The Effect of Nurse Staffing On Quality of Care and Patient Satisfaction in The Medical and Surgical Wards in Public Hospitals in Fako

American Journal of Humanities and Social Sciences Research (AJHSSR) 2024
American Journal of Humanities and Social Sciences Research (AJHSSR)

e-ISSN :2378-703X
Volume-08, Issue-01, pp-12-23
www.ajhssr.com
Research Paper Open Access
The effect of Nurse Staffing on Quality of Care and Patient

Satisfaction in the Medical and Surgical Wards in Public
Hospitals in Fako
Dili Koumai Ismael1, Palle John Ngunde1, EsohNahyeni Bassah1, Njume
Neville Kome1, Ewanga Bridget Etara1,Chi Solange Ika1,NtabeDegaulle Anyi2
1
(Department of Nursing, Faculty of Health Sciences, University of Buea, BP63 Buea, Cameroon)
2
(Department of Medical Laboratory Sciences, Faculty of Health Sciences, University of Bamenda, BP39
Bambili, Cameroon)
Corresponding author: Dili Koumai Ismael
ABSTRACT:Nurse staffing is an important component in determining patient care quality and satisfaction.
This study was aimed at assessing the effect of nurse staffing on quality of care and patient satisfaction in the
medical and surgical wards in the public hospitals in Fako.This retrospective and analytic cross-sectional study
used the hospital administrative data to gather staffing information (the number of nurses, the nursing staff
constitution) and data was collected from patients in the medical and surgical wards in public hospitals in Fako
using an adapted “Karen-patient instrument for measuring quality of care” and the “Patient Satisfaction with
Nursing Care Quality Questionnaire” over a period of 2 months. The probability proportionate to size sampling
was applied to get the appropriate sample size. Data collected was analysed using SPSS version 25.The overall
nurse to patient ratio was 1:9.2.Based on the mean score, 47.1% of patients had good quality of nursing care
while 52.9% had poor quality of nursing care. Half of the participants (50.4%) were satisfied with the overall
nursing services while 49.6% were not satisfied. There was a significant relationship between mean patient to
nurse ratio and quality of care as well as patient satisfaction (p<0.001 and p=0.02 respectively).The overall
nurse to patient ratio was 1:9.2. The overall quality of nursing care was poor and patient satisfaction was
moderate. The study found a relationship between staffing and quality of care as well as patient satisfaction.
Keywords:Nurse Staffing, Patients, Patient’s Satisfaction, Quality of Care
I. INTRODUCTION
Nurse staffing is the process of selecting the right quantity, mix and types of nursing resources to fulfil
workload demands for nursing care at the unit level [1]. In general, health-care systems must adapt to a variety
of changes, including changing demographics, the advent of new diseases, the frequency of previously
diagnosed diseases, and the complexity of care. Due to these changes and limited resources, hospitals will be
forced to alter their organization and operations through human resource solutions among others, including
nurse staffing modifications. Patients' health, safety, and well-being, as well as the quality of care, are all
affected by these changes [2]. The institute of Medicine study committee defined the quality of care as the
extent to which health services are consistent with actual knowledge held by professionals and which enhance
the likelihood of desired health outcomes for individuals and populations [3]. Patient satisfaction which is a
combination of a patient's perceived need, health-care expectations, and health-care experience is an essential
and widely used metric for assessing health-care quality [4]. Clinical results, patient retention, and medical
malpractice lawsuits are all influenced by patient satisfaction. It has an impact on the delivery of high-quality
health care in a timely, efficient, and patient-centered manner. Patient complexity, acuity, or stability; the
number of admissions, discharges, and transfers; the level and expertise of nurses and other staff; the physical
space and layout of the nursing unit; and the availability of or proximity to technological support or other
resources are all factors that influence nurse staffing needs [5]. Published studies show that adequate nurse
staffing helps achieve clinical and financial improvements in patient care, such as increased patient satisfaction
and health-related quality of life; decreased patient mortality, medical and medication errors, length of stay;
AJHSSR Journal P a g e | 12
hospital readmissions, and decreases the number of preventable events such as pressure ulcers, patient falls,
central line infections, healthcare-associated infections, and other complications [5-8].
A study conducted in nine European countries showed that the chance of an inpatient dying within 30
days of admission rose by 7% when a nurse's workload was increased by one patient [9]. Another study in
Australia showed that the mortality rate in hospitals was 4.1 percent and every day that a patient had Registered
Nurse staffing below the ward mean, the risk of mortality increased by 3%. Days when the number of
admissions per Registered Nurse surpassed 125 percent of the ward norm were linked to a higher risk of death.
Griffiths et al. [10] discovered evidence that reduced nurse staffing was linked to a greater risk of hospital
patient falls, greater incidence of medication administration mistakes and missed nursing care. Some systematic
reviews discovered evidence that lower nurse staffing levels were linked to longer patient stays in hospitals [10-
12). South East Asia and Africa, according to the World Health Organization, have the greatest demand for
nurses [13]. Cameroon is one of the African nations that is undergoing a human resources for health crisis. At
the national level, there are 0.32 nurses per 1000 people working in the public sector [14].
Nursing services are an important part of any health-care services. Nurses in an adequate number with
the proper combination of skills, education, and experience ensure that patients' requirements are fulfilled and
that the environment and working conditions allow staff to offer high-quality care. Nurse staffing is a critical
component in determining patient safety and the quality of care [15], this is why we are taking a particular
interest in this study which will target public hospitals in Fako.
II. MATERIALS AND METHODS

