Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain
Abstract
:1. Introduction
2. Methods
2.1. Design
2.2. Instruments
2.3. Data Collection and Data Analysis
2.4. Ethical Considerations
3. Results
3.1. Sociodemographic and Employment Characteristics of Participants
3.2. Nurses’ Satisfaction with Continuity of Care
3.3. Nurses’ Perception of the Need for Continuity of Care
3.4. Nurse Perception of Case Management as Part of the Current Continuity of Care Model
4. Discussion
4.1. Implication for Practice
4.2. Study Limitations
4.3. Future Studies
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Study Population N: 437 | |
---|---|
Age (mean; standard deviation (SD)) | 40.5 (10.7) |
Years after completing university studies (University studies) (mean; SD) | 18.1 (10.7) |
Work experience at the same care level (years) (mean; SD) | 14.9 (10.1) |
Gender (n; %) | |
Woman | 404 (92.4) |
Employment relationship (Contract) (n; %) | |
Permanent | 302 (69.1) |
Temporary | 135 (30.9) |
Function (n; %) | |
Care | 408 (93.4) |
Management | 22 (5.1) |
Liaison nurse or case manager nurse | 7 (1.5) |
Training (n; %) | |
Continuous | 354 (81.2) |
Postgraduate | 316 (72.4) |
Research (n; %) | |
Publications in the last 5 years | 76 (17.6) |
Attended congresses/activities on continuity of care | 199 (45.7) |
Satisfaction to Report and Receive Information Regarding Hospital Care | Satisfaction to Report and Receive Information on the Continuity of Care | Satisfaction with the Continuity of Care and the Safety of the Care Provided | ||||||||||
High n = 415 | Medium n = 14 | Low n = 8 | p | High n = 418 | Medium n = 12 | Low n = 7 | p | High n = 404 | Medium n = 24 | Low n = 9 | p | |
Age (mean; SD) | 40.6 (10.8) | 42.8 (10.3) | 35.6 (5.9) | 0.38 | 40.5 (10.7) | 43.4 (11.3) | 36 (5.9) | 0.38 | 40.2 (10.6) | 46.1 (11.3) | 38.1 (9.5) | 0.03 |
University studies (mean; SD) | 18.0 (10.8) | 20.1 (9.3) | 14.7 (9.5) | 0.43 | 18.0 (10.2) | 20.8 (11.0) | 15.1 (9.9) | 0.55 | 17.7 (10.6) | 24.2 (11.1) | 17.4 (12.9) | 0.03 |
Work experience (years) (mean; SD) | 14.9 (10.1) | 14.7 (11.9) | 12.3 (6.4) | 0.89 | 14.9 (10.1) | 18.2 (12.1) | 12.7 (6.7) | 0.63 | 14.9 (10) | 17.1 (11.5) | 11.1 (6.4) | 0.50 |
Contract (n; %) | 0.02 | 0,01 | 0.04 | |||||||||
Permanent contract | 291 (95.6) | 11 (3.9) | 1 (0.5) | 295 (96.7) | 7 (2.8) | 1 (0.5) | 281 (92.1) | 20 (7.1) | 2 (0.8) | |||
Temporary contract | 124 (92.5) | 3 (2.2) | 7 (5.3) | 123 (91.8) | 5 (3.7) | 6 (4.8) | 123 (91.7) | 4 (3.0) | 7 (5.3) | |||
Overall Satisfaction with the Continuity of Care | Patients’ Satisfaction with the Continuity of Care | |||||||||||
High n = 420 | Medium n = 17 | Low n = 0 | p | High n = 297 | Medium n = 127 | Low n = 13 | p | |||||
Age (mean; SD) | 40.6 (10.8) | 37.5 (7.7) | - | 0.29 | 39.5 (10.8) | 42.1 (10.5) | 38.2 (8.9) | 0.11 | ||||
University studies (mean; SD) | 18.2 (10.8) | 14.9 (9.2) | - | 0.33 | 17.5 (10.7) | 19.3 (10.9) | 18.0 (10) | 0.34 | ||||
Work experience (years) (mean; SD) | 14.9 (10.2) | 13.4 (5.4) | - | 0.98 | 14.1 (9.8) | 17.0 (10.9) | 14.3 (6.8) | 0.05 | ||||
Care setting (n; %) | 0.53 | 0.05 | ||||||||||
Primary care | 144 (94.1) | 9 (5.9) | - | 109 (71.4) | 42 (27.2) | 2 (1.4) | ||||||
Hospital care | 243 (97.2) | 7 (2.8) | - | 169 (67.6) | 74 (29.6) | 7 (2.8) | ||||||
Aged care homes | 32 (94.1) | 2 (5.9) | - | 22 (64.7) | 8 (23.5) | 4 (11.8) |
