Quality Of Care Questionnaire Research Articles

Satisfaction of Patients Towards Nursing Care in Selected District Hospitals of Negros Occidental, Philippines

Utilizing a descriptive design in a quantitative approach, the study aimed to determine the level of satisfaction of patients admitted to selected District Hospitals of Negros Occidental, Philippines. Purposive sampling obtained two-hundred twenty-six (226) respondents. The study was conducted in five (5) District Hospitals representing each inter-local health zone. Data was collected using an adapted instrument on the “Patient Satisfaction with Nursing Care Quality Questionnaire” by Laschinger (2005) through a face-to-face interview. Overall, the level of satisfaction of patients towards nursing care was good. There is no significant difference in the variables. Further, satisfaction of patients towards nursing care when grouped into four domains of Cox’s International Model of Client Health Behavior (IMCHB) theory, Health Information domain (information given by the nurse) was rated the highest: very good, interpreted as the nurse consistently demonstrated better than average level of performance, while the three domains Affective Support (being able to attend to the emotional needs of the patient), Decisional Control (provides patients opportunity to decide on their own) and Professional-Technical Competency (capacity to provide care according to the standard) were rated as good interpreted as the nurse demonstrated sufficient range of skills for handling the situation and the desired outcome was obtained, some deficiencies existed in the areas assessed but none of significant concern. Hence nurses in the Province of Negros Occidental provide good quality health care services.

The psychiatric nursing care quality questionnaire (PNCQQ)

Introduction: In response to the growing recognition of the importance of the quality care in psychiatric nursing, this study introduces the Psychiatric Nursing Care Quality Questionnaire (PNCQQ) designed to evaluate the quality of care provided to psychiatric patients from diverse cultural backgrounds. Aim: The aim of this research was to develop and validate a comprehensive tool that addresses the unique needs and perceptions of patients across various cultural contexts. Materials and Methods: The development of the PNCQQ involved a rigorous methodology encompassing item generation, expert review, and pilot testing to ensure its relevance and cultural appropriateness. Subsequently, a validation study was conducted with a diverse sample of psychiatric patients to assess the reliability, validity, and cultural sensitivity of the questionnaire. Results: A total of 932 psychiatric patients completed the Psychiatric Nursing Care Quality Questionnaire (PNCQQ) as part of the study. The sample consisted of 57.3% female and 42.7% male participants. The age of participants ranged from 18 to 75 years, with a mean age of 37.8 years. Results indicate robust psychometric properties, including high internal consistency and test-retest reliability, supporting the utility of the PNCQQ in assessing nursing care quality across diverse cultural populations. Conclusions: The implications of this research underscore the importance of culturally competent care in psychiatric nursing practice and highlight the value of utilizing validated instruments to enhance care delivery.

Croatian Translation and Validation of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ).

Patient satisfaction is a crucial measure of the quality of healthcare, especially with regard to nursing services in hospital settings. Understanding and increasing patient satisfaction with nursing care is critical to improving overall healthcare and ensuring positive patient experiences during their hospital stay. The aim of this research was to evaluate the psychometric properties of the Croatian version of the Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ), test the reliability and validity of the tool after translation, and investigate differences in patient satisfaction based on demographic variables, as well as their contribution to satisfaction with the quality of nursing care. After translation and adaptation, the Croatian version of the PSNCQQ was applied to 350 hospitalized patients (average age 51.19 years (range: 18-87)), of whom 194 (55.4%) were men and 156 (44.6%) were women. The results showed high internal consistency (Cronbach's α = 0.977) and confirmed the one-factor structure of the questionnaire, explaining 70.64% of the total variance. Confirmatory factor analysis supported the unidimensional model, showing strong fit indices (χ2 = 583.047, df = 149, p < 0.001, GFI = 0.861, AGFI = 0.818, NFI = 0.936, TLI = 0.946, CFI = 0.955, RMSEA = 0.080, PCLOSE < 0.001). In conclusion, the validation of the PSNCQQ in the Croatian language increases resources for evaluating and improving the quality of nursing care. This research lays the foundation for future studies and practical applications aimed at improving patient satisfaction and nursing care outcomes in Croatia, but there are also limitations to this study, including its one-institution scope, the possible influence of factors outside the current treatment on satisfaction, and the lack of comparison with objective clinical indicators.

