Date of Award

2006-07-01

Degree Name

PhD Nursing

Dissertation Committee

Diane Hatton, RN, CS, DNSc, Chairperson; Linda D. Urden DNSc, RN, CNA-BC, FAAN; Susan Frampton, Ph. D.

Keywords

inpatient quality outcomes, nursing, patient satisfaction, Planetree patient centered model of care, quality of care, retrospective evaluation

Abstract

This retrospective quasi experimental study evaluated the effectiveness of Planetree's patient-centered model of care. Donabedian's model linking structure and process to outcome was used to frame this study. The structure variable is the inpatient acute care hospital unit and the process variable consists of the Planetree patient-centered model of care. Outcomes are (1) patient satisfaction, (2) length of stay, (3) readmission, (4) cost per case, and (5) productive nursing hours per patient day. All data for patient satisfaction, length of stay, readmission, cost per case and productive nurse hours per patient day were retrospective, no participant recruitment was needed. Data were obtained electronically by the primary investigator from multihospital system and individual entity organizational fiscal and clinical data bases following approval from the educational and organizational Institutional Review Boards. When comparing the control unit to the treatment unit the questions to be addressed were: (1) what is the impact of the Planetree patient-centered model of care on patient satisfaction, (2) what is the impact of the Planetree patient-centered model of care on clinical outcomes (length of stay and readmission), and (3) what is the impact of the Planetree patient-centered model of care on the cost of providing care (cost per case and productive nursing hours per patient day). The patient satisfaction composite mean score evaluation, length of stay evaluation and the cost per case evaluation demonstrate that the treatment unit is different from the control group (p=<.05 with Eta squared = >.01). This evidence validates that the Planetree patient-centered model of care had a positive impact on patient satisfaction, length of stay and cost per case.

Document Type

Dissertation: Open Access

Department

Nursing

Included in

Nursing Commons

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