Self – Efficacy and Patient Satisfaction on Nursing Care Quality as Perceived by Discharged Patients in A Local Hospital

Nursing self-efficacy plays a vital role in delivering high-quality patient care and influencing patient satisfaction. This study aimed to determine the relationship between nursing self-efficacy and patient satisfaction with nursing care quality as perceived by discharged patients using a descriptive predictive quantitative research design. Data were collected from 81 eligible discharged patients through standardized Likert-scale questionnaires measuring nurse self-efficacy in caring and professional situations and patient satisfaction with nursing care quality. Descriptive statistics, mean analysis, and multiple regression analysis were used to examine relationships among variables and identify predictors of patient satisfaction. Results showed that nurses demonstrated very high levels of self-efficacy, with patients perceiving them as competent, compassionate, responsive, and professional. Patient satisfaction with nursing care quality was rated as excellent, particularly in areas related to nurses’ skills and competence, prompt response to patient needs, and the provision of a restful environment. Regression analysis revealed that patient-related factors such as length of hospital stay and frequency of hospitalization significantly influenced satisfaction levels, emphasizing the importance of effective discharge planning and continuity of care. The study concludes that high nursing self-efficacy is strongly associated with increased patient satisfaction, highlighting the need for continuous professional development, patient-centered care strategies, and efficient hospital management practices to sustain high-quality nursing care outcomes.

Nursing Self-Efficacy, Patient Satisfaction, Nursing Care Quality, Discharged Patients, Quantitative Study

1. Alasad, J. A., & Abu Tabar, N. (2019). The relationship between nurse's emotional intelligence and their self-efficacy in Jordan: A correlational study. Journal of Nursing Management, 27(6), 1227–1234. [Google Scholar] [Crossref]

2. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2012). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of Nursing Administration, 42(5), 222–229. [Google Scholar] [Crossref]

3. Agency for Healthcare Research and Quality. (2018). National Healthcare Quality and Disparities Report. Retrieved from https://www.ahrq.gov/research/findings/nhqrdr/index.html [Google Scholar] [Crossref]

4. Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman and Company. [Google Scholar] [Crossref]

5. Bandura, A. (2016). Moral disengagement: How people do harm and live with themselves. Worth Publishers. [Google Scholar] [Crossref]

6. Bandura, A. (2016). Social cognitive theory: An agentic perspective. Annual Review of Psychology, 52(1), 1–26. [Google Scholar] [Crossref]

7. Batbaatar, E., Dorjdagva, J., Luvsannyam, A., & Amenta, P. (2017). Determinants of patient satisfaction: A systematic review. Perspectives in Public Health, 137(2), 89–101. https://doi.org/10.1177/1757913916634136 [Google Scholar] [Crossref]

8. Boulding, W., Staelin, R., & Glickman, S. W. (2016). The patient experience and health outcomes. New England Journal of Medicine, 368(3), 201–203. https://doi.org/10.1056/NEJMp1211775 [Google Scholar] [Crossref]

9. Buttigieg, S. C., Cassar, A., & Cassar, L. (2020). The relationship between nurse caring behaviours and patient satisfaction: A systematic review. Journal of Nursing Management, 28(2), 332–341. [Google Scholar] [Crossref]

10. Cicolini, G., Simonetti, V., Comparcini, D., Celiberti, I., Di Nicola, M., & Tomietto, M. (2022). Self-efficacy and work engagement in nurses: A systematic review. Journal of Nursing Management, 30(2), 285–293. [Google Scholar] [Crossref]

11. Cicolini, G., Simonetti, V., Comparcini, D., Labeau, S., Blot, S., Pelusi, G., & Tomietto, M. (2022). Nurses’ self-efficacy, job satisfaction, and patient outcomes: A cross-sectional study. Journal of Nursing Management, 30(4), 1002–1011. https://doi.org/10.1111/jonm.13656 [Google Scholar] [Crossref]

12. Coulter, A., Jenkinson, C., Bruster, S., & Richards, N. (2002). Patients' experiences and satisfaction with health care: Results of a questionnaire study of specific aspects of care. Quality & Safety in Health Care, 11(4), 335–339. [Google Scholar] [Crossref]

13. Duffield, C., Roche, M., Homer, C., Buchan, J., & Dimitrelis, S. (2014). A comparative review of nurse turnover rates and costs across countries. Journal of Advanced Nursing, 70(12), 2703–2712. [Google Scholar] [Crossref]

