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Background: Patient satisfaction is the perception of carereceived compared with Volume 7 Issue 3 - 2017
the care expected and patients thereby evaluate the health-careservices as well as the
providers from their own subjective point of view. Patient satisfaction with nursing
care is considered an important factor in explaining patients’ perceptions of service
quality.
Arba Minch University, Ethiopia
Objective: To assess the level of Patient satisfaction towards inpatient nursing
services and its determinants in Arba Minch general hospital Gamo Gofa zone, SNNPR, *Corresponding author: Mende Mensa, B.Pharm, MSC.
Ethiopia, April 2017. clinical pharmacy, researcher and senior lecturer,
Methods: A Cross-Sectional Survey was conducted among adult patients admitted Arba Minch College of Health Sciences, Arba Minch
University, Ethiopia, Fax: +2510468811147; Tel:
to medical, surgical and gynecological wards of Arba Minch General Hospitals on
+2510937170976; Email:
April 2017. Data was collected in accordance with a modified ‘Newcastle Satisfaction
with Nursing Scale’ (NSNS). Data was analyzed by using statistical package for social
Received: September 08, 2017 | Published: September 28,
sciences/SPSS version 20. 2017
Results: There were 323 study participants involved in this study. Majority of them
208(64.4%) were females followed by 115(35.6%) males. More than one third
127(39.3%) of study participants were in Age range of 25-34 years with Mean age
of 33.65 ± (SD =10.48) years. Majority of participants 198(61.3%) were admitted for
1-5 days followed by 58(18.0%) were admitted for 11-15 days and mean duration
of hospitalization of study participants was 6.68 ± (SD=5.65) days. Overall patient
satisfaction about inpatient nursing service in the hospital was 132(40.9%). Age
category 35-44 years, Respondents attended college and University, Rural residents,
Patients admitted to Medical ward, Patients admitted several times and patients
admitted second time, Patients with history of surgical operation and Duration of
hospitalization more than 15days were factors associated patient satisfaction.
Conclusion: Based on this study we conclude that the level of overall adult Patient
satisfaction about inpatient nursing service in the hospital was very low. The amount
and type of information provided for patients was poor, nurses’ awareness about
patient needs and keeping privacy of patients in all wards was also low.This requires
imperative attention by responsible bodies to enhance patient satisfaction.
Submit Manuscript | http://medcraveonline.com MOJ Clin Med Case Rep 2017, 7(3): 00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 2/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
reducing days in the hospital. A 10% increase in the number of Literature review conducted of Cumulative Index of Nursing
patients assigned to a nurse leads to a 28%increase in adverse and Allied Health Literature and MEDLINE databases and the
events such as infections, medication errors, and other injuries. ABI/INFORM global business database on patient satisfaction
Understaffing of registered nurses in hospital intensive care units with nursing care using a nursing model by using 44 papers
increases the risk of serious infections for patients [9]. published in English, between 1998 and 2007 showed that
Antecedents embodied the uniqueness of the patient in terms
Patient satisfaction as a measure of quality of care of demographic data, social influence, previous healthcare
Patients have explicit desire or needs for care when they experiences, environmental resources, intrinsic motivation,
visit hospitals. However, inadequate response to their needs cognitive appraisal and affective response [16-20].
or expectations could result in patient dissatisfaction. There is A study in Pakistan on patient level of satisfaction with various
growing consensus that assessment of the quality of hospital aspects of care provided by doctors in surgical ward indicated that
services should be based in part, on patients’ perceptions of care givers’ politeness, consultation and respect for privacy being
overall care and satisfaction [9]. key determinants of users’ perception of satisfaction. Aspects of
Patient satisfaction influences their compliance with care such as seeking patients’ participation in discussion of their
treatment, seeking of medical advice and maintains a continuing illness, explaining them prescription drugs and lab investigations
relationship with practitioners. Measurement of patient are areas required attention, especially with regard socio
satisfaction has become an integral partof hospital management demographic factors like age and education [21].
