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When Care Is Missed, Satisfaction Declines: Evidence From Surgical Patients
Melek Demir1, Bahar Candas Altinbas
1Department of Nursing, Graduate School of Health Sciences, Karadeniz Technical University, Trabzon, Türkiye, Sakarya University Training and Research Hospital, Türkiye (Demir); Department of Surgical Disease Nursing, Faculty of Health Science, Karadeniz Technical University, Trabzon, Türkiye, Biostatistics and Medical Informatics Department, Karadeniz Technical University, Institute of Health Sciences, Trabzon, Türkiye (Candas Altinbas).
Aims:
Missed nursing care is a significant factor that affects the effectiveness of the patient care process and patient satisfaction. This study aimed to determine whether missed nursing care predicts patient satisfaction by examining their relationship from the perspective of surgical patients.
Methods:
The sample of the descriptive study consisted of 130 patients who underwent surgery. The data were collected face-to-face using a patient identification form, MISSCARE Survey-Patient and Newcastle Satisfaction with Nursing Care Scale. Descriptive statistics, Pearson correlation, multiple linear regression, Mann-Whitney U and independent-samples t tests were performed. Correlation strengths were interpreted according to Cohen's criteria.
Results:
The participants demonstrated a mean missed nursing care score of 1.84 ± 0.56 and a mean satisfaction score of 81.1 ± 15.4. A strong negative correlation was found between the perception of missed nursing care and patient satisfaction (r = -0.619, P < 0.001). The regression analysis showed that 37.8% of the variance in patient satisfaction was explained by the perception of missed nursing care. The communication subscale (β = -0.634, P < 0.001) was significant, strong negative predictor of patient satisfaction.
Conclusion:
The findings revealed that increased missed nursing care is associated with decreased patient satisfaction. Missed nursing care, and particularly communication-related omissions, were significant predictors of satisfaction, highlighting the need for interventions to reduce care omissions in surgical settings.
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