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Evaluation du niveau de satisfaction des usagers du centre hospitalier Bethesda

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par Rosine Mugisha Ntibenda
Université Libre des Pays des Grands Lacs (ULPGL-Goma) - Licence 2012
  

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Abstract

This study has been carried out in order to evaluate the level of satisfaction of users as far as health services of BHC are concerned. Being quantitative and qualitative, a questionnaire for investigation has been submitted to 64 admited patients, and a guide of interview has served to speak to 4 nurses. After typewriting, data treatment and analysis through SPSS.12 computer system, the following results have been obtained.

Concerning services, 34.4% of respondants are not satisfied with their service provided; 31.2% are a bit satisfied; 21.9% are satisfied; 12.5% are totally satisfied; 51.6% say that there is a good communication between workers. For 67.2%, treatments are of quality; 67.2% do not make any case of disease got in the hospital; 42.2% are only a bit satisfied of water supply; 87.5% can recommend their close relatives to get medical treatment from BHC.

The satisfaction of users has not relationship neither with workers' punctuality (p=0.068>0.05); nor with the estimated quality of treatments (P=0.067>0.05), nor with diseases got in the hospital (p=0.226>0.05), nor with the recommendation of a close relative to get medical treatment from BHC (p=0.054>0.05). Moreover, 84.4% think that they were treated safely; 34.4% judge the infrastructures positive. Latrines are estimated hygienic at 67.2%; bedding is said to be suitable at 50%. The satisfaction of users is significantly associated with safety treatment (p=0.037<0.05); to infrastructures (p=0.001<0.05); to latrines (p=0.000<0.05). In order to know what workers think of what the appreciation of users is as far as service provided concerned, they estimate that the users of their institution have positive appreciation of services they benefit from.

As for social support, 82.8% think that the personnel is welcoming; 82.8% accept that they are treated with dignity; 67.2% declare that there is collaboration between their close relatives and nurses; 84.4% have difficulty to speak to nurses; 67.2% say they are respected undesirable effects are prevented at 65.6%. Satisfaction is function of welcome (p=0.031<0.05), dignity of treatment (p=0.031<0.05), collaboration between close relatives and nurses (0.002<0.05), facility to talk to nurses (p=0.037<0.05), time during which a patient waits for a nurse (p=0.000<0.05), respect of rendez-vous (0.002<0.05), and prevention of undesirable effects (p=0.047<0.05). Furthermore, 67.2% trust nurses; 48.4% have explanations about exams; 51.6% spend 5 minutes waiting for a nurse. Satisfaction of users is not connected with confidence in providers of services (p=0.226>0.05), nor with relationships with other patients (p=0.134>0.05), nor with clarity of explanations based on exams (p=0.632>0.05). The interviewed personnel estimate that the patients appreciate positively social support, given the fact there is collaboration between nurses and patients.

Concerning invoicing, 96.9% accept the treatments are served within BHC; 82.8% say that invoices are not affordable; 51.6% say that those who have paid the guarantee judge it at 66.7% less humane. There is no link between the degree of satisfaction and the fact that medicaments are served within the hospital (p=0.584>0.05), and the guarantee (p=0.388>0.05). The degree is, however, significantly linked with invoicing (p=0.031<0.05) and the guarantee (p=0.004<0.05). Interviewed nurses acknowledge that invoicing in not equal to the task taking into consideration their level of income.

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