Cover Image

Predictors of Patient Satisfaction with Nursing Care in an Orthopedic and Urologic Population

Hamidreza Sadeghi-Gandomani, Negin Masoudi Alavi, Mohammad Afshar

Background: Patient satisfaction is a multi-dimensional concept that can be influenced by social, cultural, and economic factors. This study was designed to evaluate the determinants that could predict patient satisfaction with nursing care in an orthopedic and urologic Population at a selected surgical ward in Kashan, Iran during 2018.Materials and Methods: This cross-sectional study was performed on 250 male patients with orthopedic and urologic diagnosis that were hospitalized in men surgical ward of Shahid Beheshti hospital affiliated to Kashan University of Medical Sciences. Patients satisfaction was assessed by a researcher-made questionnaire. The data was analyzed by the independent t-test, analysis of variance, correlation, and multiple regression analysis statistical tests.Result: The mean score of patient satisfaction was 136.05±48.10 (possible range 45-225). The age, marital status, education, diagnosis, the length of stay in the hospital, and the verbal communication of nurses with patients showed a significant correlation with patient satisfaction (P<0.001). Regression analysis revealed that age (P=0.013), marital status (P<0.001), education level (P=0.038), the length of stay in hospital (P=0.002), and verbal communication (P<0.001) could make a meaningful model with patient satisfaction in surgical wards.Conclusion: Many personal and professional factors can determine patient satisfaction in orthopedic and urologic population. Verbal communication between nurses and patients is an important factor for patient satisfaction. [GMJ.2018;7:e1305]

Patient Satisfaction, Nursing Care, Orthopedic Trauma, Urologic Disease, Surgical Ward

Soleymanha M, Mobayen M, Asadi K, Adeli A, Haghparast-Ghadim-Limudahi Z. Survey of 2582 cases of acute orthopedic trauma. Trauma Mon. 2014;19(4): 20-23.

https://doi.org/10.5812/traumamon.16215

Toroyan T, Peden MM, Iaych K. WHO launches second global status report on road safety. Inj Prev. 2013;19(2):150.

https://doi.org/10.1136/injuryprev-2013-040775

PMid:23513037

Celso B, Tepas J, Langland-Orban B, Pracht E, Papa L, Lottenberg L, et al. A systematic review and meta-analysis comparing outcome of severely injured patients treated in trauma centers following the establishment of trauma systems. J Trauma Acute Care Surg. 2006; 60(2):371-8.

https://doi.org/10.1097/01.ta.0000197916.99629.eb

PMid:16508498

Urquhart DM, Edwards ER, Graves SE, Williamson OD, McNeil JJ, Kossmann T, etal, Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) Project Group. Characterisation of orthopedic trauma admitted to adult level 1 trauma centres. Injury. 2006; 37(2):120-7.

https://doi.org/10.1016/j.injury.2005.10.016

PMid:16414050

Morris BJ, Richards JE, Archer KR, Lasater M, Rabalais D, Sethi MK, et al. Improving patient satisfaction in the orthopedic trauma population. Orthop Trauma. 2014; 28(4): 80-4.

Messina G, Vencia F, Mecheroni S, Dionisi S, Baragatti L, Nante N. Factors affecting patient satisfaction with emergency department care: an Italian rural hospital. Glob J Health Sci. 2015;7(4):30.

Mensa M, Taye A, Katene S, Abera F, Ochare O. Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia. MOJ Clin Med Case Rep. 2017;7(3):205.

Lee DS, Tu JV, Chong A, Alter DA. Patient satisfaction and its relationship with quality and outcomes of care after acute myocardial infarction. Circ.2008;118(19):1938-45.

https://doi.org/10.1161/CIRCULATIONAHA.108.792713

PMid:18936325

Klotz T, Zumbe J, Velmans R, Engelmann U. The determination of patient satisfaction as a part of quality management in the hospital. Dtsch Med Wochensch. 1996;121(28-29):889-95.

PMid:8681752

Risser NL. Development of an instrument to measure patient satisfaction with nurses and nursing care in primary care settings. Nurs Res. 1975;24(1): 45-52

https://doi.org/10.1097/00006199-197501000-00011

PMid:1038021

Strasen L. Incorporating patient satisfaction standards into quality of care measures. J Nurs Admin. 1988;18(11):5-6.

https://doi.org/10.1097/00005110-198811010-00001

Mack JL, File KM, Horwitz JE, Prince RA. The effect of urgency on patient satisfaction and future emergency department choice. Health Care Manage Rev. 1995;20(2):7-15.

https://doi.org/10.1097/00004010-199521000-00003

PMid:7607888

Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health. 2017;137(2):89-101.

