The Relationship Between Nursing Manager's Self-Reliance And Patient's Satisfaction In Hospitals Affiliated To Tehran University Of Medical Sciences(TUMS)

Self-reliance is a psychological belief that is formed in an individual during growth and is not changed easily and quickly. The present study aims to evaluate the relationship between nursing manager's self-reliance and patient's satisfaction in hospitals affiliated to Tehran University of Medical Sciences(TUMS). In this cross-sectional study, 400 individuals(200 nursing managers and 200 patients) were interviewed in various clinical wards of TUMS hospitals. Nursing manager's self-reliance and patient's satisfaction were evaluated using a structured questionnaire. The data were entered into Stata 11 software and analyzed with non-parametric ANOVA and Spearman's correlation coefficient tests. The significance level was determined to be p<0.05. Of the nursing managers, 58(29%) were male and 142(71%) were female. The mean and SD of their self-reliance were 134.9 and 19.8, respectively. The patients, however, comprised 81(40.5%) males and 118(59.5%) females. The mean and the standard deviation of patient's satisfaction were 57 and 18.2, respectively; the only individual factors affecting their level of satisfaction were educational level(p<0.005) and insurance status(p<0.0001). Besides, a multivariate analysis showed that there was a significant negative association between manager's self-esteem and patient's satisfaction(P=0.04). The findings revealed that female managers had less self-esteem than male managers. Moreover, it showed that manager's higher self-esteem would cause patient's lower satisfaction. Furthermore, patients with higher education and/or with health insurance were more satisfied than others.