Investigating the Link Between Video-driven Pre-operative Education and Patient Satisfaction in Cardiac Surgery

Background Diseases affecting heart have become predominant in our country. Cardiac surgeries are performed in cases where medical management alone does not suffice for the treatment. Patients undergoing cardiac surgery can have various concerns and expectations. Pre-operative education can help them clarify doubts and misconceptions which would in turn aid in faster recovery and better satisfaction.Aim The goal of this study was to ascertain the effect of pre-operative video-assisted teaching on satisfaction of patients undergoing cardiac surgery.Methods Quasi experimental design was adopted for the study which included forty cardiac surgery patients. Patients satisfying the inclusion criteria were allocated randomly to intervention and control groups. Pre-operative video-assisted teaching program was provided to patients in the intervention group before surgery. Control group received only routine instructions from the hospital. Patient satisfaction was assessed on discharge using the Patient Satisfaction with Nursing Care Quality Questionnaire PSNCQQ. The SPSS software version 20 was employed for data analysis. Independent t test was applied for inter-group comparison.Results The patient satisfaction mean scores for the intervention and control groups were 107.35 1.14 and 48.37 5.14 respectively. The intervention groups patient satisfaction levels were noticeably higher in comparison to the other group.Conclusion Results revealed that video-assisted teaching program could improve the levels of satisfaction among patients undergoing cardiac surgery. Educating the patients and clarifying their doubts through regular communication by nurses while delivering quality care can make a huge impact.

Patients’ satisfaction with the quality of nursing care: A cross-section study

BackgroundPatient satisfaction is currently a recognized measure of the effectiveness and quality of the healthcare system. It serves as an essential tool in raising the standard of care. This study aimed to examine patients' satisfaction with the quality of nursing care provided. MethodsA hospital-based cross-sectional study was conducted, involving 400 patients selected through a random selection method, meeting the selection criteria. Data were collected using the “Patient Satisfaction with Nursing Care Quality Questionnaire,” comprising a total of 19 items. The collected data were then analyzed and interpreted using descriptive and inferential statistics. Data were analyzed using STATA software V17. ResultsThe study revealed that the highest level of satisfaction (mean 2.31, SD 1.33) was observed in the coordination of care after discharge, specifically nurses' efforts to cater to patients' needs after they left the hospital. The lowest satisfaction level was related to privacy, with provisions for patients' privacy by nurses scoring 3.9 (SD 1.00). Overall, questionnaire scores ranged from 2.31 to 3.9, with an average score of 3.26 (SD 0.64). ConclusionOverall, patients expressed general satisfaction with the inpatient nursing care they received, and their perceived needs and care expectations from nurses significantly influenced their satisfaction levels. Therefore, we recommend that hospital administrators regularly assess patient satisfaction levels and provide specialized on-the-job training to nurses to enhance their ability to meet patients' needs and increase their overall satisfaction.

