Use of Principal Components Analysis to Identify Relevant Health Care Parameters Among Nursing Staff on Satisfaction Perception of Health Care Services in Selected Hospitals of Goa

Abstract

Health concept is multi-faceted in which healthcare services analysis is an important issue that warrants multivariate approaches (Klomp and de Haan 2009). Hospitals have constraints such as buildings in dilapidated conditions, inadequate equipment, lack of emergency/ intensive care services, access to pharmacy and supplies, lack of qualified staff and inadequate maintenance of medical records (Indian Public Health Standards (IPHS) Guidelines for District Hospitals Directorate General of Health Services Ministry of Health & Family Welfare Government of India, 2012). The aim of the study is to identify relevant health care parameters by use of pca on response data of nurses revealing satisfaction. A cross-sectional, descriptive study was conducted between May 2016 to December 2018. A simple random technique was used to obtain a sample of 450 clients. However, a total of 395 clients participated in the study. Government Hospitals were selected along with private hospitals of Goa. Ethical clearance was obtained from Director, Directorate of Health Services, Goa and Medical Superintendent of a private hospital. Further permission was obtained from respective Head of Department of the hospitals under study. Initially, a sampling frame of HCRs available in each ward was prepared. Selected wards included Department of Obstetrics/ Gynecology, Medicine, Surgery, Orthopaedic and General ward. On an average 25-30 clients were admitted in the wards of the hospital. Based on the weights in the PC1 component, we see that Empathy, Responsiveness, in service education and Equipment carry the maximum weight in the component that explains most of the variance, and are hence significant to us.