Please ensure Javascript is enabled for purposes of website accessibility
ORIGINAL PAPER
Analysis of sociodemographic and clinical factors determining experience and satisfaction with nursing care among cardiosurgical unit patients
 
More details
Hide details
1
Department of Medicine, University of Technology, Zabrze, Poland
 
2
Cardiosurgical Unit, No. 4 Military Clinical Hospital, Wroclaw, Poland
 
3
Department of Health Sciences, Institute of Health Sciences, University of Opole, Opole, Poland
 
 
Submission date: 2022-02-09
 
 
Final revision date: 2022-03-19
 
 
Acceptance date: 2022-03-21
 
 
Publication date: 2022-03-31
 
 
Medical Studies 2022;38(1):31-43
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Patient satisfaction with nursing care has become a key determinant of the quality of hospital care.

Aim of the research:
To establish the level of patient experience and satisfaction with nursing care as well as their determinants in the cardiosurgical unit.

Material and methods:
One hundred cardiosurgical patients were examined. The tools included the Newcastle Satisfaction with Nursing Scale (NSNS), the Numerical Rating Scale (NRS), and a self-written questionnaire.

Results:
The average score for satisfaction with nursing care was 77.99 ±20.20 pts, whereas the average nursing care experience amounted to 77.29 ±15.10 pts. Pain being the most significant independent predicator of the two. Each point on the pain scale decreased satisfaction by approximately 2.384 pts (95% CI: –3.997; –0.772, p = 0.005), while experience by 1.168 pts (95% CI: –2.06; –0.276, p = 0.012). The higher the level of patients’ satisfaction with pain management and its relief, the higher the level of their evaluation of experience (rs = 0.239, p = 0.017) and satisfaction (rs = 0.261, p = 0.009) with nursing care. The patients who were informed by the nurse on how to avoid pain, graded nursing care experience higher than those who were not informed (p = 0.001).

Conclusions:
The cardiosurgical patients showed high levels of satisfaction and experience with nursing care. Pain was the main determinant of satisfaction and experience with care and ‘soft skills’ such as informing about pain-relieving methods, showing interest and sympathy, and assisting patients in repositioning appeared to be the crucial factors.
REFERENCES (41)
1.
World Health Organization. Cardiovascular diseases. https://www.who.int/health-top... (access: 2021.11.10).
 
2.
National Institute of Public Health. Health situation of the Polish population and its determinants – report for 2020. https://www.pzh.gov.pl/sytuacj... (access: 2021.11.10).
 
3.
Map of health needs in the field of cardiology for Poland. Ministry of Health. [In Polish: Mapa potrzeb zdrowotnych w zakresie kardiologii dla Polski]. http://mpz.mz.gov.pl/mapy-kard... (access: 2021.11.10).
 
4.
Eurostat. Statistics explained. Cardiovascular diseases statistics. https://ec.europa.eu/eurostat/... (access: 2021.11.10).
 
5.
Kowalewski M, Jasiński M, Staromłyński J, Zembala M, Widenka K, Brykczyński M, Skiba J, Zembala M, Bartuś K, Hirnle T, dziembowska I, Knapik P, Tobota Z, Maruszewski B, Suwalski P. On-pump vs off-pump coronary artery bypass surgery in atrial fibrillation. Analysis from the polish national registry of cardiac surgery procedures (KROK). PLoS One 2020; 15: e0231950.
 
6.
Romero-García M, Delgado-Hito P, de la Cueva-Ariza L, Martínez-Momblan MA, Lluch-Canut MT, Trujols-Albet J, Juvé-Udina ME, Benito L. Level of satisfaction of critical care patients regarding the nursing care received: correlation with sociodemographic and clinical variables. Aust Crit Care 2019; 32: 486-493.
 
7.
Gutysz-Wojnicka A. Nursing care assessment with the use of the Polish version of the Newscastle satisfaction with nursing scale. https://www.wbc.poznan.pl/publ... (access: 2021.11.10).
 
