Abstract
Objective: The main objective of this research was to operationalize a nursing sensitive outcome, designated as Satisfaction, using a set of indicators sensitive to various aspects of the nursing care: (i) Functional capacity assessment (Functionality), which is considered an important indicator for elderly people’s health and should be used to provide a robust data infrastructure on functioning and disability, allowing for national and international comparisons; (ii) Quality of Life assessment, which is another important health indicator that is strongly recommended by World Health Organization, as it includes multiple domains of functioning and well-being that are extraordinarily important in the assessment of health outcomes. Methods: Cross-sectional, descriptive study, with a final sample totaled 351 elderlies. Data collected by health professionals in the participants’ houses, using a core set composed of items belonging to the International Classification of Functioning, Disability and Health and by the WHOQOL-BREF instrument. Structural equation modeling was the statistical methodology adopted. Results: The developed model presents favorable factorial validity and reliability, which allows to infer about the existence of an empirical strong relationship between both the Functionality and QoL theoretical models with Satisfaction. Conclusions: Both Functionality and QoL are determinants of Satisfaction, even though Satisfaction manifests itself with greater importance in QoL, rather than in Functionality.
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References
European Observatory on Health Systems and Policies (2018): Health System Review - Portugal (Phase 1 Final Report). World Health Organization
World Health Organization (2015): World report on ageing and health. Report, World Health Organization
Lopes, M.: Desafios de Inovação em Saúde. Repensar os Modelos de Cuidados. Imprensa da Universidade de Évora (2021)
World Health Organization. https://www.who.int/news/item/28-05-2016-world-health-assembly-adopts-framework-on-integrated-people-centred-health-services
Kuipers, S.J., Cramm, J.M., Nieboer, A.P.: The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Serv. Res. 19 (2019). https://doi.org/10.1186/s12913-018-3818-y
Larson, E., Sharma, J., Bohren, M.A., Tunçalp, Ö.: When the patient is the expert: measuring patient experience and satisfaction with care. Bull. World Health Organ. 97, 563–569 (2019). https://doi.org/10.2471/blt.18.225201
Dubois, C.-A., D’Amour, D., Pomey, M.-P., Girard, F., Brault, I.: Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review. BMC Nurs. 12 (2013). https://doi.org/10.1186/1472-6955-12-7
Comissão de Ética para a Saúde da Unidade Local de Saúde do Baixo Alentejo. http://www.ulsba.min-saude.pt/2019/02/28/comissao-de-etica-para-a-saude/
Goes, M., Lopes, M.J., Oliveira, H., Fonseca, C., Marôco, J.: a nursing care intervention model for elderly people to ascertain general profiles of functionality and self care needs. Sci. Rep. 10 (2020). https://doi.org/10.1038/s41598-020-58596-1
Goes, M., Lopes, M., Marôco, J., Oliveira, H., Fonseca, C.: Psychometric properties of the WHOQOL-BREF(PT) in a sample of elderly citizens. Health Qual. Life Outcomes 19 (2021). https://doi.org/10.1186/s12955-021-01783-z
Goes, M., et al.: Psychometric qualities of a core set to ascertain the functional profile of Portuguese elderly citizens. In: García-Alonso, J., Fonseca, C. (eds.) IWoG 2019. CCIS, vol. 1185, pp. 314–329. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-41494-8_31
Goes, M., et al.: The quality of life of older individuals following the world health organization assessment criteria. Geriatrics 5, 102 (2020). https://doi.org/10.3390/geriatrics5040102
Marôco, J.: Análise de equações estruturais: fundamentos teóricos, software e aplicações (2020). Report Number
Acknowledgments
This research was funded by FEDER. Programa Interreg VA España-Portugal (POCTEP), grant number 0499_4IE_PLUS_4_E.
Funding
SC-ADL(a): Self-care – activities of daily living (a); SC-ADL(b): Self-care – activities of daily living (b); MF: Mental functions; COM: Communication; SR(a): Social relationships (a); PH: Physical health; Psyc: Psychological SR(b): Social relationships (b); ENV: Environment; Func: Functionality; QoL: Quality of Life; SAT: Satisfaction.
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Goes, M., Oliveira, H., Lopes, M., Fonseca, C., Pinho, L. (2022). Satisfaction: A Concept Based on Functionality and Quality of Life to Be Integrated in a Nursing Care Performance System. In: García-Alonso, J., Fonseca, C. (eds) Gerontechnology IV. IWoG 2021. Lecture Notes in Bioengineering. Springer, Cham. https://doi.org/10.1007/978-3-030-97524-1_9
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