Adult Patient Satisfaction with Nursing Care Services and Associated Factors Among Admitted Patients at Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia, 2022: A Cross-Sectional Study

Abstract Background Providing holistic nursing care and ensuring patient satisfaction have become essential health performance indicators all across the world. Notwithstanding several efforts to improve patient satisfaction with nursing care, the approach in developing countries, including Ethiopia, is still insufficient. This study was aimed to assess the level of adult patients’ satisfaction and to identify factors affecting satisfaction. Materials and Methods This cross-sectional study included 407 participants, who were selected using a simple random sampling technique. The sample was distributed using proportional allocation for each selected adult inpatient department. Participants were interviewed using a modified structured Amharic version of the ‘Newcastle satisfaction with nursing scale’. Data analysis was made by SPSS version 26. Bivariate and multivariable logistic regression analysis was used. Results The overall level of patient satisfaction with nursing care services was 54.3%. Respondents who had no formal education (P = 0.010), being male (P = 0.041), free service consumers (P < 0.001), health insurance users (P < 0.001), was significantly associated with satisfaction with nursing care. In addition, patients who had previous admission history (P = 0.001), Governmental workers (P < 0.001), and patients admitted in the medical ward (P = 0.010) were associated with patient dissatisfaction with the nursing care services. Conclusions and recommendations: This study revealed that adult patient satisfaction with nursing care services was rated low. Previous admission history, higher education level, paying cash for services, and private and governmental workers were significant predisposing factors to dissatisfaction with nursing care. On the other hand, patients with no formal education, free service consumers and being male were significant predictors of satisfaction with nursing care services. Therefore, it is recommended that the hospital administration better emphasize the needs and expectations of the patient.