https://doi.org/10.1177/1757913916634136

PMid:27004489

Özsoy S, Özgür G, Durmaz Akyol A. Patient expectation and satisfaction with nursing care in Turkey: a literature review. Int Nurs Rev. 2007;54(3):249-55.

https://doi.org/10.1111/j.1466-7657.2006.00534.x

PMid:17685908

Assefa F, Mosse A. Assessment of clients' satisfaction with health service deliveries at Jimma University specialized hospital. Ethiop J Health Sci. 2011;21(2):101-10.

https://doi.org/10.4314/ejhs.v21i2.69050

PMid:24776780 PMCid:PMC3275861

Westaway MS, Rheeder P, Van Zyl DG, Seager JR. Interpersonal and organizational dimensions of patient satisfaction: the moderating effects of health status. Int J Qual Health Care. 2003 Aug 1;15(4):337-44.

https://doi.org/10.1093/intqhc/mzg042

PMid:12930049

Fitzpatrick R. Surveys of patient satisfaction: important general considerations. MBJ 1991; 302: 887-9. Rev Bras Epidemiol.

https://doi.org/10.1136/bmj.302.6781.887

Dorigan GH, Oliveira HC, Guirardello EdB. Predictors Of Patients'experiences And Satisfaction With Nursing Care In Medical-Surgical Wards Texto & Contexto-Enfermagem. 2015;24(4):1003-8.

Jackson JL, Chamberlin J, Kroenke K. Predictors of patient satisfaction. Soc Sci & Med. 2001;52(4):609-20.

https://doi.org/10.1016/S0277-9536(00)00164-7

Footman K, Roberts B, Mills A, Richardson E, McKee M. Public satisfaction as a measure of health system performance: a study of nine countries in the former Soviet Union. Health Policy. 2013;112(1):62-9.

https://doi.org/10.1016/j.healthpol.2013.03.004

PMid:23545269

Alberto Sánchez C, Javier Prado-Galbarro F, García-Pérez S, Sarría Santamera A. Factors associated with patient satisfaction with primary care in Europe: results from the EUprimecare project. Qual Prim Care. 2014;22(3).

DaÄŸdeviren N, Akturk Z. An evaluation of patient satisfaction in Turkey with the EUROPEP instrument. Yonsei Med J. 2004;45(1):23-8.

https://doi.org/10.3349/ymj.2004.45.1.23

PMid:15004864

Mulugeta M, Berhe A, Shumye A, Yohannes A. Assessment of adult patients' satisfaction and associated factors with nursing care at Tikur Anbassa hospital. Int J Nurs Midwifery. 2014;6(4).

Akinci F, Sinay T. Perceived access in a managed care environment: determinants of satisfaction. J Health Manag Res. 2003;16(2):85-95.

https://doi.org/10.1258/095148403321591401

Quintana JM, González N, Bilbao A, Aizpuru F, Escobar A, Esteban C, . Predictors of patient satisfaction with hospital health care. BMC Health Serv Res. 2006;6(1):102.

https://doi.org/10.1186/1472-6963-6-102

PMid:16914046 PMCid:PMC1579213

Iran CotIRo. Islamic Republic of Iran. Archived from the original (Excel) 2011. 2011. p. 11.

Ghods A ME, Vanaki Z. Designing and psychometric testing of patient's satisfaction questionnaire with nursing care Tehran, Iran: Tarbiat Modares University 2011.

Khamis K, Njau B. Patients' level of satisfaction on quality of health care at Mwananyamala hospital in Dar es Salaam, Tanzania. BMC Health Serv Res. 2014;14(1):400.

https://doi.org/10.1186/1472-6963-14-400

PMid:25230739 PMCid:PMC4263110

Karimi S kM. Study of barriers to providing health services in the city of Sirjan between the years 2001- 2005. J Health Inf Manag. 2008;2(1):157-66.

Son I-S, Hwang J-I. The relationship between patient characteristics and satisfaction with hospital care. J Korean Acad Nurs. 2007;13(3):345-51.

Findik UY, Unsar S, Sut N. Patient satisfaction with nursing care and its relationship with patient characteristics. Nurs Health Sci. 2010;12(2):162-9.

https://doi.org/10.1111/j.1442-2018.2009.00511.x

PMid:20602687

Peterson WE, Charles C, DiCenso A, Sword W. The Newcastle Satisfaction with Nursing Scales: a valid measure of maternal satisfaction with inpatient postpartum nursing care. J Adv Nurs. 2005;52(6):672-81.

https://doi.org/10.1111/j.1365-2648.2005.03634.x

PMid:16313380

Mogadasiyan S, Firoziyan A, Nikanafar A, Rahmani A, Abdolahzadeh F. Satisfaction with nursing care and related factors in hospitalized cancer patients in shahid ghazi hospital in tabriz. The Journal of Urmia Nursing and Midwifery Faculty. 2013;11(7):498-506.