strategies worldwide. Provision of health care is expected to Studies around the world have also noted that patient
respond directly to patients’ preferences and demands and the satisfaction is associated with increased compliance with the
efficacy of medical treatment is enhanced by greater patient prescribed treatment and discharge instructions, reduction of
satisfaction [10]. complaints against the institution and improvement of morale and
According to WHO, the health and well- being of people depend job satisfaction among health-care providers, which in turn can
on the performance of the health system and assessment of be of benefit to both patients’ health outcomes and relationships
patients’ satisfaction level, as part of health system responsiveness, with health-care professionals [22].
is one of the five indicators for measuring performance of health Studies indicated that patient satisfaction condition associated
system [11]. with patient characteristics, such as age, sex, educational level,
In Ethiopia, health sector development plan three/HSDP work status and health status. A study indicated that varying
III (2005-2010) of the FMOH had focused to strengthening importance of some socio-demographic variables, length of stay
the management capacity of health facilities in addition to the and previous admission. Older respondents generally record
construction and expansion of health facilities, one of the strategic higher satisfaction and satisfaction linked to prior satisfaction
objectives of the currently operational HSDP IV (2010-2015) with health care and granting patient desires [23].
is to improve quality of health services in order to satisfy the A study in Hong Kong indicated that communication, respect
community’s health care needs through the delivery of relevant, and patient engagement I provider–patient relationship and
safe and optimum quality health services [12]. patient socio-demographic characteristics including age gender,
Nursing Care and patient satisfaction race, educational level, health status and previous admissions and
the length of the current admission affect patient satisfaction level
Nursing care has impact on the provision of care that is [24].
safe, effective, patient-centered, timely, efficient, and equitable
services. The adequacy of nursing staffing and proportion of A study done in Bangladesh indicated that the most powerful
registered nurses is inversely related to the death rate of acute predictor for client satisfaction with the government services was
medical patients within 30 days of hospital admission. Increasing provider behavior, especially respect and politeness. The second
RN staffing could reduce costs and improve patient care by most powerful predictor for being satisfied was the respect for
reducing unnecessary deaths and reducing days in the hospital privacy, followed by short waiting times [25].
[13]. A 10% increase in the number of patients assigned to a Treatment outcomes are more favorable when patients feel
nurse leads to a 28% increase in adverse events such as infections, they are active participants in care and that their problem has
medication errors, and other injuries. Understaffing of registered been discussed fully, when they feel encouraged to ask questions,
nurses in hospital intensive care units increases the risk of serious when they feel emotionally supported and when they share their
infections for patients; specifically pneumonia [14,15]. ideas or feelings in the treatment planning process [26].
Cross sectional study conducted in Turkey to assess patient The study in Jimma specialized hospital indicated, satisfaction
satisfaction showed that the type of ward, sex, income, and with the health care was found to have a significant association
education were factors independently affected the satisfaction with the age of the respondents (p=0.034) and educational level
with Nursing Care. Patient who underwent surgical procedures, of the respondents (p=0.003) [12].
male patients, the 40-59 year old age group those who had low
levels of education or income, and patients who were hospitalized Study conducted on Adult Patients’ Satisfaction with Inpatient
for longer periods were most satisfied. Patients age, sex, income, Nursing Care in northeast Ethiopia showed that Female patients
ward type were important factors that affected their satisfaction were more likely to be satisfied with the nursing care as compared
with nursing care [6]. to male patients. Patients within the age group of 18-30 years
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 3/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
were more likely to be satisfied with the nursing care as compared criteria.
to patients above the age of 61. Patients who were admitted in
ophthalmology ward were more likely to be satisfied as compared Inclusion and Exclusion criteria
to patients admitted in medical ward. In addition, patients who Inclusion criteria
perceive their current health is in good condition were more likely
to be satisfied as compared to those who perceive their current Patient who are >18 years of age.
health status is in poor condition [27]. Exclusion criteria
A study in Tikur Anbassa indicated overall participants’ Patients who are seriously ill and unable to communicate were
satisfaction 90% with nursing care. Female and age (18-30yrs) excluded.
had higher satisfaction than males and older participants’.
