Enhancing Patient Satisfaction through Quality Nursing Care: Key Factors and Strategies
Abstract
Nursing care is also a very important factor influencing patient satisfaction that is becoming a major parameter of healthcare quality. This study investigates the complex connection between patient experiences and nursing practices and how clinical competence, emotional support, communication, cultural sensitivity, and patient-centered care interact to affect the level of patient satisfaction. The research analyzes the main aspects of nursing care such as pain management, patient education, time management, ethics, professionalism, teamwork, and interdisciplinary collaboration. It also deals with issues that impact nursing care, and measures to improve quality and practical case studies of how nursing influenced patient satisfaction. The results show that holistic and patient-centered nursing care has a positive effect on clinical outcomes and perceived quality of care, which strengthens the trust, engagement, and treatment adherence. The paper ends with implications of the study in the nursing practice, nursing policy and future research, where continuous professional development, organizational supportive policies and evidence based interventions are needed to facilitate high quality care and be able to increase patient satisfaction.
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References
Almenyan, A. A., Albuduh, A., & Al-Abbas, F. (2021). Effect of nursing workload in intensive care units. Cureus, 13(1), e12674. https://doi.org/10.7759/cureus.12674
Ali Aibalawy, N. S., Alhawiti, B. T. S., Albalawi, S. O. S., et al. (2024). The role of nursing interventions in reducing hospital-acquired infections. Journal of International Crisis and Risk Communication Research, 7, 123–131.
Alyamani, Z., Alsaedi, M. H., Ashi, A. A. H., et al. (2022). The impact of nurse-to-patient ratios on patient outcomes and quality of care. Journal of Positive Psychology and Wellbeing, 6(3), 676–681.
Assaye, A. M., Wiechula, R., Schultz, T. J., & Feo, R. (2021). Impact of nurse staffing on patient and nurse workforce outcomes in acute care settings in low- and middle-income countries: A systematic review. JBI Evidence Synthesis, 19(4), 751–793.
Bae, S. H. (2021). Intensive care nurse staffing and nurse outcomes: A systematic review. Nursing in Critical Care, 26(6), 457–466.
Bumstead, P. R. (2021). Relationship between nurse-to-patient ratios, patient satisfaction scores, and hospital profitability (Doctoral dissertation, Walden University).
Costa, R. de L., & Cruz, I. C. da. (2017). The diagnosis of impaired comfort in the intensive care unit from the nurse's perspective: A systematized review of literature. Journal of Specialized Nursing Care, 9(1).
Dall'Ora, C., Saville, C., Rubbo, B., Turner, L., Jones, J., & Griffiths, P. (2022). Nurse staffing levels and patient outcomes: A systematic review of longitudinal studies. International Journal of Nursing Studies, 134, 104311.
Driscoll, A., Grant, M. J., Carroll, D., et al. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 17(1), 6–22.
Elabasy, H. A. R., Obied, H. K., & Mahmoud, S. A. (2024). Relation between nurses-patients ratio and nursing outcomes at intensive care units. Tanta Scientific Nursing Journal, 33(2), 1–20.
Endacott, R., Pattison, N., Dall'Ora, C., et al. (2022). The organisation of nurse staffing in intensive care units: A qualitative study. Journal of Nursing Management, 30(5), 1283–1294.
Fagerström, L., Kinnunen, M., & Saarela, J. (2018). Nursing workload, patient safety incidents and mortality: An observational study from Finland. BMJ Open, 8(4), e016367.
Falk, A. C. (2023). Nurse staffing levels in critical care: The impact of patient characteristics. Nursing in Critical Care, 28(2), 281–287.
Greaves, J., Goodall, D., Berry, A., Shrestha, S., Richardson, A., & Pearson, P. (2018). Nursing workloads and activity in critical care: A review of the evidence. Intensive & Critical Care Nursing, 48, 10–20.
