Evaluation of patients' satisfaction with emergency wards of educational hospitals affiliated to Jahrom University of Medical Sciences after implementation of health promotion plan, 2016 Download PDF

Introduction: Patients' satisfaction with the emergency department of hospitals is very important. The part of health promotion plan is focus on improving the quality of emergency wards services. Therefore, the aim of this study was to determine the satisfaction rate of patients from emergency wards of educational hospitals affiliated to Jahrom University of Medical Sciences after implementation of health promotion plan. Method: This is an ex-post facto study. The sample size calculated 720 patients by Cochran formula (α = 95%). All the patients, except cancer patients and deceased participated in this study. In cases that the patient was unable to fill out the questionnaire such as children or patients with inappropriate general condition, the family and caregivers filled out the questionnaire. A researcher-making questionnaire used to collect data. The quantitative and qualitative face and content validity (CVI: .89, CVR: .81, IS> 3.5) was calculated with the help of 10 professors and its reliability was calculated by Alpha Cranach's method (.77) with interview of 15 patients that exclude from sample size. Sampling by stratified random sampling (each hospitals 360 patient) performed at the time of discharge of patients on all weekdays, even on Fridays and in all shifts. The questionnaire consisted of 37 questions. Eight questions were in demographic characteristics and 29 questions were in the quality of service delivery. All the questions were graded Yes (1) or No (0).The Interviewers trained in interviewing conditions. The questionnaire consisted of three sections: special services, auxiliary and administrative services, and facilities and expenses. The questionnaires were anonymous and there was no compulsion to collaborate. Data were analyzed by SPSS:16 software. Results: 77.89% of the patients were satisfied with the quality of services in the emergency wards. 70. 98% of the patients were satisfied with the facilities and expenses, 87.93% with the auxiliary services and 82.46% with the special services. There is a significant statistical correlation between gender and patients satisfaction level by the Chi-square test (p=0.03). By the Chi-square and Pearson tests, no significant relationship was found between the education level, age, marriage and income with the patients satisfaction (p>0.05). By using the multivariate linear regression test in Stepwise method, only job (F=5.888, Sig=0.022) was which could predict 16.9% the variations of the patients' satisfaction score from the emergency wards, its effect was (Beta=-.411). Conclusion: Considering to the high patients' satisfaction rate of the emergency wards and the effectiveness of the performed the health promotion plan, it is recommend that a comprehensive program prepare and implement in the low-level item of satisfaction, such as facilities and equipment.