Number of nights spent in the ward had also an association with Sample size and sampling procedure
satisfaction. Those who stayed 11-21 nights had lesser satisfaction
Sample Size
than those who stayed less than 10 days. It was indicated that,
the cause of dissatisfaction is not due to nursing care but other Sample size was determined by single population proportion
hospital services such as pharmacy, laboratory, catering and other formula and the following assumptions were made: level of
services [27]. confidence 95%; Zα/2=1.96, a 5% margin of error (d=0.05), and
a proportion of patient satisfaction of 67% (33). The sample size
Nurses are frontline health care providers having 24 hour
was 340 and, adding for 5% possible non response rate, the total
contact with patients as well as being near to them. They should
sample size was 357 patients.
fulfil what patients expect more from them with competence and
a compassionate approach. Nursing services are not organized n= (Zα/2)2P(1-P) d2
well in Ethiopia and the government developed companionate
respectful and caring/ CRC to improve quality of health care. Where: P= proportion of patient satisfaction
Besides the limited studies undertaken on Patient satisfaction and Zα/2 at 95% CI= 1.96
associated factors in Ethiopia, there is no research based evidence
in our study area of interest so far. The study might significantly Margin of error (D)= 0.05
help in planning and implementing the future strategies for
Sampling procedure
improving health care delivery and provide pathways and
information for other researchers who want to conduct further Patients fulfilling the inclusion criteria and admitted to
study on similar issue. medical, surgical and obstetrics and gynecology wards of Arba
Minch General Hospital during data collection period and stayed
Materials and Methods for at least one night before data collection in the respective ward
were included.
Study area and period
This study was conducted from April 30-May 20/2017 at Study Variable
Arba Minch general hospital. Arba Minch General Hospital was Dependent variable
established in 1961 E.C and located in Arba Minch town, the
capital city of Gamo Gofa zone, southern Ethiopia. Gamo Gofa zone Patient Satisfaction
is one of the zones that are found in Southern, Nations, Nationality Independent variables
and People Regional state (SNNPR), which is 505km form Addis
Ababa (capital city of Ethiopia) and about 280 Km from Hawassa Age; gender; income; educational status; admission Ward;
(center of SNNPR). Arba Minch has two sub cities, namely history of admission and nursing care provided.
Secha and Sikela. The hospital is located in Secha which is the
administrative center of Arba Minch town. The hospital provides
Data collection instrument and procedure
preventive, curative and rehabilitative care for people from Gamo Data was collected by using modified Newcastle Satisfaction
Gofa Zone and other nearby zones. The hospital has a total of 410 with Nursing Scale (NSNS). The questionnaire was translated
workers. Among these 251 are health professionals, and 159 are to Amharic for interview. The satisfaction scale consists of
administrative staffs. 19-items. All items are scored on a five-point Likert scale (1 = very
dissatisfied, 2 = dissatisfied, 3 = Neutral, 4 = Satisfied, and 5 = Very
Study design Satisfied). Participants were asked to rate their satisfaction with
Institutional based Cross-Sectional study design was utilized. various aspects of nursing care by selecting only one number that
best described their opinion on each item of the scale. The tool was
Source population pretested on 5% of patients who were not included in the actual
All adult patients who were admitted to the Medical, Surgical, study; necessary correction was made based on findings from
and Gynecology wards of Arba Minch General Hospital. pretest. The four final year nursing students for data collection
and two senior nurses one from medical and one from surgical
Study population ward were recruited as supervisor. Brief one day orientation
about principles and procedures of data collection was given by
Patients who are admitted to the study wards in the study
research team for data collectors and supervisors.
hospitals at the time of data collection and met the inclusion
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 4/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
Data processing and analysis was coded and data template was prepared with double checking
for validity.