This investigation was a retrospective and analytic cross-sectional study to provide data for describing
the state of nurse staffing, the quality of care and the patient satisfaction and to bring out the effect of nurse
staffing on quality of care and patient satisfaction in the medical and surgical wards in public hospitals in Fako
within the study duration (May-June 2022).
This study was conducted in three selected health facilities (Limbe regional hospital, Buea regional
hospital and Tiko district hospital) that had good number of patients hospitalized in the medical and surgical
wards in Fako Division of the South West Region of Cameroon. As per the 2005 census in Cameroon, Fako
Division is made up of 466,412 people. It covers an area of 2,093km2, density of 222.8km2 and located at
Latitude 4.1667° and Longitude 9.1667° [16]. Fako has several urban and semi-urban towns. It has many social
and economic amenities and political institutions which in addition to its location in the coastal area of
Cameroon have contributed to its increasing population, the majority of who are the youth [17].The Buea
Regional Hospital is a Category 3 facility capable of providing healthcare to Cameroonians in the South West
Region and beyond. It is a strategic health care provider in this region, providing 24-hour services to patients
and serving as a teaching hospital for various institutions of higher learning, including the University of Buea's
Faculty of Health Sciences. Some of the units found in the hospital are radiology, surgery, gynecology and
obstetrics, pediatrics, physiotherapy, maternity and general medicine. As for the Limbe Regional Hospital, also
known as Mile 1 Hospital, is the main referral hospital in the region run by Cameroon's Ministry of Public
Health. Some of its services include physiotherapy, Dental, In-patient and Out-patient, Pharmacy, Ears-Nose
and Throat, General Surgery, Counseling, and dietary advice. The Tiko District Hospital is a peripheral level
facility which provides healthcare to the population of Tiko and beyond. Some of the units found in the hospital
are gynecology and obstetrics, pediatrics, maternity, general medicine.
The surgical wards of the BRH and LRH offer respectively reception capacities of 33 and 32 beds.
These departments receive preoperative and postoperative patients for various surgical interventions depending
on the pathologies, and are made up of nursing staff, general practitioners, surgeons and anesthesiologists who
take care of patients. As for the medical wards, they have female medical wards with a respective capacity of 26
and 18 beds for BRH and LRH; male medical wards with respective capacities of 19 and 16 beds for BRH and
LRH. The medical and nursing staff present in these wards ensure the diagnosis and care of hospitalized
patients. The medical ward of the TDH is a general ward with a capacity of 28 beds, where is met internal
medicine patients and pre and postoperative patients.
This study involved patients hospitalized in the medical and surgical wards in the three selected
hospitals in Fako, and includedhospitalized patients in the medical and the surgical wards, conscious
hospitalized patients who can read or listen and understand, and make a choice; consenting patients, and 21years
or older patients. First, ethical clearance was obtained from the Institutional Review Board (IRB, 1817-05) of
the Faculty of Health Sciences, University of Buea. Then administrative approval was obtained from the Faculty
of Health Sciences, University of Buea, the regional delegation of public health (No. 425/430), and from the
directors of the Buea Regional Hospital, Limbe Regional Hospital and Tiko District Hospital.The hospital
administrative data were used to gather staffing information (the number of nurses, their level of education, the
nursing staff constitution) and the number of patients hospitalized. In this study, the nurse to patient ratio was
chosen as the index to evaluate the staffing of nurses. The nurse to patient ratio was obtained by using the
average number of hospitalized patients per day during the data collection period and the number of nurses
allocated to them.Data were collected from inpatients in the study hospital wards using an adapted Karen-patient
instrument for measuring quality of care [18], and an adapted “Patient Satisfaction with Nursing Care Quality
Questionnaire” for measuring the patient satisfaction [19].
A pilot study was conducted with the aim of finding out the feasibility and practicability of the tools.
The study was conducted among 10 samples; the sampling technique used was convenient sampling, informed
consent was taken from the samples. The finalized tools were used to assess the quality of care and patient
satisfaction with nursing care quality. The pilot study finding revealed that the study was feasible and
practicable.
Data generated from the study were entered into excel spreadsheet and analyzed with SPSS version 25.0 for
windows. The data were summarized using percentages, mean, tables and figures. Regression tests were used
and in order to test the level of significance, the p-value statistics was used with a 95% confidence level.
III. RESULTS
III.1. Description of Sociodemographic Characteristics
In this study, 119 patients from the LRH (46), BRH (54) and TDH (19) were selected with their ages
ranging from 21 to 92 years. The mean age of the participants was 42±17.4 years and the median age was 37
(IQR: 28-53) years. In this study, 45.4% of the participants were selected from BRH, 38.7% came from LRH
and the rest (16%) came from TDH. Out of the 119 patients, 50.4% were female and most (47.9%) were
between the age group 21-36. Also, most of the participants (44.5%) were single and married respectively while
44.5% had tertiary education. Out of the 92 nurses recorded in the study, majority were holders of the Nursing
Assistant diploma, State Registered Nursing diploma and bachelor’s degree (34.8%, 28.3% and 26.1%
respectively) (TABLE 1).
III.2. Assessment of nurses to patient ratio

The nurse to patient ratio in the Male Medical Ward, Female Medical Ward and the Surgical Ward of
the BRH were respectively 1:2 (8:15), 1:3 (7:21), and 1:4 (7:29) from Monday to Friday morning shift, while
from Monday to Friday night shift, Saturday and Sunday morning and night shift, the nurse to patient ratio was
1:5 (3:15) for the Male Medical Ward, 1:7 (3:21) for the Female Medical Ward, and 1:10 (3:29) for the Surgical
Ward.
The nurse to patient ratio in the Male Medical Ward, Female Medical Ward and the Surgical Ward in the LRH
were respectively 1:3 (4:12), 1:3 (4:11), 1:4 (8:29) from Monday to Friday morning shift, while from Monday to
Friday night shift, Saturday and Sunday morning and night shift, the nurse to patient ratio was 1:6 (2:12) for the
Male Medical Ward, 1:6 (2:11) for the Female Medical Ward, and 1:16 (2:29) for the Surgical Ward.
The nurse to patient ratio in the General Ward in the TDH was 1:6 (3:17) from Monday to Friday morning shift,
while from Monday to Friday night shift, Saturday and Sunday morning and night shift, the nurse to patient ratio
was 1:17 (1:17) (TABLE 2).
In this study, the patient to nurse ratio in the male and female medical wards were statistically different
from the surgical ward and general wards (4.7±0.54, 5.4±0.6 versus 10.0±1.6 and 4.7±0.54, 5.4±0.6 versus
14.2±2.8 respectively; p<0.001). Results are shown in TABLE 3.
The overall mean patient to nurse ratio for the health facilities is 9.2±1.61. The patient to nurse ratio in the LRH
and BRH were statistically different from the TDH (6.2±0.75, 7.2±1.3 versus 14.2±2.8; p-value: 0.006). Results
are shown in TABLE 4.
III.3. Quality of care of patients
With respect to the quality of care, majority of patients agreed that the structural quality was good
(58.8%) while 55.5% said the process quality was poor. Also 50.4% said the outcome from care received was
good. Results are shown inTABLE 5.
Out of the 35 items assessed on quality of care of patients, the minimum score was 43 and the maximum score
115. The mean score was 83±1.9 and the median score was 81 (IQR: 75-92). Based on the mean score, 47.1% of
the patients had good quality of nursing care while 52.9 had poor quality of nursing care as shown in Fig. 1.
Good quality care was highest in LRH (73.7%) followed by BRH (57.4%). There was a significant association
between quality of nursing care and the hospital setting (p<0.001).
There was no significant association observed between quality of nursing care and sociodemographic
information of participants in this study (p-value: >0.05). Results are summarized inTABLE 6.
III.4. Patient satisfaction with nursing care

Analysis of PSNCQQ scores revealed that the item for which satisfaction level was highest 106
(89.1%) was the “restful atmosphere provided by nurses” item. The item for which satisfaction level was lowest
47 (39.5%) was the “recognition of your opinions” item as shown in TABLE 7.
Out of the 17 items assessed on satisfaction of patients on nursing services, the minimum score was 21 and the
maximum score 72. The mean score was 46.46±0.94 and the median score was 46 (IQR: 39-53). Based on the
mean score, 50.5% of the patients were satisfied with the overall nursing services as shown in Fig. 2. There was
a significant association between satisfaction of nursing care and the hospital setting (p<0.001.) Patient
satisfaction with quality of care was highest in LRH (76.1%) followed by TDH (42.1%). Results are shown in
Fig. 3.
There was no significant association observed between patient satisfaction of nursing care and
Sociodemographic information of participants in this study. Results are summarized inTABLE 8.
In this study, there was no correlation observed between QOC and patient satisfaction (p-value: 0.11) as shown
in Fig. 4.
III.5. The relationship between nurse staffing and quality of care, Patient satisfaction
Results from simple linear regressions show a significant relationship between mean patient to nurse
ratio and quality of care. A unit increased in the patient to nurse ratio decreases the quality of care by 3.28 units
(p<0.001).
Results from multiple linear regressions showed a significant relationship between mean patient to nurse ratio
and patient satisfaction. A unit increased in the patient to nurse ratio decreases the patient satisfaction score by
0.25 units (p-value: 0.02).
IV. DISCUSSIONS
Quality in healthcare is a complex, multi-faceted, and multi-dimensional phenomenon [20]. Nursing
care quality is considered as one of the desired outcomes of Overall health care quality. Good care attracts and
keeps patients satisfied, recommends more patients for treatment and improves the impression of the
organization as a service provider. Patients define quality with regard to interpersonal aspects of care, the way
they are treated, and the promptness of the care provider [21]. This study addressed, in particular, the effect that
nurse staffing has on the quality of care and patient satisfaction.
In this study, the nurse to patient ratio was 10.0 for the surgical ward and 4.7 and 5.4 for the male and
female medical wards respectively (TABLE 3). These are different from the ones in the study conducted in
China by Yuchi et al. [22], where the staffing of nurses was evaluated by calculating the nurse to patient ratio
(the average number of patients assigned to a nurse) in the eastern, central, and western regions of China. The
results showed that the department of internal medicine and the department of surgery had a nurse to patient
ratio of 8.3 each. These differences might be related with the level and the number of hospitals studied.
This study revealed that the overall perception of quality of nursing care was low, and the proportion of patients
who had good perception on the quality of nursing care was 47.1%. This was close to the findings in the study
conducted by Ibrahim et al., in 2021 in Najran General Hospital, Saudi Arabia which showed that the proportion
of patients who had good perception on the quality of nursing care was 41% [23]. Another study conducted by
Wafa et al., at the inpatient psychiatric units in Jordan and published in 2018 showed that, patients’ total score
of perceptions of quality of psychiatric nursing care was low (52.4%) [24]. A study conducted by Mahmoud et
al., in eight Hospitals from the four healthcare sectors in Jordan revealed that the average reported perception
level was 3.4/5 which was considered low [25]. This could be related with an inadequate nurse staffing or a poor
quality of service provision. Another study conducted by Theresa et al., in 4 selected units at a Federal Medical
Center in Nigeria revealed that 86.3% of responses, showed a good perception of quality of nursing care. This
difference might be related with the level of hospitals studied, an adequate nurse staffing, and the policy of the
hospital on the quality of service provision [26].
This study revealed that the overall patient’s satisfaction with nursing care was moderate, with a
proportion of 50.4% of participants who were satisfied. This was lower compared to the results of other studies
like the one conducted by Karaca et al., in a private hospital in Istanbul in 2015, where the overall patients’
PSNCQ mean scores ranged between 1–4.05, with an average score of 1.61 (SD 0.65) which indicated that the
level of satisfaction with nursing care was high [27]. Another study conducted by Kannan et al., in a tertiary
care teaching hospital in South India in 2016 showed with mean percentage 83.03% that patients were satisfied
with nursing care [28]. A study conducted by Skhvitaridze et al., in one hospital and one outpatient department
in the capital city of Georgia showed that, overall, 89% of patients described their satisfaction with provided
nursing care as good [29]. A study carried out by Olowe et al., at the Lagos University Teaching Hospital found
that 77% of patients showed excellent satisfaction with quality of nursing care received [30]. These differences
might be related with the level of hospitals studied, the quality of care provided and the nurse staffing.
There was no statistically significant association between quality of care and the demographic variables in the
present study. This is supported by the findings in the study conducted in 2018 by Kewi et al., in inpatient
department at public hospitals of Benishangul Gumuz regional state, North West Ethiopia which showed that
there was no statistically significant association between quality of care and some demographic variables such
as gender and age [31].
There was no statistically significant association between patients’ satisfaction with nursing care
quality and the demographic variables in the present study. This is supported by a similar study finding
conducted by Alsaqri at Hail, Saudi Arabia in three tertiary care settings which revealed that satisfaction was not
associated with demographic variables [32]. Comparable to the study conducted in North India by Twayana and
Adhikari which found that the patient satisfaction did not have any association with patient’s demographic
variables like age, gender [33].
This study showed a significant relationship between nurse to patient ratio and quality of care. This is
similar to the finding in the study conducted by Winter et al. in 2019 in 3458 hospital units in 1017 hospitals in
Germany which showed that nurse to patient ratio was significantly related to quality of nursing care [34].
This study showed a significant relationship between nurse to patient ratio and quality of care. This is similar to
the finding in the study conducted by Persolja in three units of one secondary care regional hospital in Slovenia
in 2018 which showed that there was a significant correlation between the nurse to patient ratio and patient
satisfaction [35].
V. CONCLUSION
This study was conducted in the medical and surgical wards in public hospitals in Fako to assess the
effect of nurse staffing on quality of care and patient satisfaction. The overall nurse to patient ratio in the
medical and surgical wards in the study hospitals was 9.2. The overall quality of nursing care in the hospitals
was low with 47.1% of patients who perceived good quality of nursing care while 52.9 perceived poor quality of
nursing care.Patient satisfaction with nursing care was moderate with 50.4% of patients who were satisfied with
the overall nursing care while 49.6% were not satisfied. There was a significant relationship between mean
patient to nurse ratio and quality of care as well as patient satisfaction. A unit increased in the patient to nurse
ratio decreases the quality of care by 3.28 units and patient satisfaction score by 0.25 units.The results of this
study showed a poor quality of care and a moderate satisfaction from patients’ perspective of care encountered
during their hospitalization. Based on our study, we recommend the followings:The healthcare providers could
contribute to the quality service provision by improving the staffing and evaluating the quality of care and
patient satisfaction for the development and improvement of nursing care based on patients’ expectations.
Health care providers play a big role in enhancing patient satisfaction. It is therefore important that health care
providers in particular nurses should have caring attitude, good communication skills and professional technical
skills to enhance patient satisfaction. It is therefore recommended that in service training be emphasized for the
health care workers using the results of this study.In view of the nature and the factors this study has discussed,
it is recommended that research in hospitals across the country be carried out to investigate the effect of nurse
staffing on the quality of care and patient satisfaction.
VI. ACKNOWLEDGEMENTS
The authors would like to thank all the participants who took part in this study.
Limitations of the study
The sample was restricted to patients from the medical and surgical wards. In addition, the study was
conducted in three public hospitals in Fako. Therefore, the results cannot be generalized to all hospitals. Future
studies should include more wards, more than three hospitals in both the private and public sectors and the
nursing care provided in private and public hospitals should be compared.
Conflict of Interest
The authors declare that they have no conflicts of interest.
Authors’ Contribution
All authors participated in the design and the methodological assessment of the study. DKI conceived
the research idea, DKI, NNK, EBE, CSI, and NDA collected, analyzed and interpreted the data under the
supervision of PJN and ENB. DKI drafted the work and all authors revised and approved the final manuscript.
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TABLES
Table 1: Description of Sociodemographic Characteristics
Characteristics Frequency Percentages
(n) (%)
Gender
Male 59 49.6
Female 60 50.4
Age group
21-36 57 47.9
37-52 32 26.9
53-68 18 15.1
≥69 12 10.1
Qualification
Degree 24 26.1
HND 6 6.5
NA 32 34.8
SRN 26 28.3
Master 4 4.3
Marital status
Single 53 44.5
Married/cohabiting 53 44.5
Separated 13 10.9
Level of education
Primary 18 15.1
Secondary 48 40.3
Tertiary 53 44.5
Table 2: Nurse to patient ratio in the medical and surgical wards in the hospitals
Hospitals Wards Monday to Monday to Saturday and Saturday and
Friday Friday night Sunday Sunday night
morning shift shift morning shift shift
Male medical ward
BRH 1:2 (8:15) 1:5 (3:15) 1:5 (3:15) 1:5 (3:15)
Female medical ward
1:3 (7:21) 1:7 (3:21) 1:7 (3:21) 1:7 (3:21)
Surgical ward
1:4 (7:29) 1:10(3:29) 1:10 (3:29) 1:10 (3:29)
Male medical ward
LRH 1:3 (4:12) 1:6 (2:12) 1:6 (2:12) 1:6 (2:12)
Female medical ward
1:3 (4:11) 1:6 (2:11) 1:6 (2:11) 1:6 (2:11)
Surgical ward
1:4 (8:29) 1:16(2:29) 1:16 (2:29) 1:16 (2:29)
General ward
TDH 1:6 (3:17) 1:17(1:17) 1:17 (1:17) 1:17 (1:17)
Table 3: Patient to nurse ration per ward

Ward Mean±SE P-value
Male ward 4.7±0.54 <0.001
Female ward 5.4±0.6
Surgical wards 10.0±1.6
General ward 14.2±2.8
Table 4: Patient to nurse ratio per hospital
Hospital Mean±SE P-value
LRH 6.2±0.75 0.006
BRH 7.2±1.3
TDH 14.2±2.8
Table 5: Quality of nursing care received by patients

Domains Frequency Percentages
N=119 (%)
Structure quality
Poor 49 41.2
Good 70 58.8
Process quality
Poor 66 55.5
Good 53 44.5
Outcome quality
Poor 59 49.6
Good 60 50.4
Table 6: Relationship between Sociodemographic characteristics and Quality of nursing care

Characteristics Quality of nursing care p-value
Good (%) Poor (%)
Gender
Male 29 (51.8) 30 (47.6) 0.39
Female 27 (48.2) 33 (52.4)
Age group
21-36 25 (44.6) 32 (50.8)
37-52 15 (26.8) 17 (27.0) 0.62
53-68 11 (19.6) 7 (11.1)
≥69 5 (8.9) 7 (11.1)
Marital status
Single 25 (44.6) 28 (44.4)
Married/cohabiting 23 (41.1) 30 (47.6) 0.5
Separated 8 (14.3) 5 (7.9)
Level of education
Primary 9 (16.1) 9 (14.3)
Secondary 20 (35.7) 28 (44.4) 0.62
Tertiary 27 (48.2) 26 (41.3)
Table 7: Patient satisfaction with nursing care

Domains Frequency Percentages
Information you were given about tests, treatments, and what to expect N %
Not satisfied 64 53.8

Satisfied 55 46.2
Instructions
Satisfied 68 57.1
Ease of getting information
Satisfied 79 66.4
Information given by nurses to patients, families, and doctors
Satisfied 87 73.1
Informing family or friends about your condition and needs
Satisfied 71 59.7
Involving family or friends in your care
Satisfied 100 84.0
Concern and caring by nurses
Satisfied 94 79.0
Attention of nurses to your condition
Satisfied 73 61.3
Recognition of your opinions
Satisfied 47 39.5
Consideration of your needs
Satisfied 67 56.3
The daily routine of the nurses
Satisfied 59 49.6
Helpfulness
Satisfied 68 57.1
Nursing staff response to your calls
Satisfied 60 50.4
Skill and competence of nurses
Satisfied 92 77.3
Coordination of care
Satisfied 105 88.2
Restful atmosphere provided by nurses
Satisfied 106 89.1
Provisions for your privacy by nurses.
Satisfied 94 79.0
Table 8: Relationship between Sociodemographic characteristics and patient satisfaction of nursing Care
Characteristics Satisfaction p-value
Satisfied Not satisfied
Gender
Male 25 (41.7) 34 (57.6) 0.06
Female 35 (58.3) 25 (42.4)
Age group
21-36 27 (45.0) 30 (50.8)
37-52 15 (25.0) 17 (28.8) 0.51
53-68 12 (20.0) 6 (10.2)
≥69 6 (10.0) 6 (10.2)
Marital status
Single 29 (48.3) 24 (40.7)
Married/cohabiting 25 (41.7) 28 (47.5) 0.7
Separated 6 (10.0) 7 (11.9)
Level of education
Primary 12 (20.0) 6 (10.2)
Secondary 27 (45.0) 21 (35.6) 0.08
Tertiary 21 (35.0) 32 (54.2)
FIGURES
80.0 %
Qu
alit70.0 % 73.7 76.1
y 60.0 %
of
50.0 % 57.4
car 52.9
e 40.0 % 47.1
42.6
30.0 %
20.0 % 26.3 23.9
10.0 %
00.0 %
LRH BRH TDH Overall
Hospitals
Good quality Poor quality
Figure 1 : Quality of care
Pa 80.0 %
tie
nt 70.0 % 76.1
sat60.0 % 68.5
isf 57.9
50.0 %
act 50.5
io 40.0 % 42.1 49.6
n 30.0 %
31.5
20.0 % 23.9
10.0 %
0.0 %
LRH BRH TDH Overall
Hospitals
Satisfied Not satisfied

Figure 2: Overall satisfaction, Comparison of satisfaction of patients on nursing care per hospital.
140 R² = 0.043
120
100
QOC score
80
60
40
20
0
0 10 20 30 40 50 60 70 80
Patient satisfaction score
Figure 3: Relationship between Quality of Care and patient satisfaction

The Effect of Nurse Staffing On Quality of Care and Patient Satisfaction in The Medical and Surgical Wards in Public Hospitals in Fako

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The Effect of Nurse Staffing On Quality of Care and Patient Satisfaction in The Medical and Surgical Wards in Public Hospitals in Fako

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American Journal of Humanities and Social Sciences Research (AJHSSR) 2024

American Journal of Humanities and Social Sciences Research (AJHSSR)

The effect of Nurse Staffing on Quality of Care and Patient

II. MATERIALS AND METHODS

III.2. Assessment of nurses to patient ratio

III.4. Patient satisfaction with nursing care

Table 3: Patient to nurse ration per ward

Table 5: Quality of nursing care received by patients

Table 6: Relationship between Sociodemographic characteristics and Quality of nursing care

Table 7: Patient satisfaction with nursing care

Not satisfied 64 53.8

Good quality Poor quality

Figure 1 : Quality of care

Satisfied Not satisfied

Patient satisfaction score

Figure 3: Relationship between Quality of Care and patient satisfaction

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