A STUDY TO ASSESS PATIENT’S SATISFACTION WITH QUALITY OF NURSING CARE

Objectives: Patient satisfaction is a concrete criterion for the assessment of health care and for that reason quality of nursing care. It provides data for healthcare managers by providing significant resources for processes such as those involved in measuring patients’ expectations and satisfaction with nursing care quality, improving nursing service quality through documentation of areas of failure and planning and implementing necessary training. The study was carried on with the aim to assess patient’s satisfaction with quality of nursing care in a tertiary care hospital and to identify the relationship between the satisfaction of patients with selected variables. Methods: This descriptive cross-sectional study was done at a tertiary care hospital of Indian armed forces after taking approval from the ethical committee of the institute. 50 patients from various wards were selected for the study by randomization method. Critical patients, patients in isolation wards/intensive care unit, and patients with mental illness were excluded from the study. All participants were apprised of the study carried out on them and their informed consent was taken. The data were collected from the participants through a validated structured questionnaire to assess the patient’s satisfaction with quality of nursing care. The data were collected and analyzed statistically. Results: Out of all patients, most of the patients (52%) were aged between 36 and 50 years, and many of them, i.e., 82% were married. Analysis of patient’s satisfaction with nursing care quality questionnaire (PSNCQQ) revealed that for item “Ease of getting information: Willingness of nurses to answer your questions” the highest excellent satisfaction response was given by 24% patients. Item under the highest very good satisfaction response was “Information given by nurses: How well nurses communicated with patients, families, and doctors.” The items for which satisfaction levels were lowest were the “The daily routine of the nurses: How well they adjusted their schedules to your needs” and coordination of care after discharge: Nurses’ efforts to provide for your needs after you left the hospital. Overall, patients were satisfied with the quality of nursing care for most of the variables. Analysis of PSNCQQ for perception-related items showed that 24% and 72% of participants’ responses for the “Quality of the care and service provided during your stay at the hospital” were excellent and very good respectively. Analysis of PSNCQQ for perception-related items showed that patients aged between 18 and 35 years were more satisfied with quality of care. In the overall perception about the quality of care, males were more satisfied than females. In overall perception of quality of nursing care married were more satisfied. Educated patients are more satisfied with the quality of nursing care. Conclusion: The results also showed that nurses should provide care in a framework of respect, kindness, and courtesy toward patients by emphasizing the importance of communication. Besides these, the patients were highly satisfied with the overall quality of hospital care, and nursing care and reported that they would recommend this hospital to their families and friends.

An assessment of nurse-patient therapeutic communication and patient satisfaction with nursing care in multiple healthcare settings: A Study in Saudi Arabia

Background: Effective therapeutic communication between nurses and patients is a fundamental element of high-quality healthcare. This study examines factors influencing therapeutic communication, including professional, contextual/situational, and patient-related aspects, while also assessing patient satisfaction with nursing care and the communication process.Methods: Employing a correlational cross-sectional design, a sample of 80 nurses and 99 patients under their care was selected using purposive sampling methods. This study encompassed diverse healthcare settings in Hail, Saudi Arabia. Data were collected through two survey questionnaires: the Nurse-Patient Therapeutic Communication Questionnaire for nurses and the Patient Satisfaction with Nursing Care Quality Questionnaire for patients. The data analysis was conducted using SPSS v29.0, with findings presented using descriptive and inferential statistics.Results: The professional dimension had a mean score of 5.56 ± 1.38, the contextual and situational dimension had a mean score of 5.69 ± 1.42, and the patient-related dimension had a mean score of 5.60 ± 1.46. Age, education level, and workplace significantly influenced all dimensions (all p &lt; .001). Patient satisfaction scores ranged from 1.87 to 5.00, with an average score of 4.07 ± 0.72. Interestingly, patient satisfaction tended to increase with longer stays, r(97) = .23, p = .024, with the length of stay explaining 5.11% of the variability in patient satisfaction.Conclusions: This study identifies three key dimensions—professional, contextual/situational, and patient-related—as significant factors in nurse-patient communication. Demographic variables, including age, education, and workplace, also played pivotal roles. Notably, patient satisfaction levels were consistently high and positively correlated with longer stays. To foster patient-centred care, it is recommended to prioritize customized communication training and sustain nurturing interactions throughout the patient's care journey.

Adolescents' satisfaction with abortion services received and factors associated with satisfaction at reproductive health centres.

