Patient Satisfaction with Nursing Services in Public and Private Hospitals in Ahwaz, Iran
Keywords:Patient satisfaction, Nursing services, Public hospital, Private hospital, Ahvaz
Introduction: Patient satisfaction is a complex phenomenon that influenced by various factors. Nursing services are one of the most important aspects affecting patient satisfaction. The aim of this study was to compare patient satisfaction with nursing services in public and private hospitals
Method: This is a cross-sectional study. The statistical population consisted of patients referring to public and private hospitals in Ahvaz in 2017. According to sample size formula, 560 patients were selected as a samples in public (N=350) and private (N=210) hospitals. To assess patient satisfaction, a valid questionnaire including 24 items in five dimensions including nursing behaviors, nursing care, patientsâ€™ education, speed of nursing practice, and trust were used. Data were analyzed using SPSS.22 software and t-test, ANOVA, and Pearson correlation coefficient.
Results: the mean score of patient satisfaction with nursing care in public hospitals was (13.4, 95% CI 13.2â€‰to13.8) and more than private hospitals (11.6, 95% CI 11.1to12.1). In public hospitals, patient education dimension was the highest score (3.1, 95% CI 2.9to3.2). In private hospitals, nurses manner and behavior most scored (2.6, 95% 2.5to2.7).
Conclusion: The present study showed that in public hospital patientsâ€™ satisfaction with nursing services was moderate and in private hospital was poor..
 Abramowitz S, CotÃ© AA, Berry E: Analyzing patient satisfaction: a multi analytic approach. QRB Qual Rev Bull. 1987, 13 (4): 122-130
 Alasad J, Abu Tabar N, AbuRuz ME. Patient satisfaction with nursing care: measuring outcomes in an international setting. J Nurs Adm. 2015; 45(11):563-8. Doi: 10.1097/NNA.0000000000000264.
 Bahramoour A, Zolala F. Patient satisfaction and related factors in Kerman hospitals. East Mediterr Health J. 2005; 11(5-6):905â€“12.
 Durai R. Patient satisfaction surveyâ€“a measure of quality of patient care and clinical governance. Int J Care Pathw. 2009; 13(1):30-2.
 Farmahini Farahani M, Shamsikhani S, Sajadi Hezaveh M. Patient satisfaction with nursing and Medical care in hospitals affiliated to Arak University of Medical Sciences in 2009. Nursing and Midwifery Studies. 2014; 3(3):e14022.
 Farmahini Farahani M, Shamsikhani S, Sajadi Hezaveh M. Patient Satisfaction With Nursing and Medical Care in Hospitals Affiliated to Arak University of Medical Sciences in 2009. Nursing and Midwifery Studies. 2014;3(3):e14022.
 Freitas j, silve c, et al. Quality of nursing care and satisfaction of patients attended at a teaching hospital. elsiver.com. 2014, 42-64.
 Ghods A, Mohammadi E, Vanaki Z, Kazemnejad A. Patientsâ€™ satisfaction: nurses' perspective. IJME. 2010; 4 (1) :47-61
 Gholjeh M, Dastoorpour M, Ghasemi A. The Relationship between Nursing Care Quality and Patients Satisfaction among Hospitals affiliated to Zahedan University of Medical Sciences in 2014. Jorjani Biomed J. 2015; 3 (1) :68-81.
 Gorari A, Theodosopoulou E. Satisfaction with nursing care provided to patients who have undergone surgery for neoplastic disease. Satisfaction nursing care patients undergone surgery for neoplastic disease.2015, 5(1), 29-41.
 Han C, Connolly PM, Canham D: Measuring patient satisfaction as an outcome of nursing care at a teaching hospital of southern Taiwan. J Nurs Care Qual. 2003, 18 (2): 143-150. 10.1097/00001786-200304000-00008.