Data was entered into EPI-data 3.1 and exported to SPSS
20.0 for analysis. Descriptive statistics was computed and Ethical considerations
binary logistic regression was also conducted to examine the
effect of study variables on patients’ satisfaction with nursing This study was conducted after obtaining ethical approval
care. Patient Satisfaction score was computed and Patients from Arba Minch University ethical review committee. Written
were labeled as “Satisfied” if they answered Satisfied and Very permissions from the hospital administration and nursing
satisfied for the tool designed to assess patient satisfaction team coordinator were obtained. Verbal informed consent was
and “Not satisfied” if they responded Neutral, Dissatisfied obtained from respective study subjects after explaining the aim
and very dissatisfied for the designed tool. Percentage of of study and confidentiality of information obtained from them.
overall satisfaction was calculated by the following formula:- Results
Number participants responded satisfied and very satisfied in each ward Socio demographic data
%Satisfied in each ward ×100
Total population in each ward
There were 323 study participants involved in this study
Number participants responded neutral,dissatified and very dissatisfied with response rate of 90.5%. Majority of them 208(64.4%) were
%not Satisfied in each ward ×100 females followed by 115(35.6%) males. More than one third
Total population in each ward
127(39.3%) of study participants were in Age range of 25-34
Sum of participants satisfied in each ward
years with Mean age of 33.65 ± (SD =10.48) years, ranging from
Overall % Satisfaction ×100 18-60 years. With regard to marital status majority 215(66.6%)
Total population
were married followed by 69(21.4%) single. More than one half
Data quality assurance 192(59.4%) of study participants had family size of 1-5 members
Data collectors and coordinators will trained and the data and mean family size was 5.72 ± (SD=3.11), ranging from 2-16
collection procedure is checked regularly, through supervision family members. more than one third 124(38.4%) of study
and frequent checking of information collected for its consistency participants completed secondary school followed by 84(26.0%)
on the same day by the coordinators and principal investigators. illiterate. About one forth 82(25.4%) study participants were
Collected data was checked by principal investigators for housewives with regard to occupational status followed by
completeness before entering into EPI-data 3.1. Then the data 68(21.1%) farmers (Table 1).
Table 1: Distribution of socio demographic and hospitalization related factors of study participants who had been admitted to Arba Minch general
hospital, southern Ethiopia, May 2017.
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 5/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
Farmer 68 21.1
Housewife 82 25.4
Government employee 65 20.1
Occupational status Private employee 40 12.4
Merchant 40 12.4
Retired 25 7.7
Others 3 .9
Urban 167 51.7
Residence
Rural 156 48.3
Hospitalization Related Factors
Medical 185 57.3
Type of ward Surgical 58 18.0
Obstetric and gynaecological 80 24.8
First time 142 44.0
History of hospitalization Second time 127 39.3
Several times 54 16.7
Yes 121 37.5
History of surgical operation
No 202 62.5
1-5 days 198 61.3
6-10 days 50 15.5
Duration of hospitalization
11-15 days 58 18.0
Above 15 days 17 5.3
Yes 219 67.8
Availability of specific nurse assigned for patient care No 60 18.6
Not sure 44 13.6
Others: students
S.No Patient satisfaction assessment tool score Dissatisfied Neutral Satisfied Very Satisfied
5 How quickly nurses came when you called for Them 51 36 221 15
