulter, A., Bruster, S., Richards, N. & Chandola, T. (2002). Patients’ experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care. Quality & Safety in Health Care 11, 335-339.

Grøndahl, V.A., Wilde-Larsson, B., Hall-Lord, M.L. & Karlsson, I. (2011). A pattern approach to analysing patients’ satisfaction and quality of care perceptions in hospital. International Journal of Person Centered Medicine 1, 766-775.

Kroenke, K., Stump, T., Clark, D.O., Callahan, C.M. & McDonald, C.J. (1999). Symptoms in hospitalized patients: outcome and satisfaction with care. American Journal of Medicine 107, 425-431.

Otani, K., Waterman, B., Faulkner, K.M., Boslaugh, S. & Dunagan, W.C. (2010). How patient reaction to hospital care attributes affect the evaluation of overall quality of care, willingness to recommend, and willingness to return. Journal of Healthcare Management 55, 25-27.

Sauaia, A., Min, S., Leber, C., Erbacher, K., Abrams, F. & Fink, R. (2005). Postoperative pain management in elderly patients: correlation between adherence to treatment guidelines and patient satisfaction. Journal of the American Geriatrics Society 53, 274-282.

Beck, S.L., Towsley, G.L., Berry, P.H., Lindau, K., Field, R.B. & Jensne, S. (2010). Core aspects of satisfaction with pain management: cancer patients’ perspective. Journal of Pain and Symptom Management 39, 100-115.

Idvall, E. (2002). Post-operative patients in severe pain but satisfied with pain relief. Journal of Clinical Nursing 11, 841-852.

Wilde, B., Starrin, B., Larsson, G. & Larsson, M. (1993). Quality of care from a patient perspective. Scandinavian Journal of Caring Sciences 7, 113-120.

Larsson, G. & Wilde-Larsson, B. (2010). Quality of care and patient satisfaction: a new theoretical and methodological approach. International Journal of Health Care Quality Assurance 23, 228-247.

Lazarus, R.S. & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer.

Larsson, G. (1987). Snabbmätning av individuell stressreaktionsstyrka: utveckling av den emotionella stressreaktionsenkäten (ESE), reviderad version (A quick test of individual’s strength on stress reaction: development of emotional stress reaction questionnaire (ESRQ), revised version). Stockholm: Försvarets forskningsanstalt huvudavdelning, Report No. 5.

Larsson, G., Wilde, B. & Starrin, B. (1996). Patients’ views on quality of care: theory-based assessment. In: QUIS5: Advancing service quality: A global perspective (B. Edvardsson, S.W. Brown, R. Johnston & E.E. Scheving eds.), pp. 164-168. New York: St John University.

Foss, C. & Hofoss, D. (2004). Patients’ voices on satisfaction: unheeded women and maltreated men? Scandinavian Journal of Caring Sciences 18, 273-280.

Johansson, P., Oléni, M. & Fridlund, B. (2002). Patient satisfaction with nursing care in the context of health care: a literature study. Scandinavian Journal of Caring Sciences 16, 337-344.

Grøndahl, V.A., Karlsson, I., Hall-Lord, M.L., Appelgren, J. & Wilde-Larsson, B. (2011). Quality of care from patients’ perspective: impact of the combination of person-related and external objective care conditions. Journal of Clinical Nursing 20, 2540-2551.

Wilde Larsson, B. & Larsson, G. (2002) Development of a short form of the Quality from the Patient’s Perspective (QPP) questionnaire. Journal of Clinical Nursing 11, 681-687.

Ethical guidelines for nursing research in the Nordic countries (2003). Nordic Journal of Nursing Research & Clinical Studies /Vård i Norden, 23, 1-5.

Hsieh, H. & Shannon, S.E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research 15, 1277-1288.

Lincoln, Y.S. & Guba, E.G. (1985). Naturalistic inquiry. Beverly Hills: Sage.

Henderson, A., Caplan, G. & Daniel, A. (2004). Patient satisfaction: the Australian patient perspective. Australian Health Review 27, 73-83.

Wagner, D. & Bear, M. (2009). Patient satisfaction with nursing care: a concept analysis within a nursing framework. Journal of Advanced Nursing 65, 692-701.

Guldvog, B. (1999). Can patient satisfaction improve health among patients with angina pectoris? International Journal for Quality in Health Care 11, 233-240.

Danielsen, K., Garratt, A.M., Bjertnæs, O.A. & Pettersen, K.I. (2007). Patient experiences in relation to respondent and health service delivery characteristics: a survey of 26,938 patients attending 62 hospitals throughout Norway. Scandinavian Journal of Public Health 35, 70-77.

Schmidt, L.A. (2003). Patients’ perceptions of nursing care in the hospital setting. Journal of Advanced Nursing 44, 393-399.

Hendriks, A.A.J., Smets, E.M.A., Vrielink, M.R., Van Es, S.Q. & De Haes J.C.J.M. (2006). Is personality a determinant of patient satisfaction with hospital care? International Journal for Quality in Health Care 18, 152-158.

Frank, C., Asp, M. & Dahlberg, K. (2009). Patient participation in emergency care – a phenomenographic study based on patients’ lived experience. International Emergency Nursing 17, 15-22.

Isaksen, A.S. & Gjengedal, E. (2006). Significance of fellow patients for patients with myocardial infarction. Scandinavian Journal of Caring Sciences, 20, 403-411.

Said, E., Sidhu, P., Kapus, K. & Soliman, A. (2011). Patients’ privacy and dignity in gastroenterology ward. Gut 60 (Supplement 1) A189.

Glind van de, I., Roode, S. & Goossensen, A. (2007). Do patients in hospitals benefit from single rooms? A literature review. Health Policy 84, 153-161.



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