8.
Wudu MA. Predictors of Adult Patient Satisfaction with Inpatient Nursing Care in Public Hospitals of Eastern Amhara Region, Northeastern Ethiopia, 2020. Patient Prefer Adherence 2021; 15: 177-185.
 
9.
Sebo P, Herrmann FR, Bovier P, Haller DM. What are patients’ expectations about the organization of their primary care physicians’ practices? BMC Health Serv Res 2015; 15: 328.
 
10.
Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nurs Open 2019; 6: 535-545.
 
11.
Eyasu KH, Adane AA, Amdie ZF, Getahun TB, Biwota MA. Adult patients’ satisfaction with inpatient nursing care and associated factors in an Ethiopian Referral Hospital, Northeast, Ethiopia. Adv Nurs 2016; 2016: 6308617.
 
12.
Odumodu IJ, Olufunlayo TF, Ogunnowo BE, Kalu ME. Satisfaction with services among attendees of physiotherapy outpatient clinics in Tertiary Hospitals in Lagos State. J Patient Exp 2020; 7: 468-478.
 
13.
Zarzycka D, Bartoń E, Mazur A, Turowski K. Socio-demographic and medical factors associated with patients’ satisfaction with nursing care and their perception of pain. Ann Agric Environ Med 2019; 26: 298-303.
 
14.
Oyur Celik G. The relationship between patient satisfaction and emotional intelligence skills of nurses working in surgical clinics. Patient Prefer Adherence 2017; 11: 1363-1368.
 
15.
Thomas LH, McColl E, Priest J, Bond S, Boys RJ. Newcastle Satisfaction with Nursing Scales: and Instrument for Quality Assessments of Nursing Care. Qual Health Care 1996; 5: 67-72.
 
16.
Gutysz-Wojnicka A, Dyk D. The adaptation of the Polish version of The Newcastle Satisfaction with Nursing Scale (NSNS). Probl Pielęg 2007; 15: 133-138.
 
17.
Atisook R, Euasobhon P, Saengsanon A, Jensen MP. Validity and utility of four pain intensity measures for use in international research. J Pain Res 2021; 14: 1129-1139.
 
18.
Stanisz A. An affordable course in statistics based on examples from medicine. Statsoft Polska 2006.
 
19.
Gutysz-Wojnicka A, Dyk D, Cudak E, Ozga D. Measuring patient satisfaction with the Polish version of the Newcastle Satisfaction with Nursing Scale. Scand J Caring Sci 2013; 27: 311-318.
 
20.
Wierzbicka BK, Jankowska-Polańska B. Level of nursing care quality on examples of Wroclaw Medical University Hospital wards. Współcz Piel Ochr Zdr 2014; 3: 90-96.
 
21.
Garczyk D. Zadowolenie chorego jako wyraz jakości opieki pielęgniarskiej u pacjentów leczonych chirurgicznie z powodu dyskopatii w odcinku szyjnym lub lędźwiowym kręgosłupa. PNN 2013; 2: 48-56.
 
22.
Grochowska A, Łabuzek M, Zając P, Bodys-Cupak I, Koł- pa M, Gancarz K. Assessment of patients’ level of satisfaction with nursing care during hospitalisation in the General Surgery Ward. Probl Pielęg 2018; 26: 228-234.
 
23.
Hreńczuk M, Zielińska M, Małkowski P. Satisfaction with nursing care after kidney transplantation. Probl Pielęg 2018; 26: 282-289.
 
24.
Fafara A, Marc M, Fudali K, Gajdek M, Januszewicz P. Patient satisfaction with services provided at night and the assessment of the quality of care in the hospital. Divers Equal Health Care 2018; 15: 151-157.
 
25.
Daszuta KK, Liberacka J, Ślusarz R. Jakość opieki pielęgniarskiej w ocenie pacjentów po zabiegach operacyjnych wykonanych w znieczuleniu podpajęczynówkowym. Innow Pielęg Nauk Zdr 2018; 2: 9-20.
 
