Patient/Caregiver Perceived Quality of Care

Organizational Environment, Staff Well-being and Patient/Caregiver Perceived Quality of Care in a Maternal and Child Health Hospital in Italy

Hospitals quality, safety, and staff workload problems are common in all countries. Findings from the multicountry Nurse forecasting in Europe (RN4CAST) cross sectional study show that patient risk of mortality within a 30 days of hospital stay increases of 7% when a patient is added to the nurse-patient 1:6 proportion in a surgical unit; in Italy, the ratio was found to be 9.5 patients per nurse. Organizational environment, health workers wellbeing and work satisfaction were also found to impact patient safety and perceived patient satisfaction; hospitals nurses high workload, work dissatisfaction and burnout were found related to poor patients outcomes. In a systematic review and meta-analysis, an association of more than 60% between physicians and nurses development of burnout and patient safety in pediatric settings was found; when health workers wellness and teamwork in wards was poor lower perceptions of safety culture was found. Moreover, occupational exposure to medically complex children and their families along with direct care providers unexpressed grief further increase pediatric settings staff risk of developing burnout syndrome and compassion fatigue. Recent findings of Covid-19 pandemic negative impact on health workers well-being worldwide also enhances the risk of compromising the quality of care provided. The aim of this study is to evaluate factors that affect health workers well-being, their perception of work environment and patient/caregiver satisfaction and perceived quality of care in a maternal and child health hospital.

Study Overview

• Status: Recruiting
• Conditions: Maternal and Child Health
• Intervention / Treatment: Other: Work environment, well-being, customer satisfaction

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

• Study Contact: Name: Raffaella Dobrina, MSC; Phone Number: +39 040 3785111; Email: raffaella.dobrina@burlo.trieste.it

Study Locations

• Italy
  • Trieste, Italy, 34137
    • Recruiting
    • IRCCS Burlo Garofolo
    • Contact: Raffaella Dobrina, MS; Phone Number: +390403785; Email: raffaella.dobrina@burlo.trieste.it

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: N/A

• Sampling Method: Non-Probability Sample

Study Population

Health workers, patients (adults and school-aged children), caregivers of children

Description

Inclusion Criteria:

• Health workers directly involved in patients care and employed for more than 6 months
• Patients (adults, school-aged children)
• Caregivers of children

Exclusion Criteria:

• Health workers employed for less than 6 months

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Hospital Work environment	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Staff well-being	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Patients/caregivers satisfaction	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Patients/caregivers perceived quality of care	Evaluated by validated questionnaire	Through study completion, an average of 3 year

Collaborators and Investigators

• Sponsor: IRCCS Burlo Garofolo
• Investigators: Principal Investigator: Raffaella Raffaella, MSC, IRCCS Materno Infantile Burlo Garofolo

Study record dates

Study Major Dates

• Study Start (Actual): January 26, 2021
• Primary Completion (Estimated): December 15, 2024
• Study Completion (Estimated): December 15, 2024

Study Registration Dates

• First Submitted: March 24, 2023
• First Submitted That Met QC Criteria: August 23, 2023
• First Posted (Actual): August 28, 2023

Study Record Updates

• Last Update Posted (Actual): June 14, 2024
• Last Update Submitted That Met QC Criteria: June 13, 2024
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Keywords: Patient safety; occupational health; health care quality assurance
• Other Study ID Numbers: RC 46/20

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No