This study assessed adolescents' satisfaction with services received during their most recent abortion and the factors associated with satisfaction at reproductive health centres in the Greater Accra region of Ghana. A facility-based cross-sectional survey was used for this study. Overall, 254 adolescent girls aged between 15 and 19 years, who had an abortion within 1 week of the study period were recruited for the study. All the 254 respondents were recruited consecutively as they visited health facilities for abortion services from March 2019 to February 2020. Written informed consent was signed by respondents, and data were collected using the Patient Satisfaction with Nursing Care Quality Questionnaire, and the data were analysed using Stata version 15.0. Univariate, bivariate and multivariate logistic regression analyses were conducted. A majority of adolescents reported being satisfied with the abortion services they received. Ample waiting space and the system of 'first-come-first-served' were the highest rated elements of service satisfaction. Adolescents were least satisfied with the inadequacy of instructions and lack of information on medications received and their therapeutic or side effects. Ethnicity, having a stable intimate partner and perceived adequacy of staff were the factors associated with satisfaction with abortion services. Adolescents are unique group of people with peculiar health needs. If they are treated with respect and dignity, they are likely to be satisfied with services received from the reproductive health centres offering comprehensive abortion care. The study addresses adolescent satisfaction with abortion care received; if health providers treat adolescent seeking abortion care with respect, friendly and non-judgemental attitude, it will enable adolescents to seek abortion care from qualified professionals instead of unskilled service providers to reduce maternal mortality. Patients from 11 reproductive centres responded to the questionnaire used for the data collection.

Etiology, histology, and long-term outcome of bilateral testicular regression: a large Belgian series

Abstract STUDY QUESTION What is the long-term outcome of individuals born with bilateral testicular regression (BTR) in relation to its underlying etiology? SUMMARY ANSWER Statural growth and pubertal development are adequate with incremental doses of testosterone replacement therapy (TRT); however, penile growth is often suboptimal, especially in those with a suspected genetic etiology (i.e. heterozygous DHX37 variants) or a micropenis at birth. WHAT IS KNOWN ALREADY BTR is a rare and poorly understood condition. Although a vascular origin has been postulated, heterozygous missense variants in DHX37 have been attributed to the phenotype as well. How these various etiologies impact the clinical phenotype, gonadal histology and outcome of BTR remains unclear. STUDY DESIGN, SIZE, DURATION For this cross-sectional study, individuals with BTR were recruited in eight Belgian pediatric endocrinology departments, between December 2019 and December 2022. A physical exam was performed cross-sectionally in all 17 end-pubertal participants and a quality of care questionnaire was completed by 11 of them. Exome-based panel testing of 241 genes involved in gonadal development and spermatogenesis was performed along with a retrospective analysis of presentation and management. A centralized histological review of gonadal rests was done for 10 participants. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 35 participants (33 with male, 1 with female, and 1 with non-binary gender identity) were recruited at a mean age of 15.0 ± 5.7 years. MAIN RESULTS AND THE ROLE OF CHANCE The median age at presentation was 1.2 years [0–14 years]. Maternal gestational complications were common (38.2%), with a notably high incidence of monozygotic twin pregnancies (8.8%). Heterozygous (likely) pathogenic missense variants in DHX37 (p.Arg334Trp and p.Arg308Gln) were found in three participants. No other (likely) pathogenic variants were found. All three participants with a DHX37 variant had a microphallus at birth (leading to female sex assignment in one), while only six of the remaining 31 participants without a DHX37 variant (19.4%) had a microphallus at birth (information regarding one participant was missing). Testosterone therapy during infancy to increase penile growth was more effective in those without versus those with a DHX37 variant. The three participants with a DHX37 variant developed a male, female, and non-binary gender identity, respectively; all other participants identified as males. TRT in incremental doses had been initiated in 25 participants (median age at start was 12.4 years). Final height was within the target height range in all end-pubertal participants; however, 5 out of 11 participants (45.5%), for whom stretched penile length (SPL) was measured, had a micropenis (mean adult SPL: 9.6 ± 2.5). Of the 11 participants who completed the questionnaire, five (45.5%) reported suboptimal understanding of the goals and effects of TRT at the time of puberty induction. Furthermore, only 6 (54.5%) and 5 (45.5%) of these 11 participants indicated that they were well informed about the risks and potential side effects of TRT, respectively. Histological analysis of two participants with DHX37 variants suggested early disruption of gonadal development due to the presence of Müllerian remnants in both and undifferentiated gonadal tissue in one. In eight other analyzed participants, no gonadal remnants were found, in line with the BTR diagnosis. LIMITATIONS, REASONS FOR CAUTION The limitations of this study include the relatively small sample size (n = 35) and the few individuals with DHX37 variants (n = 3). Furthermore, data on the SPL were often missing, due to this being undocumented or refused by participants. WIDER IMPLICATIONS OF THE FINDINGS TRT provides adequate statural growth, even when initiated in late adolescence, thus providing time for physicians to explore the patients’ gender identity if needed. However, sufficient and understandable information regarding the effects and side effects of TRT is required throughout the management of these patients. SPL remains suboptimal in many individuals and could be improved by TRT during infancy to mimic the physiological mini-puberty. An environmental origin in some participants is supported by the high incidence of gestational complications (38.2%) and by the three monozygotic twin pregnancies discordant for the BTR phenotype. Individuals with a heterozygous DHX37 variant have a more severe phenotype with severely restricted penile growth until adulthood. Histological analysis confirmed DHX37 as a gonadal development, rather than a BTR-related, gene. STUDY FUNDING/COMPETING INTEREST(S) Funding was provided by the Belgian Society for Pediatric Endocrinology and Diabetology (BESPEED) and by Ghent University Hospital under the NucleUZ Grant (E.D.B.). M.C. and E.D.B. are supported by an FWO senior clinical investigator grant (1801018N and 1802220N, respectively). The authors report no conflicts of interest. TRIAL REGISTRATION NUMBER N/A.