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 6/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
11 How nurses helped put your relatives' or friends' minds at rest 116 30 158 19
Patient satisfaction about inpatient nursing service about their condition and treatment in medical, surgical and
Obstetrics and gynecology wards respectively. One hundred
Participants were asked a series of 19 questions to determine nineteen 64.3%, 22(37.9%), and 31(38.8%) of respondents were
their perception about inpatient nursing service provided for not satisfied with the type of information nurses gave to them
them in respective wards. Majority of respondents 116(62.7%), about their condition and treatment in medical, surgical and
51(87.9%) and 73(91.3%) of respondents were satisfied with Obstetrics and gynecology wards respectively. with regard to
the amount of time nurses spent with them in medical, surgical Nurses’ awareness of patient needs 120(64.8%), 34(38.6%) and
and Obstetrics and gynecology wards respectively. Regarding 37(46.3%) were not satisfied in medical, surgical and Obstetrics
capability of nurses at their job 128(69.2%), 49(84.5%) and and gynecology wards respectively. Concerning Patient privacy
73(91.3%) of respondents were satisfied with the amount of given by nurses 87(47.0%), 44(75.9%) and 64(80.0%) were not
time nurses spent with them in medical, surgical and Obstetrics satisfied in medical, surgical and Obstetrics and gynecology wards
and gynecology wards respectively. one hundred seven 47.8%, respectively. The overall Patient satisfaction in respective wards
53(89.7%) and 77(96.2%) of respondents were satisfied with was 65(35.1%), 24(41.4%) and 43(53.7%) in medical, surgical
the presence of nurses around if they needed them in medical, and Obstetrics and gynecology wards respectively. Overall patient
surgical and Obstetrics and gynecology wards respectively. satisfaction about inpatient nursing service in the hospital was
Majority 100(54.1%) and 42972.4%) and 44(55.0%) were not 132(40.9%) and 191(59.1%) were not satisfied with nursing care
satisfied with the amount of information nurses gave to them provided to them (Table 3).
Table 3: Distribution of patient satisfaction at each wards among study participants who had been admitted to Arba Minch general hospital, southern
Ethiopia, May 2017.
Type of ward
Cross tabulation of patient satisfaction
score Medical (n= 185) Surgical (n= 58) Obstetric/Gyn (n=80)
Frequency Percent Frequency Percent Frequency percent
Not
The amount of time nurses 69 37.3 7 12.1 7 8.7
satisfied
spent with you
Satisfied 116 62.7 51 87.9 73 91.3
Not
How capable nurses were at 57 30.8 9 15.5 7 8.7
satisfied
their job
Satisfied 128 69.2 49 84.5 73 91.3
Not
There always being a nurse 78 42.2 5 8.6 6 7.5
satisfied
around if you needed one
Satisfied 107 47.8 53 91.4 74 92.5
Not
The amount nurses knew about 76 41.2 6 10.3 3 3.8
satisfied
your care
Satisfied 109 58.9 53 89.7 77 96.2
Not
How quickly nurses came when 62 33.5 14 24.1 11 13.8
satisfied
you called for Them
Satisfied 123 66.5 44 75.9 69 86.2
Not
The way the nurses made you 80 43.2 27 46.6 17 21.3
satisfied
feel at home
Satisfied 105 56.8 31 53.4 63 78.7
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 7/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
Perception of Patients about overall nursing service in shortage of bed sheets; 62(19.2%) reported shortage of drugs;
the Hospital 57(17.6%) reported inadequate water supply and 48(14.9%)
reported that nurses have punctuality Problem. finally 52(16.1%)
More than one third 122(37.7%) reported that nursing care reported they have no idea and 15(4.6%) reported that nurses
service is Very good, 62(19.20%) good, 66(20.43%), 22(6.81%) lack motivation (Figure 2).
