Dr.Feleke, Yohannes(MD)Tuli, Wagari (MSC)Kedir, Sadik2021-11-262023-11-052021-11-262023-11-052021-06http://etd.aau.edu.et/handle/123456789/28973Background: Patient satisfaction is an important indicator of the quality of care and service delivery in the emergency department (ED). It is defined as the individual’s positive evaluation of distinct dimensions of health care and is an important element in the evaluation of service rendered by a hospital. Researchers also tried to assess what aspects of the client’s characteristics were related to their satisfaction. Patient satisfaction with emergence care service is considered an important factor in explaining patients' perceptions of service criteria is far from ideal if as a result of that care the patient is unhappy or dissatisfied. There is a sound rationale for making the organization and delivery of health care responsive to client’s opinions currently, research is interested in satisfaction in several areas, and various cultures. This study aims to evaluate patient satisfaction with emergency care and to determine associated factors with patient satisfaction. Objectives: To assess patient satisfaction and associated factors among clients who visited the adult emergency department of Tikur Anbesa Specialized Hospital, Addis Ababa Ethiopia, from March to June 2021. Methods: Hospital-based cross-sectional study design was employed to assess patient satisfaction of emergency services on conveniently selected 191 clients through face-to-face interviews in the adult ED. Data was collected by a standard modified Press Ganey questionnaire developed in English then translated to Amharic. The questionnaires contain sociodemographic and satisfaction items. Likert scale questionnaire was graded as strongly dissatisfied “1”, dissatisfied “2”, satisfied “3”, and strongly satisfied “4”. Those scoring the mean or below were considered as dissatisfied while a score above the mean was labeled as satisfied. Epi data 4.6.2 was used for data entry and cleanness and exported to SPSS version 25 was used to further analyze the data and frequency distribution table, graphs, pie chart, and binary logistic regression was used for data presentation. Results: A total of 191clients who attend the TASH adult ED were included in this study. The response rate in this study was 100% from this more than half of them were male (55.5%) respondents. The overall satisfaction of this study were 75.9% from this the highest satisfaction rates were observed in terms of doctors care, laboratory service, nurses care and pain management 89%, 89%, 88.5%, and 79.3% respectively, and the lowest satisfaction rates were observed in terms of latrine cleanness, ED examination room cleanness, find my way when they move here and there in the facility, pharmacy service and distinguish between nurses and doctors 8.9%, 27.2%, 33.5%, 39.8%, and 48.2% respectively. In Bivariate analysis, there were variables sex, age, ethnicity, level of education, job, and monthly income which were fitted/candidate for multivariate logistic regression analysis with P-value <0.25 whereas In multivariable logistic regression analysis variables age and job were significantly associated with patient satisfaction having p=0.015 and p=0.046 respectively. Conclusions and recommendations: The lowest satisfaction rates were observed in terms of latrine cleanness, ED examination room cleanness, find my way when they move here and there in the facility, pharmacy service, and distinguish between nurses and doctors 8.9%, 27.2%, 33.5%, 39.8%, and 48.2% respectively. Based on the finding of this study Efforts should focus on improving the overall cleanness of the emergency room and latrine, shortening the waiting time, proper guider should be there to indicate the way where they move in the facility, improving the overall pharmacy service, patient privacy should be maintained and nurses and doctors should wear proper dress coding and apply visible badges.en-USPatient satisfaction,quality of care, Service delivery,Emergency departmentThesis