The effect of regular nursing rounds on patients' comfort and satisfaction, and violence against nurses in surgical ward

BackgroundPatients' satisfaction and comfort are known as the quality indicators of nursing care. Nowadays, violence against nurses has an increasing trend. Regular nursing rounds are one of the caring programs that help improve these indicators. This study aimed to examine the effect of regular nursing rounds on patients' comfort, satisfaction, and violence against nurses. Materials and methodsThis quasi-experimental study was conducted in two groups consisting of 100 patients and 35 nurses in a surgery ward in the northwest of Iran. The satisfaction with nursing care quality questionnaire, Kolcaba's general comfort questionnaire, and work environment violence were used for data collection. In the present study, the control and intervention groups were selected using a simple sampling method. The control group received routine care only; however, the intervention group received a regular nursing round program every 2 h from the second day of their admission for three days. The satisfaction questionnaire and comfort scale were completed on the second and fifth days of admission, and the evaluation of violence against nurses was performed from the second to the fourth day. The results were analyzed using chi-square, Fisher, independent t, and paired t tests. ResultsBefore the intervention, no statistically significant difference was observed between the two groups in terms of demographic and dependent variables (p > 0/05). After the intervention, statistically significant differences were observed among the mean scores of satisfaction with nursing care (p < 0/001), comfort (p < 0.001), and violence against nurses (p = 0.041) between the two study groups, so that in the intervention group, the patients’ satisfaction and comfort increased and violence against nurses reduced during the intervention period. ConclusionsThe use of regular nursing rounds had a positive effect on the study results. Therefore, it is recommended that nurse managers design, implement, encourage, and evaluate regular nursing rounds to improve nursing care.

Assessment of Hospitalised Patient Satisfaction with Nursing Care in the Gynaecology and Obstetrics Department of Benghazi Medical Center, Libya

Satisfaction with nursing care is believed to be an indicator of the quality of the health setting, for this reason, many stakeholders and managers focus on measuring patients’ satisfaction to gather crucial information that could improve nursing service quality. The purpose of this study was to assess patients’ satisfaction with nursing care in the gynaecology and obstetrics department at Benghazi Medical Center (BMC) in Libya. Method: This study utilized a cross-sectional survey design. The survey was conducted from April to May 2022. Participants: - The population of the study consisted of adult patients who agreed to participate in the research and met the inclusion criteria, A convenient sampling method was applied in this study (n=300). Instrument: The data were collected through patient satisfaction with the nursing care quality questionnaire (PSNCQQ). The first section collected general information and demographic data; the second section consisted of a questionnaire related to patient satisfaction with nursing care. The scale included additional questions designed to assess satisfaction with the overall quality of care and treatment received during hospitalization, the overall quality of nursing care, and the likelihood that the patient would recommend the hospital to relatives and friends. The findings: The patients rated their satisfaction with nursing care as being at a low level of satisfaction. Moreover, patients reported less satisfaction with the overall quality of care and services received during their hospital stay and reported that they would not recommend this hospital to their families and friends. Recommendation: Periodic assessments to measure patients’ satisfaction levels with nursing care in different units and locations, and with a larger sample, could help healthcare facilities to guarantee the provision of high-quality patient care. - The results of the evaluation should be used to develop potential new strategies to improve the level of nursing services in the hospital.

