article · BMJ Open
An assessment of admitted patients across medical, surgical, and paediatric wards at Debre Berhan Referral Hospital evaluated levels of satisfaction with nursing services and examined associated patient characteristics. Using the Newcastle Satisfaction with Nursing Scale among 252 adult and paediatric ward patients, the investigation found that just under half, specifically 49.2 percent, were satisfied with the nursing care received. Patient satisfaction was significantly influenced by prior hospital admission and educational background. Individuals with higher levels of education were 80 percent less satisfied than those without formal schooling. Conversely, patients who had previously been admitted to a hospital were more than twice as likely to report satisfaction compared with first-time patients. These findings highlight how demographic factors and previous healthcare exposure relate to patient perspectives on inpatient nursing.
Understanding how patients perceive inpatient nursing care is essential for evaluating hospital service quality and identifying areas for improvement. Recognising that satisfaction levels differ according to educational background and past admission history helps hospital administrators and clinical staff anticipate patient expectations and tailor communication, potentially improving the hospital experience across diverse patient groups.
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OBJECTIVES: The aims of the study were (1) to assess the level of patient satisfaction with nursing care and (2) to identify factors influencing patient satisfaction. DESIGN: A hospital-based, cross-sectional study was conducted with 252 admitted patients in the medical, surgical and paediatric wards. SETTING: Debre Berhan Referral Hospital, Debre Berhan, Ethiopia, with a catchment population of 2.8 million. PARTICIPANTS: All patients admitted at least for 2 days and capable of independent communication were included. However, patients were excluded on any one of the following conditions: admitted for less than 2 days, cannot understand Amharic language, with critical illness or cognitive impairment that affects judgement, or inability to provide written informed consent. The mean age of the patients was 37.9 (SD=12.9) years, and half (50.4%) of them were male. PRIMARY OUTCOME MEASURE: Patient satisfaction with nursing care, measured by the Newcastle Satisfaction with Nursing Scale, was the outcome variable. Using a mean split approach, patient satisfaction scores were dichotomised into 'satisfied' and 'unsatisfied'. RESULTS: 49.2% of patients were satisfied with nursing care. Educational status and history of admission were significant factors influencing patient satisfaction with nursing care. Patients who had high educational status were 80% less satisfied compared with those who had no formal education (p=0.01, OR=0.2, 95% CI 0.1 to 0.7). Patients who had a history of admission were 2.2 times more satisfied compared with those who had no history of admission (p=0.02, OR=2.2, 95% CI 1.2 to 4.2). CONCLUSIONS: About half the admitted patients were satisfied with the nursing care. Satisfaction differed significantly by patients' educational attainment and history of admission. This study provided evidence on patient satisfaction with nursing care in Ethiopia. This information may be useful in comparative studies of patient satisfaction and in identifying characteristics that may explain or predict patient satisfaction.
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DOI: 10.1136/bmjopen-2017-021107
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