| Title |
Patient satisfaction with hospital care and nurses in England: an observational study
|
|---|---|
| Published in |
BMJ Open, December 2017
|
| DOI | 10.1136/bmjopen-2017-019189 |
| Pubmed ID | |
| Authors |
Linda H Aiken, Douglas M Sloane, Jane Ball, Luk Bruyneel, Anne Marie Rafferty, Peter Griffiths |
| Abstract |
To inform healthcare workforce policy decisions by showing how patient perceptions of hospital care are associated with confidence in nurses and doctors, nurse staffing levels and hospital work environments. Cross-sectional surveys of 66 348 hospital patients and 2963 inpatient nurses. Patients surveyed were discharged in 2010 from 161 National Health Service (NHS) trusts in England. Inpatient nurses were surveyed in 2010 in a sample of 46 hospitals in 31 of the same 161 trusts. The 2010 NHS Survey of Inpatients obtained information from 50% of all patients discharged between June and August. The 2010 RN4CAST England Nurse Survey gathered information from inpatient medical and surgical nurses. Patient ratings of their hospital care, their confidence in nurses and doctors and other indicators of their satisfaction. Missed nursing care was treated as both an outcome measure and explanatory factor. Patients' perceptions of care are significantly eroded by lack of confidence in either nurses or doctors, and by increases in missed nursing care. The average number of types of missed care was negatively related to six of the eight outcomes-ORs ranged from 0.78 (95% CI 0.68 to 0.90) for excellent care ratings to 0.86 (95% CI 0.77 to 0.95) for medications completely explained-positively associated with higher patient-to-nurse ratios (b=0.15, 95% CI 0.10 to 0.19), and negatively associated with better work environments (b=-0.26, 95% CI -0.48 to -0.04). Patients' perceptions of hospital care are strongly associated with missed nursing care, which in turn is related to poor professional nurse (RN) staffing and poor hospital work environments. Improving RN staffing in NHS hospitals holds promise for enhancing patient satisfaction. |
X Demographics
The data shown below were collected from the profiles of 430 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 159 | 37% |
| United States | 37 | 9% |
| Ireland | 21 | 5% |
| Australia | 20 | 5% |
| Canada | 9 | 2% |
| Spain | 8 | 2% |
| South Africa | 5 | 1% |
| Sweden | 4 | <1% |
| New Zealand | 2 | <1% |
| Other | 15 | 3% |
| Unknown | 150 | 35% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 208 | 48% |
| Practitioners (doctors, other healthcare professionals) | 119 | 28% |
| Scientists | 92 | 21% |
| Science communicators (journalists, bloggers, editors) | 11 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 711 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 711 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 99 | 14% |
| Student > Bachelor | 81 | 11% |
| Student > Ph. D. Student | 42 | 6% |
| Researcher | 35 | 5% |
| Lecturer | 33 | 5% |
| Other | 135 | 19% |
| Unknown | 286 | 40% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 214 | 30% |
| Medicine and Dentistry | 63 | 9% |
| Business, Management and Accounting | 26 | 4% |
| Unspecified | 18 | 3% |
| Psychology | 13 | 2% |
| Other | 79 | 11% |
| Unknown | 298 | 42% |
Attention Score in Context
This research output has an Altmetric Attention Score of 502. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 August 2022.
All research outputs
#53,063
of 25,931,626 outputs
Outputs from BMJ Open
#117
of 26,068 outputs
Outputs of similar age
#1,113
of 449,599 outputs
Outputs of similar age from BMJ Open
#8
of 548 outputs
Altmetric has tracked 25,931,626 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 26,068 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 18.1. This one has done particularly well, scoring higher than 99% of its peers.
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We're also able to compare this research output to 548 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.