Validating the translation of a Quality-of-Care (QoC) scale: An exploratory approach

ABSTRACT A lot of clinical activities like preventive, treatment, and follow-up care services and functions are offered to patients by the healthcare sector. In this context, the Quality of Care (QoC) assesses the efficacy and effectiveness of care services. A tool like the Pyramid QoC questionnaire is used for the assessment of QoC. This tool has pitfalls like inadequate conceptualization and a lack of statistical validation. These gaps could be minimized by re-validating the existing QoC instruments. This study followed the aforementioned approach and re-validated a translated (Bangla) version of the QoC scale. The survey method was used for collecting data. The sample size for this study is 300 respondents. Robust statistical tools like Exploratory and Confirmatory Factor Analysis were used for validation. As a unique contribution, this study offered geography and respondent centric validated QoC instruments. The translated QoC Scale would be useful to Indian healthcare service providers in managing and exceeding the patient's expectations. This tool would also be useful in offering better treatment outcomes and in improving profitability.

Psychometric Properties of Schwartz Center Compassionate Care Scale with Iranian Patients

Background: Despite patients’ and caregivers’ approval of the importance of compassionate care, without proper measurement, we cannot know the level of compassion or the effectiveness of interventions. Thus, the aim of this study was to assess the reliability and validity of the Persian version of the Schwartz for Compassionate Care scale.&#x0D; Methods: The scale was translated using the back and forward technique. The construct validity was assessed using confirmatory factor analysis. Concurrent validity was examined by Pearson’s correlations between this scale and the patient satisfaction with nursing care quality questionnaire. The reliability was assessed using test-retest and internal consistency methods.&#x0D; Results: The results of the confirmatory factor analysis reported almost adequate values for all fit indices (χ2/df = 2/85, RMSEA= 0/07, CFI= 0/88, GFI=0/92, AGFI=0/88 TLI=0/90) and concurrent validity was high. Cronbach’s alpha was reported as 0.95 and the results of the test-retest in checking the time stability of the scale were reported as 0.78.&#x0D; Conclusion: It can be concluded that Schwartz’s Compassionate Care scale had almost acceptable validity and reliability for Iranian nurses’ caring behavior. Therefore, the Persian version of this scale should be used with caution in Iran.

The Relationship between Nursing Professional Ethics from the Perspective of Nurses and Quality of Nursing Care from the Perspective of Patients in Hamadan University of Medical Sciences

Background: Professional ethics is an important component in providing good quality nursing care and for performance. Only those who are in the position to receive these services can measure professional ethics and quality of care indicators.&#x0D; Methods: This descriptive-correlational study was performed with the participation of 287 nurses and 287 hospitalized patients in 5 teaching hospitals of Hamedan in 2021. Data were collected using demographic information questionnaires, nursing professional ethics and quality of care questionnaire. Data were analyzed by using descriptive and inferential statistics.&#x0D; Results: The results showed that the majority of nurses (78.8%) rated their performance with good professional ethics and the mean of the quality of care of the patients was 143.2 ± 13.51. Also, the highest quality of nursing care from patients' point of view was in the psychosocial field and the lowest quality of nursing care was in the communicative domain, and there was no significant relationship between adherence to professional ethics and quality of nursing care delivery (p value = 0.988).&#x0D; Conclusion: According to the findings of the study on the lack of relationship between professional ethics and quality of nursing care from the point of view of nurses and patients, therefore it seems necessary to take measures to develop educational programs regarding the importance of ethical compliance by nurses and awareness of the components of quality care for patients.

