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The purpose of this study is to explore the role of the physical environment in patient satisfaction ratings as communicated in narratives on the social media platform such as Facebook.

Publicly available Facebook reviews (n = 4,502) of a reputable healthcare system in the USA were analyzed. A thematic analysis was conducted to explore architectural elements of the physical environment that play a role in patient satisfaction.

Facebook reviews were examined for the presence of design-related factors within the physical environment. Of the 627 posts (14 per cent) with relevant content, 56 involved factors related to the physical environment. The factors include: location, parking, cleanliness, privacy, waiting rooms, music and temperature. The results showed that environmental and design-related factors are part of patient satisfaction in hospitals.

Not all Facebook reviews contain narrative information. Nevertheless, the impact of the built environment can manifest in online reviews of healthcare systems. Future patient satisfaction research should examine variables related to the built environment on social media ratings.

Social media feedback about the physical environment can help in understanding factors influencing patient satisfaction, which can have an implication for architectural design.

The patient satisfaction is related to the physical environment of healthcare facilities. Some social media narratives reflect it and can be used to improve patient satisfaction.

Although some studies examine social media narratives on patient satisfaction, fewer studies examine these narratives in relation to the built environment. Created by a team of interdisciplinary researchers, this study provides a novel approach to examine social media ratings.

The purpose of this paper is to compare the perspectives of public relations professionals against those of the general public in Spain with respect to which communications activities and organizational attributes are relevant to the leadership images of organizations, and what are the characteristics of effective leaders.

This study combines data from the European Communication Monitor (ECM) with the results of a representative online survey carried out by the global market research company IPSOS.

Results show that the general public sees TV interviews as well as TV advertising as communication tools with the biggest potential to shape the leadership image of organizations. When it comes to the attributes of effective leaders, communication professionals overestimate the role of an organization’s vision, while the population much more stresses basic attributes like leading by example and admitting mistakes. PR practitioners underestimate customer service and environmental responsibility and tend to favor more abstract attributes like innovation and CSR.

This paper touches only four sections of the ECM 2014/2015. Participant fatigue may have negatively impacted the quality of the data. A large sample of professionals was approached, but a much small number initiated and completed the online survey. The size of the sample of communication professionals makes it difficult to generalize the results. In addition, future research should extend the study to different groups of stakeholders, such as employees, investors, and suppliers.

While organizations face intensive pressure from evaluation by their stakeholders, discrepancies between the expectations of the general public in regard to leadership negatively affects the communicator’s work to position organizations in society, as well as CEOs and top executives as leaders. On this regards, getting closer to what the population expects will help to understand and improve leadership perceptions.

Very little work has been done in Spain regarding to leadership in public relations or public relations professional’s perceptions about leadership. Most research published to date has focused on the leader’s position in the company, participation in management levels, types of responsibilities assumed and their relative influence and leadership style. Even fewer public relations studies have tried to identify the communication activities that are relevant to the leadership image of organizations and compare the perspectives of public relations professionals on leadership against those of the general public. This dearth of knowledge about stakeholder expectations negatively affects the communicator’s work to position organizations and executive leaders in society.