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Nursing Research and Practice
Volume 2013, Article ID 563282, 7 pages
Research Article

Nurses’ Patient-Centeredness and Perceptions of Care among Medicaid Patients in Hospital Obstetrical Units

1Winston-Salem State University, School of Business and Economics, Department of Management and Marketing, Healthcare Administration Program, Winston-Salem, NC 27110, USA
2University of North Carolina at Chapel Hill, Department of Sociology and Carolina Population Center, 155 Hamilton Hall, CB No.3210, Chapel Hill, NC 27599, USA
3Winston-Salem State University, School of Health Sciences, Division of Nursing, Winston-Salem, NC 27110, USA
4Wake Forest School of Medicine, Public Health Sciences, Department of Social Sciences and Health Policy, and Maya Angelou Center for Health Equity, Winston-Salem, NC 27157, USA

Received 20 May 2013; Accepted 23 July 2013

Academic Editor: Maria Helena Palucci Marziale

Copyright © 2013 Stephen J. Aragon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. This study examined to what degree patient-centeredness—measured as an underlying ability of obstetrical nurses—influenced Medicaid patients’ satisfaction with care in hospital obstetrical units. Design. Multigroup structural equation modeling design, using three cross-sectional random samples ( each) from the 2003 Press Ganey National Inpatient Database. Setting. Self-administered mail surveys. Participants. 900 Medicaid recipients recently discharged from inpatient hospital obstetrical units across the United States. Methods. Multigroup structural equation modeling was used to test the goodness of fit between a hypothesized model based on the Primary Provider Theory and patients’ ratings of nurses. Results. The model fitted the data well, was stable across three random samples, and was sustained when compared to a competing model. The patient-centeredness of nurses significantly influenced overall patient satisfaction and explained 66% of its variability. When nurses’ patient-centeredness increased by one standard deviation, patients’ satisfaction increased by 0.80 standard deviation. Conclusion. This study offers a novel approach to the measurement of the patient-centeredness of nurses and a paradigm for increasing it and its influence on Medicaid patients’ satisfaction in hospital obstetrical units.