Han, X., Pittman, P., & Barnow, B. (2021). Alternative approaches to ensuring adequate nurse staffing: The effect of state legislation on hospital nurse staffing. Medical Care, 59, S463–S470.
Margadant, C., Wortel, S., Hoogendoorn, M., et al. (2020). The nursing activities score per nurse ratio is associated with in-hospital mortality. Critical Care Medicine, 48(1), 3–9.
McCord, J. L., Lippincott, C. R., Abreu, E., & Schmer, C. (2022). A systematic review of nursing practice workarounds. Dimensions of Critical Care Nursing, 41(6), 347–356.
McHugh, M. D., Aiken, L. H., Sloane, D. M., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient outcomes. The Lancet, 397(10288), 1905–1913.
Mir-Tabar, A., Pardo-Herrera, L., Goñi-Blanco, A., Martínez-Rodríguez, M., & Goñi-Viguria, R. (2024). Patient satisfaction with nursing care in an intensive care unit. Enfermería Intensiva, 35(3), 201–212.
Mofoye, E. (2024). High nurse-to-patient ratio effect on nurse job dissatisfaction and burnout (MSN Capstone Project).
Morton, P. G., & Thurman, P. (2023). Critical care nursing: A holistic approach. Lippincott Williams & Wilkins.
Muntlin, Å., Jangland, E., Laugesen, B., et al. (2023). Bedside nurses’ perspectives on the fundamentals of care framework. International Journal of Nursing Studies, 145, 104526.
Randa, M. B., & Phale, J. M. (2023). The effects of high nurses’ turnover on patient care. International Journal of Africa Nursing Sciences, 19, 100580.
Scruth, E. (2020). Nursing activities score, nurse-patient ratios, and ICU mortality. Critical Care Medicine, 48(1), 126–127.
Tenorio, M. R., Aletreby, W. T., Al Shammari, B., et al. (2021). Nurse-to-patient ratio and missed nursing care. Saudi Journal for Health Sciences, 10(2), 116–124.
Twigg, D. E., Whitehead, L., Doleman, G., & El-Zaemey, S. (2021). The impact of nurse staffing methodologies. Journal of Advanced Nursing, 77(12), 4599–4611.
Wang, L., Lu, H., Dong, X., et al. (2020). The effect of nurse staffing on patient safety outcomes. Journal of Nursing Management, 28(7), 1758–1766.
Yang, B., Mallett, S., Takwoingi, Y., et al. (2021). QUADAS-C: A tool for assessing risk of bias. Annals of Internal Medicine, 174(11), 1592–1599.
Zaranko, B., Sanford, N. J., Kelly, E., et al. (2023). Nurse staffing and inpatient mortality in the NHS. BMJ Quality & Safety, 32(5), 254–263.
Alharbi, H. F., Alzahrani, N. S., Almarwani, A. M., Asiri, S. A., & Alhowaymel, F. M. (2023). Patients’ satisfaction with nursing care quality and associated factors: A cross-sectional study. Nursing Open, 10(5), 3253–3262. https://doi.org/10.1002/nop2.1577
Alp, F. Y., & Yucel, S. C. (2021). The effect of therapeutic touch on the comfort and anxiety of nursing home residents. Journal of Religion and Health, 60(3), 2037–2050. https://doi.org/10.1007/s10943-020-01025-4
Altıntaş, S., Çelik, S., & Karahan, E. (2024). The effects of ergonomic sleep mask use on sleep quality and comfort in intensive care patients. Journal of Sleep Research, 33(1), e13966. https://doi.org/10.1111/jsr.13966
Bal, S., & Kulakaç, Ö. (2023). Effect of comfort theory-based nursing care on pain and comfort in women undergoing hysterosalpingography: A randomized controlled trial. Revista da Associação Médica Brasileira, 69(12), e20230798. https://doi.org/10.1590/1806-9282.20230798
Can, A., & Hintistan, S. (2021). An assessment of the comfort level of cancer patients receiving chemotherapy. Bezmialem Science, 9(3), 310–316. https://doi.org/10.14235/bas.galenos.2020.4226
