Date of Award

12-1990

Degree Name

Doctor of Education

Department

Educational Leadership, Research and Technology

First Advisor

Dr. James Sanders

Second Advisor

Dr. Daniel Thompson

Third Advisor

Dr. Edgar Kelley

Abstract

The purpose of this exploratory study was to determine the relationship between implementation of Hospice Nursing Standards of Care and satisfaction with nursing care by the hospice family. The study sought to describe the degree of implementation of the Hospice Nursing Standards of Care among three sizes of hospice and whether family satisfaction differed depending on degree of implementation of the Hospice Nursing Standards of Care and hospice size. The study was based on Bloch's (1975) theoretical framework of process-outcome evaluation. Relationships were determined between the independent process variables of degree of implementation of Hospice Nursing Standards of Care and hospice size and the dependent variable of family satisfaction. Hospice size was determined by average daily census with hospices categorized as small, medium, or large.

A stratified random sample of 180 hospice families from 12 hospices was selected. Data on 102 patients and families were collected by audit of patients' records using a revised Phaneuf Nursing Audit and a hospice family, self-administered questionnaire (revised La Monica/Oberst Patient Satisfaction Scale).

Multiple regression analysis was used to determine relationships between implementation of Hospice Nursing Standards of Care and family satisfaction. ANOVA was used to determine differences between implementation of the nursing standards and hospice size.

Findings indicated no relationship existed between the independent and dependent variables of nursing care and family satisfaction. There was no difference among the three sizes of hospice. A related outcome of the study indicated that the Hospice Nursing Standards of Care were implemented to a high degree with 88.2% of the audits scoring in the excellent category. Results of the study suggest that explanations for the high degree of family satisfaction with hospice care are complex and include the extreme degree of need the hospice patient and family are experiencing when the hospice nurse intervenes.

Access Setting

Dissertation-Open Access

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