Level of Satisfaction of Patients regarding the Nursing Care Provided by the Student Nurses

Amrutha K, Chinchu P Saju, Rayhana, Shine Thomas*, Dr Assuma Beevi TM

MIMS College of Nursing, Puthukode Dist-Malappuram, India.

*Corresponding Author Email: shinefmcon@gmail.com

ABSTRACT:

Nursing care is one of the major health care services. It contribute a lot to the patient healing process. The art of nursing practice is indented to help student nurses as well as practicing nurses to carry out their role and responsibilities with the complex system. The objective of the study were to assess the level of satisfaction of patients regarding the nursing care provided by the student nurses and to find out the association between level of satisfaction of patient regarding nursing care provided by the student nurses and selected demographic variable. The study was conducted in a selected hospital at Calicut. A sample of 100 patients were selected purposively for the study. A non-experimental descriptive survey approach was chosen for the study. The demographic data and the level of satisfaction were assessed using structured questionnaire. The findings of the study revealed that, 97% of subjects were highly satisfied and 3% of subjects were moderately satisfied regarding the nursing care provided by the student nurses.

KEYWORDS: Level of Satisfaction, Patients, Nursing Care, Student Nurses.

INTRODUCTION:

Health is regarded as a positive quality of wellbeing, the ability to move in the direction of self-actualization, to take creative risks and trust in yourself. Health is thus an adventure, a state of mind where problems as seen as challenges, symptoms are guides to our life style, and emotions are energies we engage through the act of living¹. The language of consumerism is relatively new in the National Health Services, the concept of the patient is an active ‘consumer’ rather than a passive patient has gained much ground over the last couple of decades. The concept of consumerism carries with it the concept of rights. He/she has legal rights, and rights as an individual to choice, self-determination, information and involvement in treatment and care.

So it is necessary to provide better nursing care to improve the quality of patient care. The nursing care provided by nurse is regarded as most important factor in patient assessment of their satisfaction with health care. If patient is satisfied with health care received, this is positive not only for individual but also for nurse and entire health care organization².

Almost every major health care organization measures certain aspects of client satisfaction. Patient satisfaction is the extent of contentment expressed by the patient in regards to nursing care provided as measured by patient satisfaction rating scale. It therefore reflect the gap between the expected services and the experience of the services, from the patient point of view.

The relationship with a patient is an important part of a meaningful learning process, teaching nursing students about the patient's individualized care and promoting their personal and professional growth, confidence and self-esteem. Patients are willing to participate in students' learning process and they tend to benefit from therapeutic and social interaction with students³.

Satisfaction will help to improve the quality of care. This study will help to provide a discussion about patient satisfaction and nursing care. Recommendations are offered about the changes which are needed to achieve a high level of patient satisfaction that will be help to fulfill research knowledge gap which ultimately contribute to enhance quality of patient services in the hospital.

MATERIAL AND METHODS:

Study sample and methods:

This was a descriptive study conducted in the general wards of Aster MIMS hospital at Calicut district. The approach used is descriptive survey approach. A total 100 subjects were identified and selected by purposive sampling technique. Patients selected for the study included those who received nursing care for a minimum of 5 days and aged above 18 years.

Data collection instruments:

1. Demographic proforma of the patient

2. Rating scale on the level of satisfaction of patients regarding nursing care.

The first section consist of demographic informations which includes age, gender, educational status, occupational status, monthly income, type of family, previous hospitalization and duration of hospital stay. The second section consists of the statements related to the patient satisfaction with student nursing care. It consists of 30 items on a 3-point rating scale format (3= highly satisfied, 2= moderately satisfied, 1= dissatisfied). The statement was developed in English language and subsequently being translated into Malayalam language.

Data collection procedure:

A formal written permission was obtained from the institutional ethics committee and chief nursing officer after explaining the nature and objectives of the study. Confidentiality of the responses was assured to all the subjects to get their cooperation. The researcher approached each subject individually. An informed consent was taken from all the subjects individually after explaining the objectives, the purpose of the study and the method of filling the rating scale items, followed by a self-introduction of the investigator.

Data analysis:

The data were organized, tabulated and later subjected to descriptive and inferential analysis.

RESULTS:

Section I: distribution of sample according to demographic variables.

Table 1: distribution of sample according to demographic variables.