de Oliveira, S. M., Costa, K. N. de F. M., Dos Santos, K. F. O., Oliveira, J. D. S., Pereira, M. A., & Fernandes, M. D. G. M. (2020). Comfort needs as perceived by hospitalized elders: An analysis in light of Kolcaba’s theory. Revista Brasileira de Enfermagem, 73(Suppl 3), 1–8. https://doi.org/10.1590/0034-7167-2019-0501
González-Baz, M. D., del Pacheco Cerro, E., Ferrer-Ferrándiz, E., et al. (2023). Psychometric validation of the Kolcaba general comfort questionnaire in critically ill patients. Australian Critical Care, 36(6), 1025–1034. https://doi.org/10.1016/j.aucc.2022.12.013
Jackson, M., & Cairns, T. (2021). Care of the critically ill patient. Surgery, 39(1), 29–36. https://doi.org/10.1016/j.mpsur.2020.11.002
Kacaroğlu, V. A. (2020). The effect of training given to hemodialysis patients according to the comfort theory. Clinical Nurse Specialist, 34(1), 30–37. https://doi.org/10.1097/NUR.0000000000000495
Kapıkıran, G., Bülbüloğlu, S., Güneş, H., Sarıtaş, S., & Demir, B. (2023). A randomized controlled trial of reflexology effect after abdominal surgery on patient satisfaction, pain, and vital signs. Explore, 19(4), 565–570. https://doi.org/10.1016/j.explore.2022.10.017
Karaman Özlü, Z., & Özer, N. (2015). Richard-Campbell sleep questionnaire validity and reliability study. Journal of Turkish Sleep Medicine, 2(2), 29–32. https://doi.org/10.4274/jtsm.02.008
Karimi, L., Rahimi-Bashar, F., Mohammadi, S. M., et al. (2021). The efficacy of eye masks and earplugs interventions for sleep promotion in critically ill patients: A systematic review and meta-analysis. Frontiers in Psychiatry, 12, 791342. https://doi.org/10.3389/fpsyt.2021.791342
Karimzadeh, Z., Azizzadeh Forouzi, M., Rahiminezhad, E., Ahmadinejad, M., & Dehghan, M. (2021). The effects of lavender and Citrus aurantium on anxiety and agitation of conscious ICU patients: A randomized placebo-controlled trial. BioMed Research International, 2021, 5565956. https://doi.org/10.1155/2021/5565956
Kavaklı, Ö., Güvenç, G., & Coşkun, H. (2023). The effect of counseling and sleep mask application in coronary intensive care patients on sleep quality and anxiety. Journal of Turkish Sleep Medicine, 10(2), 152–162. https://doi.org/10.4274/jtsm.galenos.2022.08108
Liu, B., Liu, S., Wang, B., et al. (2023). Effectiveness and safety of implementing an enhanced patient comfort programme for elective neurosurgical patients: Study protocol. BMJ Open, 13(4), e063534. https://doi.org/10.1136/bmjopen-2022-063534
Martins, A. G., Sousa, P. P., & Marques, R. M. (2022). Comfort: Theoretical contribution to nursing. Cogitare Enfermagem, 27, e87723. https://doi.org/10.5380/ce.v27i0.87723
Mermer, E., & Arslan, S. (2024). The effect of audiobooks on sleep quality and vital signs in intensive care patients. Intensive & Critical Care Nursing, 80, 103552. https://doi.org/10.1016/j.iccn.2023.103552
Nural, N., & Alkan, S. (2018). Identifying the factors affecting comfort and comfort levels of patients hospitalized in the coronary care unit. Holistic Nursing Practice, 32(1), 35–42. https://doi.org/10.1097/HNP.0000000000000245
Patterson, E. S., Sanders, E. B. N., Lavender, S. A., et al. (2019). Room elements desired by family members and visitors of hospitalized patients. Health Environments Research & Design Journal, 12(1), 124–144. https://doi.org/10.1177/1937586718792885
Roustaei, Z., Sadeghi, N., Azizi, A., Eghbalian, M., & Karsidani, S. D. (2023). The effect of regular nursing rounds on patients’ comfort and satisfaction. Heliyon, 9(7), e17708.
