Patients Perception of Hospital Care in the United States – Health System Example

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"Patients Perception of Hospital Care in the United States" is a worthy example of a paper on the health system. The phenomenon of interest in the article “ Patients' perception of hospital care in the United States” is realizing how patients’ view pain. The article distinguishes patients in the United States and in hospital conditions. Jha ET al state this phenomenon of interest well in the background section (Jha, et al, 2009). The justification for using a qualitative method in the study reflected in the article is echoing findings from a survey formerly carried out to determine patients’ view of pain.

The philosophical underpinnings of the article’ s research method include the unknown nature of patients’ views on pain, as well as deductions made from data gathered by HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems). Purpose The purpose of the study is to garner major insights into how patients in the United States’ hospitals perceive pain (Jha, et al, 2009). In addition, the study aims at realizing any connections between these perceptions of pain and other factors of nursing. This purpose is significant to the work of nursing because it assists in nurse-patient communication, nurse-physician communication, and caregiving performance. Method The method used to collect data in this article is compatible with the study’ s purpose.

Investigating how hospitals from diverse domains of patients’ perceptions perform are adequate for addressing the phenomenon of interest (Cervero, 2012). Jha, et al complete the study in accordance with the processes described. Sampling The type of sampling used is non-probability. Non-probability sampling is appropriate given the type of method used. Non-probability sampling was able to explore the main features of hospitals believed to improved patients’ perceptions of pain (Jha, et al, 2009).

The informants chosen for sampling were also appropriate for the study considering they were all patients in American hospitals. As a result, determining the performance of these hospitals and any existing relationships became effective. Data Collection Data collection focuses on the human experience through direct statements of the informants’ views of pain. The researchers only state data collection strategies without description, which were questionnaires with limited responses. The article fails to address the protection of human participants. The article does not also describe the saturation of data.

The procedures for collecting data included combining survey data by HCAHPS and allowing patients to answer 27 questions (Jha, et al, 2009). Data Analysis Strategies used to analyze data include chi-square tests and t-tests. The researchers use these tests to compare features of hospitals studied and those that did not agree to participate in the study. The researcher remains true to the data considering they were statistics. A reader of the article can easily follow the steps described for data analysis (Jha, et al, 2009). The researchers do not address the credibility, auditability, and fittingness of the data collected. Findings The article presents the study’ s findings within a context, which is the “ Results” section.

A reader can apprehend the essence of the experience from the report of the findings because the context is divided into subsections (Jha, et al, 2009). The researchers’ conceptualizations remain true to the data. The researcher does not place the report in the context of what is already about the phenomenon of interest. Conclusions, Implications, and Recommendations The conclusions of the article offer the reader a context in which to use the findings (Gerrish & Lacey, 2013).

The conclusions reflect the study findings poorly. This is because the article does not have a detailed conclusion section. In addition, the article does not offer any recommendations for future studies or implications of the findings made.


Jha, Ashish K, M.D., M.P.H., Orav, E. J., Zheng, J., PhD. & Epstein, Arnold M, M.D., M.A. (2009). Patients' perception of hospital care in the United States. The New England Journal of Medicine, 359(18), 1921-31. doi:

Cervero, F. (2012). Understanding Pain: Exploring the Perception of Pain. Massachusetts: MIT Press.

Gerrish, K. & Lacey, A. (2013). The Research Process in Nursing. New York, NY: John Wiley & Sons.

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