Abstract
Introduction
Patient satisfaction (PS) is the patient's perception of their care, compared with their expected level of care during hospitalization. The Ministry of Health in Cambodia aims to increase the quality of nursing care in all health facilities, particularly hospitals, but studies on patient satisfaction with nursing care are limited. Therefore, this study aimed to determine the level of satisfaction and identify factors associated with nursing care from the perspective of admitted adult patients in government hospitals in Cambodia.
Methods
This descriptive, cross‐sectional study was conducted at Khmer Soviet Friendship Hospital (KSFH). Convenience sampling with a total of 133 samples was conducted from five departments or medical wards. We collected data using the Patient Satisfaction with Nursing Care Scale (PSNCS), which consists of four domains (health information, affective support, decisional control, and professional technical competencies). Five data collectors were trained before the actual data collection. Descriptive statistics were conducted, such as means (SDs), frequencies, and percentages. T-tests and one-way ANOVA were used to determine the associations between PS mean scores and patients’ demographic characteristics. A p-value of <0.05 was considered to indicate statistical significance.
Results
The average age of the participants was 49.7 years (SD = 14.7). More than 53% of the participants were females. Approximately 45% of the hospitalized patients were free of charge for hospital admission. The overall mean score of PS with nursing care was 4.32 (SD = 0.47), which was close to 86%. Specifically, the PS with affective support care was 4.41 (SD = 0.45), and the PS with professional-technical competencies was 4.37 (SD = 0.49) and 4.29 (SD = 0.59) for patients’ decision control. The mean PSNC score was significantly different for adult patients with different levels of education (p = 0.034), those who needed nursing care (p = 0.042), those with wards across the hospital (p < 0.001), those with different numbers of patients in each room (p < 0.001), those with different incomes (p = 0.013), and those with different illness severity indices (p = 0.003).
Conclusion
Overall, KSFH had a high level of PS (85.7%) toward nursing care, with factors such as affective support and technical competencies affecting nursing practices. Further nursing care should pay attention to poor (lower income), less educated, and severely ill patients. Continuous investigations are needed to improve efficiency, considering demographic variations. In cases where patients lack holistic judgement, nurses should involve family members and use visual aids.