Rustam, J. S., Kongsuwan, W., & Kitrungrote, L. (2021). Effects of nursing comfort care integrating daily Islamic rituals. Nursing Practice Today, 8(4), 322–332. https://doi.org/10.18502/npt.v8i4.6708
Sharma, M. C., & Kalia, R. (2021). Testing Katharine Kolcaba’s theory of comfort. Journal of Pediatric Surgical Nursing, 10(4), 168–175. https://doi.org/10.1097/JPS.0000000000000320
Sharew, N. T., Bizuneh, H. T., Assefa, H. K., & Habtewold, T. D. (2018). Patients’ satisfaction with nursing care in Ethiopia. BMJ Open, 8(5), e021107. https://doi.org/10.1136/bmjopen-2017-021107
Tian, Y. (2023). Factors related to patient comfort experience in hospitals: A review. Journal of Health, Population and Nutrition, 42(1), 1–19. https://doi.org/10.1186/s41043-023-00465-4
Zengin, N., Ören, B., & Üstündağ, H. (2020). The relationship between stressors and intensive care unit experiences. Nursing in Critical Care, 25(2), 109–116. https://doi.org/10.1111/nicc.12465
Acar, K., & Aygin, D. (2019). Efficacy of guided imagery for postoperative symptoms, sleep quality, anxiety, and satisfaction regarding nursing care: A randomized controlled study. Journal of Perianesthesia Nursing, 34(6), 1241–1249. https://doi.org/10.1016/j.jopan.2019.05.006
Bagheri, H., Norouzi, F., Maleki, M., et al. (2024). The effect of increasing duration of family members’ presence on sleep status in patients with acute coronary syndrome in cardiac care units: A randomized controlled trial. Nursing Open, 11(3), 1–9. https://doi.org/10.1002/nop2.2114
Batbaatar, E., Dorjdagva, J., Luvsannyam, A., & Amenta, P. (2017). Determinants of patient satisfaction: A systematic review. Perspectives in Public Health, 137(2), 89–101.
Díaz-Alonso, J., Smith-Plaza, A. M., Suárez-Mier, B., & Lana, A. (2018). Impact of a nurse intervention to improve sleep quality in intensive care units: Results from a randomized controlled trial. Dimensions of Critical Care Nursing, 37(6), 310–317. https://doi.org/10.1097/DCC.0000000000000319
Endeshaw, B. (2021). Healthcare service quality-measurement models: A review. Journal of Health Research, 35(2), 106–117.
Güney, E., & Uçar, T. (2021). Effects of deep tissue massage on pain and comfort after cesarean section: A randomized controlled trial. Complementary Therapies in Clinical Practice, 43, 101320. https://doi.org/10.1016/j.ctcp.2021.101320
Guo, S., Chang, Y., Chang, H., He, X., Zhang, Q., Song, B., et al. (2023). Patient satisfaction with nurses’ care is positively related to the nurse–patient relationship in Chinese hospitals: A multicentre study. Frontiers in Public Health, 10, 1109313.
Hussain, O. (2021). Nursing workload and level of patient satisfaction with nursing care in cardiology departments at tertiary care hospitals in Pakistan. Journal of Liaquat University of Medical & Health Sciences, 20, 241–245.
