Research on satisfaction model of nutrition support nursing service for inpatients based on structural equations
10.3760/cma.j.issn.1674-2907.2019.03.006
- VernacularTitle:基于结构方程住院患者营养支持护理服务满意度模型的研究
- Author:
Li ZENG
1
;
Suyun LI
;
Lin ZHANG
;
Wenjia SHI
Author Information
1. 华中科技大学同济医学院附属协和医院肝胆外科,武汉 430022
- Keywords:
Hospitalization;
Nutrition support;
Nursing service satisfaction;
Structural equation model
- From:
Chinese Journal of Modern Nursing
2019;25(3):282-287
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To design a satisfaction scale on nutrition support nursing service for inpatients, and establish a structural equation model of inpatient satisfaction with nutrition support nursing service in central city area to test the scale, so as to construct a tool for evaluating the satisfaction with nutrition support nursing service. Methods? This study selected 18 indicators affecting the satisfaction with nutrition support nursing services of inpatients based on the European Customer Satisfaction Index (ECSI), the American Customer Satisfaction Index (ACSI) Model, and the China Customer Satisfaction Index Model. From September to December of 2017, a convenience sampling investigation was carried out among the inpatients receiving nutritional support in a Class?Ⅲ Grade A medical institution. Through factor analysis, the 18 impact indicators were categorized into 6 dimensions, namely, perception of nutrition support nursing quality, nursing expectations, nutrient support nursing brands, nutrient support nursing service satisfaction, patient nutrient support nursing loyalty, patient nutrient support nursing complaints. Results? A structural equation model for satisfaction of nursing support services for inpatients was constructed, and the rationality of the 6 dimensions was verified. The Cronbach's α indexes of the 6 dimensions were all equal or greater than 0.80. KMO test coefficient was 0.745. Bartlett spherical test results showed χ2=3 402.132 (P＜0.01). The reasonableness of the six dimensions was verified, and the fitting effect of the model was good (χ2/df=1.416, RMS of residual=0.030, goodness of fit index=0.945, adjusting goodness of fit index=0.927, standard fitting index=0.947, value-added fitting index=0.984, comparing fitting index=0.984, root mean square of approximate error=0.035). Conclusions? With this model, nurse managers can identify the factors affecting the satisfaction of patients receiving nutritional support, and propose continuous improvement strategies that will help improve the effectiveness of nursing services, and improve patient satisfaction with inpatient nutritional support, so as to provide reference for the research of satisfaction model for inpatients.