Cultural Competency and Quality of Care of Nurses in a Public Hospital in Southern Philippines

Background: The inability of healthcare institutions to provide culturally sensitive care to patients with diverse cultures and beliefs correlates to poor nursing care and a decline in patient outcomes. In providing high-quality nursing care, nurses should be invaluable in demonstrating culturally competent caring behaviors to the diverse patient population. Objectives: This study aimed to determine the significant difference between the self-assessed cultural competency of nurses and the quality of care of nurses as perceived by the patients. Methods: A descriptive quantitative study was employed. Consecutive sampling was used to select the participants who met the inclusion criteria with a total of 98 respondents, 48 of them were nurse respondents and 40 were patient respondents. Questionnaires consist of the socio-demographic profile of the respondents, Patient Satisfaction with Nursing Care Quality Questionnaire, and Cultural Competence Self-Assessment Checklist. Descriptive statistics was used to analyze the data. Results: The results indicate that, on average, the nurse respondents rated themselves as "Pretty Well" in terms of their cultural competency based on awareness (x=3.15), knowledge (x=3.23), and skills (x=3.21). The overall total measure of cultural competence is x=3.20 which means that respondents have a generally positive perception of their overall cultural competency. As to the quality of care, the overall total measure of 4.14 and an SD of 0.48 indicates a Very Good perception of the overall quality of care nurses provide. Moreover, it was found that there is a significant difference in the cultural competency of nurses and the quality of care given to the patients. Conclusion: The study indicates that nurses’ cultural competence tends to affect patient outcomes and that the hospital needs training programs for nurses to increase their awareness of their behaviors and their influence on healthcare outcomes.

A narrative medicine‐based training program increases the humanistic care quality of new nurses in cancer hospital

AbstractWith the change of medical model, the cancer nurses should not only pay attention to patients' physical pain, but also patients' psychological distress, which requires cancer nurses to have a high quality of humanistic care. This study aims to explore the humanistic care quality of new nurses in cancer hospital and effects of the narrative medicine‐based training program on the new nurses of cancer hospital. A total of 101 new nurses in a cancer hospital received the narrative medicine‐based training in 2020. Before and after the training, they were investigated with humanistic care quality questionnaire and empathy ability questionnaire. The course included narrative therapy overview, narrative medicine overview, narrative nursing, psychological nursing cases of cancer patients, and so on. After training, the total score of the humanistic care and quality empathy ability increased significantly, and the comparison was statistically significant. The total score of empathy after the training (98.44 ± 2.23) was higher than the score before the training (86.35 ± 7.53) (p &lt; .05). The total score of humanistic care quality after the training (184.45 ± 14.34) was higher than the score before the training (161.45 ± 15.45) (p &lt; .01). The scores of all dimensions were statistically significant. The narrative medicine‐based training program could increase the empathy ability of the new cancer nurses and improve the humanistic care quality. This program is suitable for clinical promotion and application. The study findings could have implications for medical institute to increase the humanistic care quality of new nurses.

Patients' satisfaction with nursing care quality and associated factors: A cross-section study.

This research aimed to evaluate patients' satisfaction with the nursing care quality during their hospitalization. Quantitative cross-sectional descriptive design. A convenience sample of 238 patients were recruited from hospitals in two provinces in Saudi Arabia. Patient satisfaction was measured by the Arabic version of the Patients' Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ-Ar). Significant differences were found between Saudi provinces regarding the overall quality of nursing care (M=4.65, p < 0.001). The study revealed mean significant variations between patient satisfaction with nursing care and sociodemographic factors, including age (p=0.002), education level (p=0.047), marital status (p=0.017), employment status (p=0.038), urban vs. suburban residence (p=0.006), length of hospitalization (p=0.001), and accompaniment by a family member (p=0.014). Improving patients' experience during their hospitalization requires regular examination of the quality of nursing care services. This research enhances our understanding of patients satisfaction toward the quality of nursing care received during hospitalization.