Sweeney J, Brooks AM, Leahy A. Development of the Irish National patient perception of quality of care survey. Int J Qual Health Care. 2003;15(2):163-8.

https://doi.org/10.1093/intqhc/mzg022

PMid:12705710

Otani K, Herrmann PA, Kurz RS. Improving patient satisfaction in hospital care settings. Health Serv Manag Res. 2011;24(4):163-9.

https://doi.org/10.1258/hsmr.2011.011008

PMid:22040943

Morris G, District O-E. Improving quality of services. Health Systems Trust, South African Health Review, Durban: The Press Gang. 1999.

Al Doghaither A. Inpatient satisfaction with physician services at King Khalid University Hospital, Riyadh, Saudi Arabia. 2004.

PMid:16212213

Hansen PM, Peters DH, Viswanathan K, Rao KD, Mashkoor A, Burnham G. Client perceptions of the quality of primary care services in Afghanistan. Int J Qual Health Care. 2008;20(6):384-91.

https://doi.org/10.1093/intqhc/mzn040

PMid:18799468

Gurung T. Factors in fluencing patient satisfaction in a free health care system in the National Referral Hospital (NRH), Thimphu, Bhutan: Bangkok: College of Public Health; 2003.

Senarath U, Fernando DN, Rodrigo I. Factors determining client satisfaction with hospital‐based perinatal care in Sri Lanka. Trop Med Int Health. 2006;11(9):1442-51.

https://doi.org/10.1111/j.1365-3156.2006.01698.x

PMid:16930267

Ohara Y. Communication between health care professionals and patients. Rinsho Byori. 2010;58(6):595-605.

PMid:20662272

Xiao H, Barber JP. The effect of perceived health status on patient satisfaction. Value in Health. 2008;11(4):719-25.

https://doi.org/10.1111/j.1524-4733.2007.00294.x

PMid:18179667

Woodside AG, Frey LL, Daly RT. Linking sort/ice anlity, customer satisfaction, and behavioral intention. J Health Care Mark. 1989;9(4):5-17.

PMid:10304174

Margolis SA, Al-Marzouqi S, Revel T, Reed RL. Patient satisfaction with primary health care services in the United Arab Emirates. Int J Qual Health Care. 2003;15(3):241-9.

https://doi.org/10.1093/intqhc/mzg036

PMid:12803352

Becker G, Newsom E. Socioeconomic status and dissatisfaction with health care among chronically ill African Americans. Am J Public Health. 2003;93(5):742-8.

https://doi.org/10.2105/AJPH.93.5.742

PMid:12721135 PMCid:PMC1447830

Seyf RM, Shahidzadeh MA. Patient satisfaction: A study of Hamedan teaching and general hospitals. Payesh. 2006;5(4):271-9.

Hajian K. Satisfaction of hospitalized patients of health care services in Shahid Beheshti and Yahyanezhad hospitals of Babol. Journal of Babol University of Medical Sciences. 2007;9(2):51-60.

Cho SH. Inpatient satisfaction and dissatisfaction in relation to socio-demographics and utilization characteristics. J Korean Acad Nurs. 2005;35(3):535-45.

https://doi.org/10.4040/jkan.2005.35.3.535

Zewdie B, Tsion A, Mirkuzie W, Sudhakar M. Determinants of satisfaction with health care provider interactions at health centres in central Ethiopia: a cross sectional study. BMC Health Serv Res. 2010;10(78).

Husted H, Holm G, Jacobsen S. Predictors of length of stay and patient satisfaction after hip and knee replacement surgery: fast-track experience in 712 patients. Acta Orthop. 2008;79(2):168-73.

https://doi.org/10.1080/17453670710014941

PMid:18484241

Fan VS, Burman M, McDonell MB, Fihn SD. Continuity of care and other determinants of patient satisfaction with primary care. J Gen Intern Med. 2005;20(3):226-33.

https://doi.org/10.1111/j.1525-1497.2005.40135.x

PMid:15836525 PMCid:PMC1490082

Schoenfelder T, Klewer J, Kugler J. Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care. 2011 Jun 29;23(5):503-9.

https://doi.org/10.1093/intqhc/mzr038

PMid:21715557

Jenkinson C, Coulter A, Bruster S, Richards N, Chandola T. Patients' experiences and satisfaction with health care: results of a questionnaire study of specific aspects of care. Qual Saf Health Care. 2002;11(4):335-9.

https://doi.org/10.1136/qhc.11.4.335

PMid:12468693 PMCid:PMC1757991

Al-Windi A. Predictors of satisfaction with health care: A primary healthcare-based study. Qual Prim Care. 2005;13(2).

Refbacks

  • There are currently no refbacks.