CC BY 4.0 · Journal of Health and Allied Sciences NU 2023; 13(02): 247-252
DOI: 10.1055/s-0042-1755353
Original Article

Patient Satisfaction and Barriers to Nursing Care Quality in Oncology Units

1   Department of Child Health Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India
2   Department of Community Health Nursing, Nitte (Deemed to be University), Nitte Usha Institute of Nursing Sciences (NUINS), Mangalore, Karnataka, India
3   College of Nursing, Gulf Medical University, Ajman, United Arab Emirates
› Author Affiliations
Funding This research study was supported by Nitte Deemed to be a university grantee (Grant number - NUINS/CON/ NU/ IEC/2019-2020 -1472 dated 10/04/2019).


Background: Every patient expects safe and quality patient care. A satisfying journey during hospitalization indicates quality care. Nurses provide a significant component of patient care over a long period, compared to any other healthcare professional. This study aims to find patient satisfaction in oncology units and identify the barriers to nursing care quality.

Materials and Methods: A cross-sectional correlation design was used with 100 cancer patients admitted to oncology units of tertiary care hospital selected by convenience sampling. The Nursing Care Quality Questionnaire was used to assess patient satisfaction, and an investigator-prepared and validated checklist was used to identify barriers to nursing care quality.

Results: The study revealed that 50% of patients were satisfied with the overall nursing care quality received during the hospital stay, and the overall barrier score to patient satisfaction for quality nursing care was 33.5%. Overall, 37% of patients were extremely satisfied with the quality of care and services they received during their hospital stay. The findings revealed a statistically significant association between patient satisfaction and the patients' employment status, type of treatment, and duration of stay in the hospital. This study also revealed that workload, lack of time, and inability to speak the local language were the major barriers to patient satisfaction.

Conclusions: Patients are the hospital's consumers or customers. For the best results, hospitals should train nurses to communicate in the local language, provide adequate staffing, and adequate training.

Publication History

Article published online:
20 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

  • References

  • 1 Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nurs Open 2019; 6 (02) 535-545
  • 2 T. R. A study to assess patients satisfaction with quality of nursing care. Accessed July 16, 2022 online November 2011.
  • 3 Mulugeta H, Wagnew F, Dessie G, Biresaw H, Habtewold TD. Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis. BMC Nurs 2019; 18 (01) 27 . Doi. 10.1186/s12912-019-0348-9
  • 4 Sharew NT, Bizuneh HT, Assefa HK, Habtewold TD. Investigating admitted patients' satisfaction with nursing care at Debre Berhan Referral Hospital in Ethiopia: a cross-sectional study. BMJ Open 2018; 8 (05) e021107 . Doi: 10.1136/bmjopen-2017-021107
  • 5 Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health 2017; 137 (02) 89-101
  • 6 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 (03) 220-230
  • 7 Rahmqvist M. Patient satisfaction in relation to age, health status and other background factors: a model for comparisons of care units. Int J Qual Health Care 2001; 13 (05) 385-390
  • 8 Al-Mailam FF. The effect of nursing care on overall patient satisfaction and its predictive value on return-to-provider behavior: a survey study. Qual Manag Health Care 2005; 14 (02) 116-120
  • 9 Findik UY, Unsar S, Sut N. Patient satisfaction with nursing care and its relationship with patient characteristics. Nurs Health Sci 2010; 12 (02) 162-169 [Internet]
  • 10 Wagner D, Bear M. Patient satisfaction with nursing care: a concept analysis within a nursing framework. J Adv Nurs 2009; 65 (03) 692-701
  • 11 Kasa AS, Gedamu H. Predictors of adult patient satisfaction with nursing care in public hospitals of Amhara region, Northwest Ethiopia. BMC Health Serv Res 2019; 19 (01) 52 . Published 2019 Jan 21. Doi: 10.1186/s12913-019-3898-3
  • 12 Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open 2018; 8 (01) e019189 . Published 2018 Jan 11. Doi: 0.1136/bmjopen-2017-019189
  • 13 Atallah MA, Hamdan-Mansour AM, Al-Sayed MM, Aboshaiqah AE. Patients' satisfaction with the quality of nursing care provided: the Saudi experience. Int J Nurs Pract 2013; 19 (06) 584-590
  • 14 Alasad J, Abu Tabar N, AbuRuz ME. Patient satisfaction with nursing care: measuring outcomes in an international setting. J Nurs Adm 2015; 45 (11) 563-568
  • 15 Liu Y, Wang G. Inpatient satisfaction with nursing care and factors influencing satisfaction in a teaching hospital in China. J Nurs Care Qual 2007; 22 (03) 266-271
  • 16 Eygelaar JE, Stellenberg EL. Barriers to quality patient care in rural district hospitals. Curationis 2012; 35 (01) 36 . Published 2012 May 9. Doi: 0.4102/curationis.v35i1.36
  • 17 Norouzinia R, Aghabarari M, Shiri M, Karimi M, Samami E. Communication barriers perceived by nurses and patients. Glob J Health Sci 2015; 8 (06) 65-74 . Published 2015 Sep 28. Doi: 10.5539/gjhs.v8n6p65
  • 18 Alsaqri S. Patient satisfaction with quality of nursing care at governmental hospitals, Ha'il City, Saudi Arabia. J Biol Agric Healthc 2016; 6 (10) 128-142