 Jannati Y, Motlagh F, Kolbadinezhad N, Jafarnejad M. Patient satisfaction with nursing care in Behshahr public hospitals, Iran. J Mazandaran Univ Med Sci. 2016; 26 (143) :252-256
 Joolaee S, Hajibabaee F, Jafar Jalal E, Bahrani N. Assessment of Patient Satisfaction from Nursing Care in Hospitals of Iran University of Medical Sciences. Hayat. 2011; 17 (1) :35-44
 Kalroozi F, Dadgari F, Zareiyan A. Patientsâ€™ satisfaction from health care group in patientâ€™s bill of right observance. J Mil Med. 2010; 12 (3) :143-148
 Khezri L, Ravanipour M, Jahanpour f, Mirzaee K. Assessment of patient satisfaction with nursing services provided in general wards of university hospitals in Bushehr 2012. Nursing ournal of the Vulnerable. 2015; 2 (3) :36-46
 Kutney-Lee A, McHugh MD, Sloane DM, Cimiotti JP, Flynn L, Neff DF, Aiken LH: Nursing: a key to patient satisfaction. Health Aff. 2009, 28 (4): 669-677. 10.1377/hlthaff.28.4.w669.
 La Monica EL, Oberst MT, Madea AR, Wolf RM. Development of a patient satisfaction scale. Res Nurs Health. 1986 Mar; 9(1):43-50.
 Larrabee JH, Ostrow CL, Withrow ML, Janney MA, Hobbs GR, Burant C: Predictors of patient satisfaction with inpatient hospital nursing care. Res Nurs Health. 2004, 27 (4): 254-268. 10.1002/nur.20021.
 Laschinger HS, Hall LM, Pedersen C, Almost J. A psychometric analysis of the patient satisfaction with nursing care quality questionnaire: an actionable approach to measuring patient satisfaction. J Nurs Care Qual. 2005; 20(3):220-302.
 Liu Y, Wang G. Inpatient satisfaction with nursing care and factors influencing satisfaction in a teaching hospital in China. J Nurs Care Qual. 2007 Jul-Sep; 22(3):266-71.
 Mousavi J, Mohaddesi H, Farhad N, Fathi AA. Evaluating satisfaction level among in-patients about the health system evolution program in affiliated hospitals of Urmia University of medical sciences. J Urmia nurs midwifery fac. 2016; 14 (7): 601-610.
 Muntlin A, Gunningberg L, Carlsson M. Patients' perceptions of quality of care at an emergency department and identification of areas for quality improvement. J Clin Nurs. 2006 Aug; 15(8):1045-56.
 Nemati F, Mohammadnejad E, Tabatabaei A, Ehsani SR, Sajjadi A, Hajiesmaeilpoor A. Satisfaction rate of hospitalized patients in teaching hospitals with presented services. Medical ethics journal. 2014; 7 (28): 29-50.
 Niknami M, Dehghani F, Bouraki S, Kazemnejad E, Soleimani R, et al. An assessment of the stressors and ways of coping in Iranian medical sciences students. Iranian Journal of Nursing and Midwifery Research. 2016, 20(4), 521-5(
 Ã–zlÃ¼, Z, Uzun, Ã–, et al. Evaluation of satisfaction with nursing care of patients hospitalized in surgical clinics of different hospitals. International Journal of Caring Sciences.2015, 1, 19-24.
 Palese A, Tomietto M, Suhonen R, Efstathiou G, Tsangari H, Merkouris A, Jarosova D, Leino-Kilpi H, Patiraki E, Karlou C, Balogh Z, Papastavrou E: Surgical patient satisfaction as an outcome of nursesâ€™ caring behaviors: a descriptive and correlational study in six European countries. J Nurs Scholarsh. 2011, 43 (4): 341-350. 10.1111/j.1547-5069.2011.01413.x.
 Pieris L, Sigera PC, De Silva AP, et al. Experiences of ICU survivors in a low middle income country- a multicenter study. BMC Anesthesiology. 2018;18:30. doi:10.1186/s12871-018-0494-8.
 Seidi M, Hydary A, Reis Karami SR. Medical and nursing services and patientsâ€™ satisfaction level. Iran Journal of Nursing. 2005; 17 (40) :55-61
 Zarei E, Shamsaddini-Lori A. Service quality in emergency departments of the public and private hospitals from the patientâ€™s perspective. Journal of Safety Promotion and Injury Prevention. 2017; 5(1): 1-8.