Demographic variables	frequency	percentage
Age
22-31	5	5%
32-41	23	23%
42-51	10	10%
52-61	16	16%
62-71	21	21%
72-81	25	25%
Gender
Male	62	62%
Female	38	38%
Educational status
No primary education	3	3%
Primary	34	34%
Secondary	7	7%
Higher secondary	31	31%
Graduate and above	25	25%
Occupational status
Private	16	16%
Government	26	26%
Self-employed	34	34%
Others	24	24%
Monthly income
5000-15000	25	25%
15001-25000	44	44%
25001-35000	21	21%
35001-45000	6	6%
45001-55000	4	4%
Type of family
Joint family	37	37%
Nuclear family	63	63%
Previous hospital stay
Yes	68	68%
No	32	32%
Duration of hospital stay
06-Oct	50	50%
Nov-15	40	40%
16-20	5	5%
21-25	1	1%
26-30	0	0%
>30	4	4%

Section II: Level of satisfaction of patients regarding nursing care provided by the student nurses.

Table 2: Level of satisfaction of patients regarding nursing care provided by the student nurses.

Level of patient satisfaction	Frequency	Mean	SD
Highly satisfied	97	81	0.81
Moderately satisfied	3
Unsatisfied	0

Table 2 depict that 97% of patients are highly satisfied and 3% of patients are moderately satisfied and nobody are unsatisfied with the nursing care provided by the student nurses.

Section III: Association between level of satisfaction of patient regarding nursing care provided by the student nurses and selected demographic variables:

Results showed that there is no significant association between level of patient satisfaction and demographic variable such as age, gender, educational status, occupational status, and monthly income, type of family, previous hospital stay and duration of hospital stay.

DISCUSSION:

The present study aimed to assess the level of satisfaction of patients regarding the nursing care provided by the student nurses. The study shows that 97% of samples are highly satisfied on nursing care provided by the student nurses, 3% of samples are moderately satisfied on nursing care provided by the student nurses and nobody are unsatisfied on nursing care provided by the student nurses.

A cross sectional study conducted at Arak University of Medical science on patient satisfaction with the medical and nursing services provided to patients admitted to teaching hospitals affiliated to Arak University of Medical science. The study population consisted of all patients admitted to the study setting. The instrument consisted of a demographic questionnaire and patient satisfaction questionnaire. The result was, in terms of the medical and nursing care provided, 67% and 69% of the participants were satisfied respectively. The ‘access to opportune nursing care’ and ‘physician’s manner’ items received 82.7% and 81.7% of scores respectively. Satisfaction with medical and nursing care was significantly correlated with the participant’s education levels⁴.

A cross sectional study was conducted in the oncology ward of 10 teaching hospital of two main government of Iran. The sample size in each teaching hospital was subsequently determined according to the proportion of the bed in oncology ward of each hospital. The sample size selected randomly. The result showed a vast majority of the respondents 318 (82.8%) were satisfied with the nursing care received, while others 66 (17.2%) were not satisfied⁵.

The present study shows that there is no significant association between age, gender, educational status, occupational status, monthly income, type of family, previous hospital stay and duration of hospital stay and the level of satisfaction of patients regarding the nursing care provided by the student nurses.

A study was conducted to assess the patient satisfaction on student nursing care service in Black lion hospital, Addis Ababa, Ethiopia, 2015. A total of 365 patients were involved in the study. Interviewer administered structured questionnaires were employed to collect data. Patients who had previous admission were 2 times more likely to be satisfied than those who didn’t had previous admission and Patients who had other diseases in addition to current health problem were less likely to be satisfied than those who didn’t had. Patients who were under acute condition were 2.7 times more likely to be satisfied than those under chronic condition⁶.

ACKNOWLEDGEMENT:

The authors are grateful to the authorities of MIMS College of Nursing, Malappuram for the facilities.

CONFLICT OF INTEREST:

The authors declare no conflict of interest.

REFERENCES:

1. Saunders. Introduction to patient care – a comprehensive approach to nursing; 4^th edition (2002); India; Elsevier science India.

2. Johansson et al. patient satisfaction with nursing care in the context of health care, a literature

3. Derbe L, Amare, Wondim. Assessment of patient satisfaction on nursing care provided by nursing student in Black Lion specialized hospital, Addis Ababa, Ethiopia. 2015 Jun 7. http://hdl.handle.net/123456789/6816.

4. Farmahini M, Khani SS, Hezaveh S Department of Nursing, Arak University of medical science, Arak, IR Iran. Patient satisfaction with nursing care and medical care in hospitals affiliated of Arak University of medical science. Nurs Midwifary Stud. 2014 September 20. 3(3).

5. Tang WM, Soong C, Lim WC. Patient satisfaction with nursing care: a descriptive study using interaction model of client health behavior. International Journal of Nursing Science.2013; 3(2): P51-56

6. Derbe L, Amare, Wondim. Assessment of patient satisfaction on nursing care provided by nursing student in Black Lion specialized hospital, Addis Ababa, Ethiopia. 2015 Jun 7. http://hdl.handle.net/123456789/6816.

Received on 02.05.2018 Modified on 20.06.2018

Asian J. Nursing Education and Research. 2018; 8(4):538-540.

DOI: 10.5958/2349-2996.2018.00111.8