Adult patient satisfaction with nursing care
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Date
2005-06
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Addis Abeba Universty
Abstract
Background: - Patients have the right to expect Quality of care. Patient satisfaction with
nursing care is considered an important factor in explaining patients' perceptions of service
quality. Care assessed to be high quality according to clinical, economic or other provider-defined
criteria is far from ideal if as a result of that care the patient is unhappy or dissatisfied. There is,
then, a sound rationale for making the organization and delivery of health care responsive to
consumer opinion.
Objective: -The objective of this study is to assess quality of nursing care as indicated by
patients’ satisfaction.
Methods: - A Cross-Sectional Survey was conducted at Public Hospitals in Addis Ababa,
namely Tikur Anbessa, Saint Paul and Zewditu Memorial Hospitals from July, 2004 to April,
2005. The study population was adult patients who were admitted into the medical, surgical
and gynecological wards of study Hospitals for at least two nights. The data collection tool
was a modified ‘Newcastle Satisfaction with Nursing Scale’ (NSNS). Data analysis was
computed by SPSS. Ethical clearance was secured from Addis Ababa University, Medical
faculty and from the study Hospitals. Participation in this study was voluntary and based on
patient’s ability to give informed consent.
Result: - A total of 660 adult patients from medical, surgical and gynecological wards were
approached from the study hospitals and 631 of them participated in this study (Non-response
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rate was 4.4%).Participants who were females, age group 41 – 50 years of old, having low
income, less educated, patients who were admitted in third classes, and have no history of
previous admission were more satisfied. The over all rating of satisfaction was 67%.The top
aspects that patients scored highest for their satisfaction with nursing care were the amount of
freedom given, nurses capability in their work and nurses treatment of patients as an
individual. The aspects with which patients were least satisfied were the amount and type of
information they received regarding their condition and treatment and also the amount
nurses knew about patients’ care. Age was the significant predictor of patient satisfaction with
nursing care (p<0.05). The need of improving interpersonal relation ship of nurses with their
patients was recommended.
KEYWORDS: -Nursing care, Patients’ satisfaction, Quality
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Keywords
Nursing care, Patients’ satisfaction, Quality