Relationship between care dependency, adverse events, trust in nurses and satisfaction with care: The mediating role of patient-reported missed care

Quality of Nursing Care as Perceived by Patients Treated for Multiple Myeloma in Polish Oncology Units: A Cross-Sectional Study

Background/Objectives: Patient satisfaction is one of the indicators of the quality of nursing care. The purpose of this study is to find out the level of satisfaction of patients with multiple myeloma with the quality of nursing care in oncology units. Methods: Data were obtained by a diagnostic survey method, using the Newcastle Nursing Satisfaction Scale. The survey was conducted among patients from four oncology departments in Poland on the day the patient was discharged or transferred to another unit. Participation in the study was voluntary and required patient consent. Patients were assured of the anonymity of their responses. Results: The study included 65 men and 75 women treated with chemotherapy and autologous hematopoietic stem cell transplant. Experiences and satisfaction with nursing care presented a level of 71.80 points and 74.46 points, respectively. The analysis showed no statistically significant differences between the groups in terms of treatment and gender. A statistically significant negative association was shown between age and nursing care experience score (r = -0.19; p = 0.024). Positive associations were shown between length of stay on the unit and rating of experience of nursing care (r = 0.23; p = 0.006) and satisfaction with nursing care (r = 0.26; p = 0.002). Conclusions: The experience and satisfaction with nursing care among patients treated for multiple myeloma in Polish oncology units is moderate. Efforts should be made to improve the quality of nursing care, especially taking into account the needs of the elderly.

The effect of missed care on the nursing image perceived by patients and their trust relationships with nurses

BACKGROUND

Missed care has negative consequences for patients, directly affecting the quality of nursing care and patient safety.

AIM

This study investigated the effect of missed care on the nursing image perceived by patients and their trust relationships with nurses.

METHODS

This descriptive and correlational study was conducted in all inpatient wards of a hospital in southern Türkiye. The sample consisted of 200 patients. Data were collected using a patient information form, the MISSCARE Survey-Patient, the Nursing Image Scale (NIS), and the Trust in Nurses Scale (TNS). The data were analyzed using the Statistical Package for Social Sciences (for Windows 25.0). The study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.

FINDINGS

Participants had a mean MISSCARE Survey-Patient, TNS, and NIS score of 2.09 ± 0.53, 23.48 ± 5.01, and 71.52 ± 6.75, respectively. There was a moderate negative correlation between MISSCARE Survey-Patient and TNS scores. There was a weak negative correlation between MISSCARE Survey-Patient and NIS scores. Moreover, there was a strong positive correlation between NIS and TNS scores.

DISCUSSION

MISSCARE Survey-Patient total scores vary due to the imbalance in the number of nurses and the complexity of their tasks. Poor quality of care and incomplete care undermine the image of nursing and negatively affect the trust relationship between patients and nurses.

CONCLUSIONS

Nursing image and trust in nurses decreases as patient-nurse communication and basic care interventions are skipped.

IMPLICATIONS FOR NURSING POLICY

Inadequate care can have a detrimental effect on the nursing image and erode patient-nurse trust relationships. Therefore, there is a pressing need for ongoing review and enhancement of nursing education, policy, and practice to elevate the quality of care provided. Further research utilizing objective staff measures and outcome assessments, along with gathering primary data directly from patients, is essential to substantiate the assertion that missed care significantly influences patient outcomes.

Relationship between missed nursing care and patients' trust in nurses and satisfaction with care: A cross-sectional study

Missed nursing care is a global health problem that can have negative consequences for patients, nurses, and healthcare institutions. The purpose of the research is to determine the relationship of missed nursing care with patients' trust in nurses and satisfaction with care. A descriptive and cross-sectional study was conducted with 350 patients treated at the cardiology clinic of a university hospital. Data were collected using the MISSCARE Survey-Patient, the Trust in Nurses Scale (TNS), and the Newcastle Satisfaction with Nursing Scale (NSNS). There was a strong positive relationship between trust in nursing and satisfaction with care. Additionally, missed care in communication and basic care had a negative relationship with trust in nursing and satisfaction with care (p < 0.001). The multiple linear regression analysis revealed that the communication subscale score was the best negative predictor of trust in nurses and satisfaction with care. The results of this research indicate a deficiency in adequately addressing all nursing care activities. The failure to meet nurse-patient communication needs is the most important missed care factor that negatively affects satisfaction with care and trust in nurses.