IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i24p16523-d998105.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/24/16523/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/24/16523/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Linlin Hu & Bright P. Zhou & Shiyang Liu & Zijuan Wang & Yuanli Liu, 2019. "Outpatient Satisfaction with Tertiary Hospitals in China: The Role of Sociodemographic Characteristics," IJERPH, MDPI, vol. 16(19), pages 1-13, September.
    2. Broome, Kieran & Worrall, Linda & Fleming, Jennifer & Boldy, Duncan, 2012. "Evaluation of flexible route bus transport for older people," Transport Policy, Elsevier, vol. 21(C), pages 85-91.
    3. Hyojung Tak & Gregory Ruhnke & Ya-Chen Shih, 2015. "The Association between Patient-Centered Attributes of Care and Patient Satisfaction," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 8(2), pages 187-197, April.
    4. Hekkert, Karin Dorieke & Cihangir, Sezgin & Kleefstra, Sophia Martine & van den Berg, Bernard & Kool, Rudolf Bertijn, 2009. "Patient satisfaction revisited: A multilevel approach," Social Science & Medicine, Elsevier, vol. 69(1), pages 68-75, July.
    5. Lannes, Laurence, 2015. "Improving health worker performance: The patient-perspective from a PBF program in Rwanda," Social Science & Medicine, Elsevier, vol. 138(C), pages 1-11.
    6. Halim, Paisal, 2017. "Patient Satisfaction Level at Local General Hospital in Mamuju Regency, Indonesia," OSF Preprints 8xhqp, Center for Open Science.
    7. Atkinson, Sarah & Medeiros, Regianne L., 2009. "Explanatory models of influences on the construction and expression of user satisfaction," Social Science & Medicine, Elsevier, vol. 68(11), pages 2089-2096, June.
    8. Waleed Al Nadabi & Mohammed A Mohammed, 2019. "Arabic Language Surveys Measuring Mothers’ Satisfaction During Childbirth: A Review," Global Journal of Health Science, Canadian Center of Science and Education, vol. 11(6), pages 169-169, June.
    9. Stefan Meinzer & Johann Prenninger & Patrick Vesel & Johannes Kornhuber & Judith Volmer & Joachim Hornegger & Björn M. Eskofier, 2016. "Translating satisfaction determination from health care to the automotive industry," Service Business, Springer;Pan-Pacific Business Association, vol. 10(4), pages 651-685, December.
    10. Jenel Ituriaga & Klint Allen Mariñas & Charmine Sheena Saflor, 2024. "Enhancing Government Services to Rice Farmers in the Philippines: A Service Quality–Sustainability-Focused Approach for Long-Term Agricultural Resilience," Sustainability, MDPI, vol. 16(18), pages 1-24, September.
    11. Willemijn van Dolen & Charles B. Weinberg, 2019. "An Empirical Investigation of Factors Affecting Perceived Quality and Well-Being of Children Using an Online Child Helpline," IJERPH, MDPI, vol. 16(12), pages 1-11, June.
    12. Vanacore, Amalia & Pellegrino, Maria Sole, 2021. "Testing inter-group ranking heterogeneity: do patient characteristics matter for prioritization of quality improvements in healthcare service?," Socio-Economic Planning Sciences, Elsevier, vol. 73(C).
    13. Atkinson, Sarah & Haran, Dave, 2005. "Individual and district scale determinants of users' satisfaction with primary health care in developing countries," Social Science & Medicine, Elsevier, vol. 60(3), pages 501-513, February.
    14. Dyer, Thomas Anthony & Owens, Janine & Robinson, Peter Glenn, 2014. "The acceptability of care delegation in skill-mix: The salience of trust," Health Policy, Elsevier, vol. 117(2), pages 170-178.
    15. Ángel Fernández Pérez & Ángeles Sánchez Domínguez, 2017. "Los factores no clínicos como determinantes de la satisfacción con el sistema sanitario público en España," FEG Working Paper Series 01/17, Faculty of Economics and Business (University of Granada).
    16. Chuan De Foo & Yan Lin Tan & Pami Shrestha & Ke Xin Eh & Ian Yi Han Ang & Milawaty Nurjono & Sue-Anne Toh & Farah Shiraz, 2020. "Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-18, November.
    17. Murante, Anna Maria & Vainieri, Milena & Rojas, Diana & Nuti, Sabina, 2014. "Does feedback influence patient - professional communication? Empirical evidence from Italy," Health Policy, Elsevier, vol. 116(2), pages 273-280.
    18. Valérie Buthion & Nathalie Dumet & Stéphanie Verfay-Bertaud & Mélissa Amate & Nathalie Havet, 2018. "EFFICARD - L’organisation des soins et la vie avec l’insuffisance cardiaque Etude exploratoire sur les interactions entre les patients et leur prise en charge," Working Papers hal-01989323, HAL.
    19. Costa-Font, Joan & Ferrer-i-Carbonell, Ada, 2022. "Does devolution influence the choice and quality of public (vs private) health care?," Journal of Economic Behavior & Organization, Elsevier, vol. 202(C), pages 632-653.
    20. Michael Arias & Eric Rojas & Santiago Aguirre & Felipe Cornejo & Jorge Munoz-Gama & Marcos Sepúlveda & Daniel Capurro, 2020. "Mapping the Patient’s Journey in Healthcare through Process Mining," IJERPH, MDPI, vol. 17(18), pages 1-16, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16523-:d:998105. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.