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Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis
BMC Nursing ( IF 3.1 ) Pub Date : 2019-07-08 , DOI: 10.1186/s12912-019-0348-9
Henok Mulugeta 1 , Fasil Wagnew 1 , Getenet Dessie 2 , Henok Biresaw 3 , Tesfa Dejenie Habtewold 4
Affiliation  

Patient satisfaction with nursing care has been considered as the most important predictor of the overall patient satisfaction with hospital service and quality of health care service at large. However, the national level of patient satisfaction with nursing care remains unknown in Ethiopia. Hence, the objective of this systematic review and meta-analysis was to estimate the level of patient satisfaction with nursing care and its associated factors in Ethiopia. Studies were accessed through an electronic web-based search strategy from PubMed, Cochrane Library, Google Scholar, Embase, PsycINFO, and CINAHL by using a combination of search terms. The quality of each included article was assessed using a modified version of the Newcastle-Ottawa Scale for cross-sectional studies. All statistical analyses were done using STATA version 14 software for windows, and meta-analysis was carried out using a random-effects method. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for reporting results. Of 1166 records screened, 15 studies with 6091 patients fulfilled the inclusion criteria and were included in the meta-analysis. The estimated pooled level of patient satisfaction with nursing care in Ethiopia was 55.15% (95% CI (47.35, 62.95)). Patients who have one nurse in charge (OR: 1.08, 95% CI: 0.45–2.62, I2: 77.7%), with no history of previous hospitalization (OR: 1.37, 95% CI: 0.82–2.31, I2: 91.3%), living in the urban area (OR: 1.07, 95% CI: 0.70–1.65, I2: 62.2%), and those who have no comorbid disease (OR: 1.08, 95% CI: 0.48–2.39, I2: 91.9%) were more likely to be satisfied with nursing care compared with their counterparts although it was not statistically significant. About one in two patients were not satisfied with the nursing care provided in Ethiopia and may be attributed to several factors. Therefore, the Ministry of Health should give more emphasis to the quality of nursing care in order to increase patient satisfaction and improve the overall quality of healthcare service in Ethiopia.

中文翻译:

埃塞俄比亚患者对护理的满意度:系统评价和荟萃分析

患者对护理的满意度一直被认为是患者对医院服务的总体满意度和整个医疗服务质量的最重要预测指标。然而,埃塞俄比亚患者对护理的满意度仍然未知。因此,本系统评价和荟萃分析的目的是估计埃塞俄比亚患者对护理及其相关因素的满意度水平。研究是通过 PubMed、Cochrane 图书馆、Google Scholar、Embase、PsycINFO 和 CINAHL 的基于网络的电子搜索策略使用搜索词组合访问的。每篇纳入文章的质量均使用修订版的纽卡斯尔-渥太华量表进行横断面研究评估。所有统计分析均使用 Windows 的 STATA 版本 14 软件进行,荟萃分析使用随机效应方法进行。报告结果遵循了系统评价和元分析 (PRISMA) 指南的首选报告项目。在筛选的 1166 条记录中,有 6091 名患者的 15 项研究符合纳入标准并被纳入荟萃分析。埃塞俄比亚患者对护理的总体满意度估计为 55.15% (95% CI (47.35, 62.95))。由一名护士负责的患者(OR:1.08,95% CI:0.45-2.62,I2:77.7%),既往无住院史(OR:1.37,95% CI:0.82-2.31,I2:91.3%) ,居住在市区(OR:1.07,95% CI:0.70-1.65,I2:62.2%),以及没有合并症的人(OR:1.08,95% CI:0.48-2.39,I2:91。9%)与同行相比更可能对护理感到满意,尽管没有统计学意义。大约有二分之一的患者对埃塞俄比亚提供的护理不满意,这可能归因于几个因素。因此,卫生部应更加重视护理质量,以提高患者满意度,提高埃塞俄比亚的整体医疗服务质量。
更新日期:2019-07-08
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