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A framework for analyzing the relationships between cancer patient satisfaction, nurse care, patient attitude, and nurse attitude in healthcare systems

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Abstract

Assessment the quality of medical services is a crucial strategy to identify the strengths and weaknesses providing actionable insights to improve the healthcare services provided to cancer patients. In Libya, the challenge of medical facilities and treatment in healthcare systems of cancer patients is of high importance. This study investigates the relationships between nurse care, attitude of patient, and nurse with cancer patient satisfaction using the quantitative methodology. In this study, a total of 217 identified cancer patients at the National Cancer Institute of Misurata, Libya was assessed for their satisfaction with the medical services provided. The study scale was adopted and adapted from that used by previous researchers to measure nurse care, nurse attitude, patient attitude, hospital service quality, and patient satisfaction on a 5-point Likert scale. A comprehensive approach has been used, where a framework that relates nurse care, nurse attitude of patients and nurse with cancer patient satisfaction while controlling the effects of hospital service quality and patients’ characteristics has been conceptualized to assess the service quality offered by the said hospital. Descriptive statistics, correlation, and multiple regression were applied in the analyses. It pointed to several important areas to enhance the satisfaction of cancer patients by analyzing the level of nurse care, nurse attitude, and patient attitude. The result shows a significant relationship between cancer patient satisfaction and patient attitude, while only possible interactions between cancer patient satisfaction and nurse attitude. On an overall basis, it can be concluded that to increase the satisfaction level of cancer patients, the management should focus on improving the level of nurse care and nurse attitude and carefully monitors patient attitude.

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References

  • Abd Ghani MK, Mohammed MA, Arunkumar N, Mostafa SA, Ibrahim DA, Abdullah MK, Jaber MM, Abdulhay E, Burhanuddin MA (2020) Decision-level fusion scheme for nasopharyngeal carcinoma identification using machine learning techniques. Neural Comput Appl 32(3):625–638

    Google Scholar 

  • Abdelhafez AM, Al Qurashi L, Al Ziyadi R, Kuwair A, Shobki M, n Mograbi H (2012) Analysis of factors affecting the satisfaction levels of patients toward food services at general hospitals in Makkah, Saudi Arabia. Age 30:31–50

    Google Scholar 

  • Adamu H, Oche MO (2014) Patient satisfaction with services at a general outpatient clinic of a tertiary hospital in Nigeria. J Adv Med Med Res 4(11):2181–2202

    Google Scholar 

  • Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P (2018) Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open 8(1):e019189

    Google Scholar 

  • Alayed AS, Lööf H, Johansson UB (2014) Saudi Arabian ICU safety culture and nurses’ attitudes. Int J Health Care Qual Assur 27(7):581–593

    Google Scholar 

  • Al-Borie HM, Damanhouri AM (2013) Patients’ satisfaction of service quality in Saudi hospitals: a SERVQUAL analysis. Int J Health Care Qual Assur 26(1):20–30

    Google Scholar 

  • Almomani R, Al-Ghdabi R, Banyhamdan K (2020) Patients’ satisfaction of health service quality in public hospitals: a PubHosQual analysis. Manag Sci Lett 10(8):1803–1812

    Google Scholar 

  • Amin M, Nasharuddin SZ (2013) Hospital service quality and its effects on patient satisfaction and behavioral intention. Clin Gov Int J 18(3):238–254

    Google Scholar 

  • Amiribesheli M, Benmansour A, Bouchachia A (2015) A review of smart homes in healthcare. J Ambient Intell Humaniz Comput 6(4):495–517

    Google Scholar 

  • Auyeung V, Patel G, McRobbie D, Weinman J, Davies G (2011) Information about medicines to cardiac in-patients: patient satisfaction alongside the role perceptions and practices of doctors, nurses and pharmacists. Patient Educ Couns 83(2011):360–366

    Google Scholar 

  • Black LM (2011) Original research: tragedy into policy: a quantitative study of nurses’ attitudes toward patient advocacy activities. AJN Am J Nurs 111(6):26–35

    Google Scholar 

  • