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Inpatient Satisfaction with Nursing Care and Its Impact Factors in Chinese Tertiary Hospitals: A Cross-Sectional Study

Author

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  • Mudan Yan

    (School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 9 Dongdan Santiao, Dongcheng District, Beijing 100730, China
    These authors contributed equally to this work.)

  • Mengjia Zhi

    (School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 9 Dongdan Santiao, Dongcheng District, Beijing 100730, China
    These authors contributed equally to this work.)

  • Yue Xu

    (School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 9 Dongdan Santiao, Dongcheng District, Beijing 100730, China)

  • Linlin Hu

    (School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 9 Dongdan Santiao, Dongcheng District, Beijing 100730, China)

  • Yuanli Liu

    (School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, 9 Dongdan Santiao, Dongcheng District, Beijing 100730, China)

Abstract

Aims: To evaluate the level of patient satisfaction with nursing care in China’s major tertiary hospitals, and to explore patient and hospital level factors associated with patient satisfaction, in order to provide policy implications for the evaluation and improvement of nursing care, toward a patient-centered healthcare system. Background: Patient satisfaction with nursing care has been designated as a key measure of the quality of nursing care and is one of the main focuses of the current healthcare improvement campaign in China. Methods: We participated in the 2021 China National Patient Survey and designed and administered a survey instrument with five domains, to evaluate patient satisfaction with nursing care among 24,971 inpatients from 143 tertiary hospitals across 31 provinces in China. Descriptive analysis and binary logistic regressions were utilized to assess the level of satisfaction and identify key factors related to nursing satisfaction. Results: The overall satisfaction level is high, but satisfaction with health guidance is relatively low. Patients’ sociodemographic characteristics, including age, income, and education, are significantly associated with their satisfaction. Hospital characteristics, such as geographic location, type, and nurse-to-doctor ratio, significantly impact inpatient satisfaction with nursing care. Patients of hospitals in the eastern region, general hospitals, and hospitals with higher nurse-to-doctor ratios are more satisfied with nursing care. Conclusion: More attention should be paid to equitably allocating healthcare resources among different regions, improving the management and competence of non-general hospitals, and strengthening the recruitment and retention of the nursing workforce. Moreover, patient characteristics should be considered when evaluating patient satisfaction across hospitals. Patient and Public Contribution: These findings will help us better understand patients’ satisfaction regarding nursing care in Chinese tertiary hospitals and develop targeted interventions, to establish a patient-centered healthcare system.

Suggested Citation

  • Mudan Yan & Mengjia Zhi & Yue Xu & Linlin Hu & Yuanli Liu, 2022. "Inpatient Satisfaction with Nursing Care and Its Impact Factors in Chinese Tertiary Hospitals: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16523-:d:998105
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    References listed on IDEAS

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    1. Sitzia, John & Wood, Neil, 1997. "Patient satisfaction: A review of issues and concepts," Social Science & Medicine, Elsevier, vol. 45(12), pages 1829-1843, December.
    2. Aleksandra Jonkisz & Piotr Karniej & Dorota Krasowska, 2022. "The Servqual Method as an Assessment Tool of the Quality of Medical Services in Selected Asian Countries," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
    3. Pan, Jay & Liu, Dan & Ali, Shehzad, 2015. "Patient dissatisfaction in China: What matters," Social Science & Medicine, Elsevier, vol. 143(C), pages 145-153.
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