26.
Palese A, Tomietto M, Suhonen R, Efstathiou G, Tsanga- ri H, Merkouris A, Jarosova D, Leino-Kilpi H, Patiraki E, Karlou C, Balogh Z, Papastavrou E. Surgical patient satisfaction as an outcome of nurses’ caring behaviors: a descriptive and correlational study in six European countries. J Nurs Scholarsh 2011; 43: 341-350.
 
27.
Sillero A, Zabalegui A. Satisfaction of surgical patients with perioperative nursing care in a Spanish tertiary care hospital. SAGE Open Med 2018; 6: 2050312118818304.
 
28.
Kol E, Arikan F, Ilaslan E, Akinci MA, Kocak MC. A quality indicator for the evaluation of nursing care: determination of patient satisfaction and related factors at a university hospital in the Mediterranean Region in Turkey. Collegian 2018; 25: 51-56.
 
29.
Sayin Y, Cengiz HOW, Cayoglu T. Nursing care satisfaction of surgery patients. SOJ Nur Health Care 2016; 2: 1-8.
 
30.
Özşaker E, Sevilmiş H, Özcan Y, Samast M. Nursing care perception and satisfaction levels of surgical patients. Türkiye J Contemp Med 2021; 11: 152-159.
 
31.
Bozkurt T, Saglam R. Symptoms and care satisfaction in patients who underwent coronary artery bypass graft surgery. Clin Exp Health Sci 2021; 11: 481-486.
 
32.
Gezer D, Arslan S. Patient satisfaction on nursing care: the case of in day surgery. Cukurova Med J 2021; 46: 663-669.
 
33.
Legesse MT, Salgedo WB, Walle AA. Adult patient satisfaction with in-patient nursing care in a referral and teaching hospital in Southern Nations Nationalities and Peoples’ Region (SNNPR), Ethiopia. J Nurs Care 2016; 5: 334.
 
34.
Sharew NT, Bizuneh HT, Assefa HK, Habtewold TD. Investigating admitted patients’ satisfaction with nursing care at Debre Berhan Referral Hospital in Ethiopia: a cross-sectional study. BMJ Open 2018; 8: 1-8.
 
35.
Dorigan GH, Oliveira HC, Guirardello EB. Predictors of patients’ experiences and satisfaction with nursing care in medical-surgical wards. Texto Contexto Enferm, Florianópolis, Out-Dez 2015; 24: 1003-1008.
 
36.
Lai VKW, Ho KM, Wong WT, Leung P, Gomersall CD, Underwood MJ, Joynt GM, Lee A. Effect of preoperative education and ICU tour on patient and family satisfaction and anxiety in the intensive care unit after elective cardiac surgery: a randomised controlled trial. BMJ Qual Saf 2021; 30: 228-235.
 
37.
Lai VK, Lee A, Leung P, Chiu CH, Ho KM, Gomersall CD, Underwood MJ, Joynt GM. Patient and family satisfaction levels in the intensive care unit after elective cardiac surgery: study protocol for a randomised controlled trial of a preoperative patient education intervention. BMJ Open 2016; 6: e011341.
 
38.
Marcelino CF, Saito KAM, Cunha ALSM, dos Santos AE. Patient’s satisfaction with nursing care on the post-surgery of radical prostatectomy. Rev Rene 2018;19: e33961.
 
39.
OECD. “Nurses”, in Health at a Glance 2021: OECD Indicators, OECD Publishing, Paris. https://doi.org/ 10.1787/015d1834-en (access: 2021.11.10).
 
40.
Mensa M, Taye A, Katene S, Ochare O. Determinants of patient satisfaction towards inpatient nursing services and its associated factors in, Gamo Gofa Zone, SNNPR, Ethiopia. MOJ Clin Med Case Rep 2017; 7: 238-247.
 
41.
Bacon CT, Mark B. Organizational effects on patient satisfaction in hospital medical-surgical units. J Nurs Adm 2009; 39: 220-227.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top