14. Fenton, J. J., Jerant, A. F., Bertakis, K. D., & Franks, P. (2018). The cost of satisfaction: A national study of patient satisfaction, health care utilization, expenditures, and mortality. Archives of Internal Medicine, 172(5), 405–411. [Google Scholar] [Crossref]

15. Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press. [Google Scholar] [Crossref]

16. Johnson, E., Smith, K., Brown, L., & Williams, R. (2022). Impact of nursing care quality on patient satisfaction in a large urban hospital. Journal of Nursing Quality, 37(2), 123–130. [Google Scholar] [Crossref]

17. Joung, J., & Han, S. (2022). Nurse self-efficacy and patient satisfaction: Mediating role of communication. BMC Nursing, 21(1), 134. [Google Scholar] [Crossref]

18. Kang, J., O'Donnell, M. B., Ratcliffe, S. J., & Jones, D. E. (2018). Improving medication safety through nursing self-efficacy. Journal of Nursing Care Quality, 33(1), 72–77. [Google Scholar] [Crossref]

19. Kieft, R. A., Brouwer, B. J., Francke, A. L., & Delnoij, D. M. (2017). How nurses and their work environment affect patient experiences of the quality of care: A qualitative study. BMC Health Services Research, 17(1), 474. [Google Scholar] [Crossref]

20. Kieft, R. A., de Brouwer, B. B., Francke, A. L., & Delnoij, D. M. (2017). How nurses and their work environment affect patient experiences of the quality of care: A qualitative study. BMC Health Services Research, 14(1), 249. https://doi.org/10.1186/s12913-017-2226-7 [Google Scholar] [Crossref]

21. Labrague, L. J., & de Los Santos, J. A. A. (2019). Resilience as a mediator between nurse work satisfaction and patient satisfaction. Journal of Nursing Management, 27(2), 431–439. [Google Scholar] [Crossref]

22. Labrague, L. J., & de Los Santos, J. A. (2021). Resilience as a mediator between nurse-perceived organizational support and job satisfaction. Journal of Nursing Management, 29(5), 1164–1172. https://doi.org/10.1111/jonm.13297 [Google Scholar] [Crossref]

23. Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The patient experience and health outcomes. New England Journal of Medicine, 368(3), 201–203. [Google Scholar] [Crossref]

24. Mitchell, G. J., Nicklin, W., & McDonald, J. (2018). Patient perceptions of nurse care in the digital age. Nursing Management, 25(4), 36–40. [Google Scholar] [Crossref]

25. Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., Wichaikhum, O., Aungsuroch, Y., & Aiken, L. H. (2017). Impact of nurse work environment and staffing on hospital nurse and quality of care in Thailand. Journal of Nursing Scholarship, 49(3), 290–297. [Google Scholar] [Crossref]

26. Oliver, R. L. (2015). Satisfaction: A behavioral perspective on the consumer. Journal of Consumer Research, 42(1), 123–127. [Google Scholar] [Crossref]

27. Oliver, R. L. (2015). Satisfaction: A behavioral perspective on the consumer. Routledge. [Google Scholar] [Crossref]

28. Papastavrou, E., Andreou, P., & Tsangari, H. (2021). Patients’ satisfaction with nursing care: A systematic review of conceptual frameworks. International Journal of Nursing Studies, 118, 103926. https://doi.org/10.1016/j.ijnurstu.2021.103926 [Google Scholar] [Crossref]

29. Papastavrou, E., Andreou, P., & Tsangari, H. (2021). Patients’ satisfaction with nursing care quality and its association with self-reported nurse caring behaviors. BMC Nursing, 20(1), 25. [Google Scholar] [Crossref]

30. Ríos Risquez, M. I., García-Izquierdo, M., Sabuco-Tebar, E. d. L., Carrillo-García, C., & Soler-Sanz, F. (2018). Patient satisfaction, stress and burnout in nursing personnel in emergency departments. Journal of Nursing Management, 26(1), 57–65. https://doi.org/10.1111/jonm.12517 [Google Scholar] [Crossref]

31. Schunk, D. H., & DiBenedetto, M. K. (2020). Motivation and social-emotional learning: Theory, research, and practice. Contemporary Educational Psychology, 60, 101830. [Google Scholar] [Crossref]

32. Watson, J. (2018). Nursing: The Philosophy and Science of Caring (Revised Edition). University Press of Colorado. [Google Scholar] [Crossref]

33. Wu, X., Wang, H., & Li, L. (2022). The impact of nurse self-efficacy on job performance and patient care quality. International Journal of Nursing Sciences, 9(1), 50–57. [Google Scholar] [Crossref]

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