Validity And Reliability of the Questionnaire to Measure the Patient Satisfaction With Nursing Care Quality-Turkish Version

Background: Patient satisfaction is an essential quality-result indicator of health services in hospital and ambulatory care settings. There are limited questionnaires to measure patient satisfaction with nursing care quality in Turkey. Purpose: This study aimed to assess the psychometric properties of the Turkish version of the Patient Satisfaction With Nursing Care Quality Questionnaire (PSNCQ). Methods: This methodological study was carried out in a bronchology unit of a state hospital in Istanbul between January and May 2021. The sample consisted of 149 participants and was recruited using convenience sampling. Data were collected using an online questionnaire. Results: The Content Validity Index of the questionnaire was calculated at .95. Item-total correlations ranged from .76 to .91 for 19 items. The minimum factor load was .781, and the questionnaire items explained 79% of the total variance. Alpha coefficient was calculated as .98 for the whole questionnaire. To test reliability analysis, the Spearman-Brown correlation value was 0.881, and the Guttman Split-Half value was 0.933. Test re-test correlation was .88. Confirmatory factor analysis confirmed the one-factor model. Conclusions/Implications for practice: Turkish version of the PSNCQ questionnaire is a valid and reliable tool for evaluating patient satisfaction with nursing care. Valid and reliable instruments are crucial to effectively assess patient satisfaction with nursing care to improve health quality.

An introduction to the TPSN model: a comprehensive approach to reducing the theory-practice gap in nursing

BackgroundThere are still concerns about the effectiveness of clinical education models which are done with the aim of reducing the theoretical-practical gap in nursing. In this article, we intend to describe an innovative model to create an integration and structured relationship between educational and healthcare provider institutions. The basis of this work is the full-time presence of nursing teacher in the clinical settings and the development of their role to improve the education of students and nurses and the quality of nursing services.MethodsThis was a participatory action research. This action research was implemented in four steps of problem identification, planning, action and reflection. Interviews, focus groups and observation were used for the qualitative part. Clinical Learning Environment Inventory (CLEI), Job Satisfaction in Nursing Instrument questionnaires and Patient Satisfaction with Nursing Care Quality Questionnaire were completed before and after the study. Qualitative content analysis, paired and independent t test were used for data analysis.ResultsThe academic-practice integration Model of TPSN is a dynamic and interactive model for accountability in nursing Discipline. Unlike the medical education model that includes patients, students, and physicians as the three points of a triangle, this model, which is shaped like a large triangle, places the person in need of care and treatment (patient, client, family, or society) in the center of the triangle, aiming to focus on the healthcare receiver. The model consists of three components (Mentoring component, Preceptorship component, and integrated clinical education component). Each of the components of this model alone will not be able to eliminate the ultimate goal of bridging the theory-practice gap.ConclusionsA new and innovative model was proposed to reduce the theory-practice gap in the present study. This model increases the collaboration between educational institutions and healthcare settings compared with the previous models. The TPSN model helps students, nurses, and nursing instructors integrate theoretical knowledge with clinical practice and act as professional nurses.

Patient Satisfaction and Barriers to Nursing Care Quality in Oncology Units

Abstract Background: Every patient expects safe and quality patient care. A satisfying journey during hospitalization indicates quality care. Nurses provide a significant component of patient care over a long period, compared to any other healthcare professional. This study aims to find patient satisfaction in oncology units and identify the barriers to nursing care quality. Materials and Methods: A cross-sectional correlation design was used with 100 cancer patients admitted to oncology units of tertiary care hospital selected by convenience sampling. The Nursing Care Quality Questionnaire was used to assess patient satisfaction, and an investigator-prepared and validated checklist was used to identify barriers to nursing care quality. Results: The study revealed that 50% of patients were satisfied with the overall nursing care quality received during the hospital stay, and the overall barrier score to patient satisfaction for quality nursing care was 33.5%. Overall, 37% of patients were extremely satisfied with the quality of care and services they received during their hospital stay. The findings revealed a statistically significant association between patient satisfaction and the patients' employment status, type of treatment, and duration of stay in the hospital. This study also revealed that workload, lack of time, and inability to speak the local language were the major barriers to patient satisfaction. Conclusions: Patients are the hospital's consumers or customers. For the best results, hospitals should train nurses to communicate in the local language, provide adequate staffing, and adequate training.