Nurse Satisfaction with the Case Manager Nurse | Nurse Satisfaction with the Liaison Nurse | |||||||
---|---|---|---|---|---|---|---|---|
High n = 363 | Medium n = 66 | Low n = 8 | p | High n = 342 | Medium n = 90 | Low n = 5 | p | |
Age (mean; SD) | 40.5 (10.7) | 40.2 (10.3) | 45.3 (11.9) | 0.44 | 40.5 (10.8) | 40.6 (10.4) | 41.4 (10.8) | 0.97 |
University studies (mean; SD) | 17.8 (10.7) | 18.8 (13.4) | 24.5 (13.3) | 0.19 | 17.7 (10.8) | 19.2 (10.3) | 19.8 (12.8) | 0.45 |
Years of experience (mean; SD) | 14.9 (10.1) | 15.5 (10.4) | 14 (5.5) | 0.91 | 14.8 (10.1) | 15.5 (10.2) | 12 (8.2) | 0.78 |
Contract (n; %) | 0.01 | 0.05 | ||||||
Permanent contract | 234 (77.2) | 67 (22.1) | 2 (0.6) | 248 (81.8) | 48 (15.8) | 7 (2.3) | ||
Temporary contract | 108 (80.6) | 23(17.2) | 3 (2.2) | 115 (85.8) | 18 (13.4) | 1 (0.7) | ||
Care Setting (n; %) | 0.01 | 0.05 | ||||||
Primary care | 133 (86.9) | 13 (8.6) | 7 (4.6) | 129 (84.0) | 22 (14.7) | 2 (1.3) | ||
Hospital care | 207 (82.8) | 42 (16.8) | 1 (0.4) | 192 (76.8) | 55 (22.0) | 3 (1.2) | ||
Age care homes | 26 (76.5) | 8 (23.5) | - | 21 (61.8) | 13 (38.2) | - |
Dependent Variable: Satisfaction with the Continuity of Care Nursing | |||||
---|---|---|---|---|---|
B | SE | 95% CI | β | p | |
Age | −0.006 | 0.005 | −0.015–0.004 | −0.084 | 0.249 |
Care setting | −0.063 | 0.053 | −0.168–0.043 | −0.054 | 0.243 |
Years of experience | 0.002 | 0.005 | −0.007–0.012 | 0.033 | 0.645 |
Patient satisfaction with the continuity of care | 0.450 | 0.042 | −0.367–0.533 | 0.466 | 0.000 |
Satisfaction with the hospital liaison nurse | 0.010 | 0.015 | −0.019–0.039 | 0.031 | 0.483 |
Nurse satisfaction with the primary care nurse manager | 0.012 | 0.018 | −0.023–0.047 | 0.029 | 0.515 |
R2 | 0.224 | ||||
Corrected R2 | 0.213 |
Dependent Variable: Satisfaction with the Case Manager Nurse | |||||
---|---|---|---|---|---|
B | SE | 95% CI | β | p | |
Age | 0.015 | 0.008 | −0.033 | 0.094 | 0.074 |
Care setting | 0.417 | 0.141 | 0.139–0.694 | 0.146 | 0.003 |
Contract | 0.149 | 0.078 | −0.305 | 0.098 | 0.056 |
Need to receive information regarding hospital care | 0.298 | 0.125 | −0.597 | 0.115 | 0.017 |
R2 | 0.041 | ||||
Corrected R2 | 0.032 |
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Reig-Garcia, G.; Suñer-Soler, R.; Mantas-Jiménez, S.; Bonmatí-Tomas, A.; Malagón-Aguilera, M.C.; Bosch-Farré, C.; Gelabert-Viella, S.; Juvinyà-Canal, D. Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain. Int. J. Environ. Res. Public Health 2021, 18, 6609. https://doi.org/10.3390/ijerph18126609
Reig-Garcia G, Suñer-Soler R, Mantas-Jiménez S, Bonmatí-Tomas A, Malagón-Aguilera MC, Bosch-Farré C, Gelabert-Viella S, Juvinyà-Canal D. Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain. International Journal of Environmental Research and Public Health. 2021; 18(12):6609. https://doi.org/10.3390/ijerph18126609
Chicago/Turabian StyleReig-Garcia, Gloria, Rosa Suñer-Soler, Susana Mantas-Jiménez, Anna Bonmatí-Tomas, Maria Carmen Malagón-Aguilera, Cristina Bosch-Farré, Sandra Gelabert-Viella, and Dolors Juvinyà-Canal. 2021. "Assessing Nurses’ Satisfaction with Continuity of Care and the Case Management Model as an Indicator of Quality of Care in Spain" International Journal of Environmental Research and Public Health 18, no. 12: 6609. https://doi.org/10.3390/ijerph18126609