Excellent, 37(11.46%) poor, 9(2.79%) Very poor and 5(1.55%)
reported nursing care service in the hospital was Dreadful (Figure Factors associated with patient satisfaction in inpatient
1). nursing care
Participants were asked to describe openly about problems Binary logistic regression showed that Age category 35-44
in nursing care service and hospital performance and more than years, educational Status College and University, Rural residence,
one quarter 89(27.6%) of participants reported that there was Admission to medical ward, repeated hospitalization, history of
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 8/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
©2017 Mensa et al. 9/11
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017
95% CI for
Patient satisfaction 95% for AOR
COR
Patient satisfaction on inpatient Not
Satisfied P value
satisfied COR AOR
nursing care a (n=132) LB UB LB UB
b
(n=191)
Frequency Frequency
(%) (%)
15-24 years 27(20.5) 38(19.9) 1 - - 1 - - 0.000
25-34 years 66(50.0) 61(31.9) .771 .380 1.565 1.552 .606 3.978 .360
Age category
35-44 years 16(12.1) 50(26.2) .506 .273 .937 2.795 1.224 6.381 .015*
45 and above 23(17.4) 42(22.0) 1.711 .801 3.654 .622 .266 1.453 .273
Primary school 25(18.9) 29(15.2) 1.211 .608 2.410 .669 .269 1.662 .387
Educational
status Secondary
56(42.4) 68(35.6) .702 .333 1.478 1.148 .471 2.798 .762
School
College and
23(17.4) 38(19.) .735 .393 .676 1.618 1.572 3.392 .020*
University
Urban 71(53.8) 96(50.3) 1 - - 1 - - 0.000
Residence
Rural 61(36.2) 95(49.7) .868 1.357 1.554 1.135 1.132 2.035 .032*
Medical 65(49.2) 120(62.8) 2.146 1.259 3.657 .349 .162 .751 .007*
Satisfied Admission
Surgical 24(18.2) 34(17.8) 1.646 .832 3.259 .739 .302 1.813 .509
ward
Obstetric and
43(32.6) 37(19.4) 1 - - 1 - - 0.000
gynaecological
First time 59(44.7) 83(43.5) 1 - - 1 - - 0.000
History of
Second time 46(34.8) 81(42.4) 1.407 .750 2.639 .262 .105 .657 .004*
hospitalization
Several times 27(20.5) 27(14.1) 1.761 1.924 3.355 .364 .154 .858 .0218
History of Yes 53(40.2) 68(35.6) .824 .522 .891 .925 .519 0.948 .002*
surgical
operation No 79(59.8) 123(64.4) 1 - - 1 - - 0.000
6-10 days 17(12.9) 33(17.3) 1.725 .564 5.277 .395 .097 1.604 .194
Duration of
hospitalization
11-15 days 24(18.2) 34(17.8) .259 .25 .732 .665 .186 2.384 .532
Above 15 days 8(6.1) 9(4.7) 1.232 .456 3.326 .236 .061 .911 .036*
Patients admitted several times and patients admitted Patients who were admitted for more than 15 days were
second time were [AOR= 0.364 (0.154, 0.858)] and [AOR= 0.262 [AOR= 0.236 (0.061, 0.911] less likely to be satisfied with
(0.105,0.657)] less likely to be satisfied with inpatient nursing inpatient nursing care service than those admitted for 1-5 days.
care provided when compared with those admitted for the first This similar with study in Tikur Anbassa indicated those who
time. This could be explained by patient perception about their stayed 11-21 nights had lesser satisfaction than those who stayed
illness; patients who perceive their current health is in good less than 10 days [26]. Other study also revealed similar findings
condition were more likely to be satisfied as compared to those length of stay and previous admission were factors associated
who perceive their current health status is in poor condition [25]. with patient satisfaction [20]. However it is different from cross
sectional study conducted in Turkey to assess patient satisfaction
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017 ©2017 Mensa et al. 10/11
with nursing care showed that patients who were hospitalized for their patients
for longer periods were most satisfied [6]. The variation could be
c. The hospital should introduce Operational standards of
explained by difference in socio-demographic characteristics, tool
Nursing Care Practice to new staffs
use and operation definition given for patient satisfaction.
