Document Type

Thesis - Open Access

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Evelyn T. Peterson


This study compared patient satisfaction with nursing care given by nurses working traditional eight-hour shifts versus the satisfaction of patients being cared for by nurses working twelve-hour shifts.
The conceptual framework was derived from Systems Theory incorporating the interrelated subsystems within the organization that contribute to patient satisfaction as identified by Johnson, Kast, and Rosenzweig (1973).
The Patient Satisfaction Instrument designed by Risser(1975) and adapted by Hinshaw and Atwood (1979) for in-patient use was utilized for data collection. One medical-surgical unit in a Veterans Administration Hospital constituted the experimental group where patients were surveyed before and after the staffing change. Another medical-surgical unit served as the control group. Analysis of variance was used to analyze the data. At a probability level of .05 there was no difference in patient satisfaction between nursing care given during the eight and twelve-hour shifts.
The study, utilizing Systems Theory, indicated that a structural change in one subsystem did not effect patient satisfaction assuming the other subsystems remained stable.

Library of Congress Subject Headings

Nursing audit
Nurse and patient
Patient satisfaction



Number of Pages



South Dakota State University


In Copyright - Non-Commercial Use Permitted

Included in

Nursing Commons