Kiliç, G., & Kav, S. (2023). Effect of using eye masks and earplugs in preventing delirium in intensive care patients: A single-blinded randomized controlled trial. Nursing in Critical Care, 28(5), 698–708. https://doi.org/10.1111/nicc.12901
Kızılcık Özkan, Z., Dığın, F., & Kalaycı, E. (2023). Sleep quality and related factors in surgical intensive care patients. Journal of Turkish Sleep Medicine, 10(1), 71–77. https://doi.org/10.4274/jtsm.galenos.2022.95867
Mahran, G. S., Leach, M. J., Abbas, M. S., Abbas, A. M., & Ghoneim, A. M. (2020). Effect of eye masks on pain and sleep quality in patients undergoing cardiac surgery: A randomized controlled trial. Critical Care Nurse, 40(1), 27–35. https://doi.org/10.4037/ccn2020709
McCullough, K., Andrew, L., Genoni, A., Dunham, M., Whitehead, L., & Porock, D. (2023). Evaluation of primary health care nursing services using the Donabedian model: A systematic review. Research in Nursing & Health, 46(2), 159–176.
McMillan, M. O. (2017). The effects of Watson’s theory of human caring on nurses’ perception and utilization of caring attributes (Doctoral dissertation). George Washington University.
Ng, J. H., & Luk, B. H. (2019). Patient satisfaction: Concept analysis in the healthcare context. Patient Education and Counseling, 102(4), 790–796.
Olausson, S., Fridh, I., Lindahl, B., & Torkildsby, A. B. (2019). The meaning of comfort in the intensive care unit. Critical Care Nursing Quarterly, 42(3), 329–341. https://doi.org/10.1097/CNQ.0000000000000268
Rahimi, A., Faizi, F., Nir, M., Amirifar, A., & Mahmoudikohani, F. (2022). Effects of a team-based planned care program on sleep quality in ICU cardiac surgery patients. Journal of Education and Health Promotion, 11(1), 231. https://doi.org/10.4103/jehp.jehp_1357_21
Ribeiro, P. C. P. S. V., Marques, R. M. D., & Ribeiro, M. P. (2017). Geriatric care: Ways and means of providing comfort. Revista Brasileira de Enfermagem, 70(4), 830–837. https://doi.org/10.1590/0034-7167-2016-0636
Tian, Y. (2023). A review on factors related to patient comfort experience in hospitals. Journal of Health, Population and Nutrition, 42(1), 1–19.
Watson, J. (2020). Caring science and human caring theory: Transforming nursing and health care practice. Springer.
World Health Organization. (2020). Nursing and midwifery. WHO.
World Health Organization. (2022). Guideline on self-care interventions for health and well-being. WHO.
Yılmaz, M., & Karabulut, N. (2022). Improving comfort level and sleep quality after surgery. Journal of PeriAnesthesia Nursing, 37(1), 100–104. https://doi.org/10.1016/j.jopan.2021.05.008
Zhang, Y., Li, Q., & Liu, H. (2020). From patient satisfaction to patient experience: A call to action for nursing in China. Journal of Nursing Management, 28(3), 450–456.
Santos, M. A., Sardinha, A. H. L., & Santos, L. N. (2017). User satisfaction with the care of nurses. Revista Gaúcha de Enfermagem, 38, e57506. https://doi.org/10.1590/1983-1447.2017.01.57506
Edvardsson, D., Watt, E., & Pearce, F. (2017). Patient experiences of caring and person-centredness are associated with perceived nursing care quality. Journal of Advanced Nursing, 73(1), 217–227. https://doi.org/10.1111/jan.13105
Sillero-Sillero, A., & Zabalegui, A. (2018). Satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. SAGE Open Medicine, 6, 2050312118818304. https://doi.org/10.1177/2050312118818304
Authors
Copyright (c) 2024 Shuruq Saud Nemer Alruwaili, Fahad Rasheed M Almutairi, Mawtah Yahya Buayti, Othman Faisal Almutairi, Suad Rashed alshammari, Maali Rashed Alshammary, Abeer Rashed Alshammari, Abdulaziz Saleh Almunahi, Sahar Abdullah F Alruwaili, Muntaha Khulaif Almutairi
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