II. Nursing staff of the Hospital
Strengths and Limitation of the Study
a. Providing quality care is responsibility of every
Strengths professionals and giving attention to fill this gap
i. The study utilized a valid and standardized instrument for III. Researchers
assessing patient satisfaction
b. Those who are interested to conduct study in adult patient
ii. Since interview was made with admitted patients, patients satisfaction, it important consider strong study designs to
who stay for a long period of time were not missed. pick out bottle necks of patient satisfaction
Limitation Acknowledgement
a. Because of time constraints, the interview was held with We would like to extend our deepest gratitude and appreciation
admitted patients, since exit interview is preferred, to reduce to our advisor Mr. Sisay for his valuable and constructive comments
information biases. during development of this research paper. We are thankful to
b. Patients may be afraid to say whatever they feel when they Arba Minch General Hospital for provision of useful baseline
were still in the ward. So, the findings of this study might be information. Lastly our special thanks go to study participants,
inflated when we compared to the real findings. without their participation it is impossible to do this work.
c. Nurses might also increase their care during process care Competing Interests
measurement; this might be inflating the findings of the study.
There is no financial or personal relationship(s) which may
d. Being a cross sectional study it showed factors associated have inappropriately influenced us in writing this article.
adult patient satisfaction and did not explain determinants.
References
Conclusion and recommendations 1. Tahir Ahmed, Assefa N, Demisie A, Kenay A (2014) Levels of Adult
Conclusion Patients’ Satisfaction with Nursing Care in Selected Public Hospitals
in Ethiopia. Int J Health Sci 8(4): 371-379.
In conclusion the level of overall adult Patient satisfaction
2. Locker D, Dunt D (1978) Theoretical and methodological issues in
about inpatient nursing service in the hospital was very low. sociological studies of consumer satisfaction with medical care. Soc
The amount and type of information provided for patients was Sci Med 12(4A): 283-292.
poor, nurses awareness about patient needs and keeping privacy
of patients in all wars also low. Satisfaction of patients admitted 3. Andaleeb SS (2001) Service quality perceptions and patient
satisfaction: a study of hospitals in a developing country. Soc Sci Med
to medical ward was relatively lower than patients admitted to
52(9): 1359-1370.
surgical and obstetrics and gynaecology ward. Age category 35-
44 years, Respondents attended college and University, Rural 4. Comley AL, De Meyer D (2001) Assessing patient satisfaction with
residents, Patients admitted to Medical ward, Patients admitted pain management through a continuous quality improvement effort.
several times and patients admitted second time, Patients with Journal of pain and symptom management 21(1): 27-40.
history of surgical operation and Patients who were admitted for 5. Shikiar R, Halpern M, Mc Gann M, Palmer C, Seidlin M (1999) The
more than 15 days were factors affecting patient satisfaction to relation of patient satisfaction with treatment of otitis externa to
inpatient nursing care service. clinical outcomes. Clin Ther 21(6): 1091-1104.
Recommendations 6. Stimson G, Webb B, (1975) Ongoing to see the Doctor. Routledge and
Kegan Paul, London.
Depending on findings of this we recommend the following
7. Bekele Chaka (2005) Adult Patient Satisfaction with Nursing Care
responsible bodies adissabeba. Ethiopia.
I. Arba Minch General hospital administration: 8. Donabedian A (2003) Introduction to Quality Assurance in Health
Care. Oxford University, USA.
a. Patient satisfaction is one of quality indicators for
health care quality; this requires the due attention by 9. Rita Munley Gallagher (2010) Senior Policy Fellow, National Center
hospital administration and staffs to improve satisfaction for Nursing Quality, American Nurses Association. Revised.
especially focusing on understanding patient needs, 10. (2003) The Health Boards Executive. Measurement of Patient
quality and amount of information provided to the Satisfaction, Health Strategy Implementation Project.
patient and protecting patient privacy through providing
on job training and support for nurses. 11. Tateke, Mirkuzie Woldie, Shimeles Ololo (2012) Determinants of
patient satisfaction with outpatient health services at public and
b. Improving drug supply, water supply and availability of private hospitals in Addis Ababa, Ethiopia. Afr J Prm Health Care
bed sheets that could improve nurses motivation to care Fam Med 4(1): 384.
