Adult Patient Satisfaction With Nursing Care Services and Associated Factors Among Admitted Patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2022: a Cross-sectional Study

Abstract

Abstract Background: Around the world, providing holistic nursing care and ensuring patient satisfaction have become crucial health-care performance indicators. Despite a lot of efforts to improve patient satisfaction with nursing care, the approach in the developing world, including Ethiopia, is still insufficient. Objective: The aim of this study was to assess adult patients’ satisfaction with nursing care services and identify the factors affecting satisfaction at Saint Paul’s hospital millennium medical college, 2022. Methods: Cross-sectional study was conducted at Saint Paul’s hospital millennium medical college. A simple random sampling technique was used to select 422 study participants. The actual sample was distributed using proportional allocation for each selected adult inpatient departments. Participants were interviewed using a modified structured Amharic version of ‘Newcastle Satisfaction with Nursing Scale’ tool from June 20/2022 to July 30/2022. Data analysis was made by SPSS version 26. Bivariate and multivariable logistic regression analysis was used to identify factors associated with adult patient satisfaction. Statistical association was declared using 95% CI and a p-value of < 0.05. Results: The overall level of patient satisfaction with nursing care was 54.3%. Respondents who had no formal education (AOR=8.482; 95% CI=1.678-42.87), being male (AOR=2.487; 95% CI=1.038-5.959) (P-value=0.041), free service consumers (AOR=6.650; 95% CI: 2.677-16.517), health insurance user (AOR=7.309; 95% CI=3.122-17.110) (P-value=0.000), was significantly associated with satisfaction with nursing care. In addition patients’ who had admission history (AOR=0.261; 95% CI=0.122-0.560), governmental workers (AOR=0.090; 95% CI=0.026-0.310) (P-value=0.000) and patients admitted in medical ward (AOR=0.160; 95% CI=0.039-0.649) (P-value=0.010) were associated with patient dissatisfaction with the nursing care services. Conclusion and recommendations: The finding showed that patient satisfaction with nursing care was rated low. Admission history, higher education level, paid cash for service, private and governmental workers were significant predisposing factors to dissatisfaction with nursing care. On the other hand, patients who had no formal education, free service consumers, and being male were significant predictors of satisfaction with the nursing care services. Therefore, it is recommended to include all communities with health insurance schemes and the hospital administration to better give emphasis to patient needs and expectations.