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205
Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its Copyright:
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017 ©2017 Mensa et al. 11/11
12. Fekadu A, Mosse A, Hailemichael Y (2011) Assessment of clients’ 21. Quintana JM1, González N, Bilbao A, Aizpuru F, Escobar A, et al.
satisfaction with health service deliveries at Jimma University (2006) Predictors of patient satisfaction with hospital health care.
Specialized Hospital. Ethiop J Health Sci 21(2): 101-109. BMC Health Ser Res 6:102.
13. Tourangeau AE (2005) Impact of Hospital Nursing Care on 30-day 22. Mendoza Aldana J, Piechulek H, al-Sabir A (2001) Client satisfaction
Mortality for Acute Medical Patients. Cancer 104(5): 975-984. and quality of health care in rural Bangladesh. Bull World Health
Organ 79(6): 512-517.
14. Hart S, Bergquist S, Gajewski B, Dunton N (2006) Reliability testing
of the National Database of Nursing Quality Indicators pressure 23. Sumeet S, Paramjeet Kaur, Paramjeet Kaur (2013) Patient
ulcer indicator. J Nurs Care Qual 21(3): 256-265. satisfaction levels in a tertiary care medical college in Punja, North
India. Int J Dev Health. 1(4): 1-11.
15. Weisman JS, Rothschild JM, Bendavid E, Sprivulis P, Cook EF, et al.
(2007) Hospital Workload and Adverse Events. Med Care 45(5): 24. Mohsen A, Asadi-Lari M, Tamburini M, Gray D (2004) Patients’
448-454. needs, satisfaction, and health related quality of life: Towards a
comprehensive model. Health and Qual Life Outcomes 2:32.
16. Wagner D, Bear M (2009) Patient satisfaction with nursing care:
a Concept analysis within a nursing framework. J adv Nurs 65(3): 25. Kokeb Haile E (2016) Adult Patients’ Satisfaction with Inpatient
692-701. Nursing Care and Associated Factors in an Ethiopian Referral
Hospital, Northeast, Ethiopia. Advances in Nursing 7.
17. Fahad AF (2005) The effect of nursing care on overall patient
satisfaction and its predictive value on return-to-provider behaviour. 26. Birna A (2006) The quality of hospital services
A survey study. Qual Manag Health Care 14(2): 116-120. in eastern Ethiopia: Patient’s perspective.
Ethiop J Health Dev 20(3): 1-2.
18. Saadia A, Imran A, Farzin T, Shah KH (2014) Patient satisfaction
level in surgical ward of tertiary care hospital in Karachi, Pakistan. 27. Mulugeta M, Aster Berhe, Ashenafi Shumye, Yohannes A (2014)
Pakistan Oral and Dental J. Vol 34 (2). Assessment of adult patients’ satisfaction and associated factors
with nursing care at Tikur Anbassa hospital. Int J Nurs Midwifery
19. Dzomeku VM, Atinga Ba, Etilayoo, Tulukuu Perekuu, Mantey (2013) 6(4): 1-9.
In-patient satisfaction with nursing care: A case study at Kwamen
krumah hospital, International Journal of Research in MHS 2(1): 1-6.
20. Birhanu Z, , Assefa T, Woldie M, Morankar S (2010) Determinants of
satisfaction with health care provider interactions at health centers
in central Ethiopia, BMC Health Serv Res 10: 78.
Citation: Mensa M, Taye A, Katene S, Abera F, Ochare O (2017) Determinants of Patient Satisfaction Towards Inpatient Nursing Services and its
Associated Factors in, Gamo Gofa Zone, SNNPR, Ethiopia, April 2017. MOJ Clin Med Case Rep 7(3): 00205. DOI: 10.15406/mojcr.2017.07.00205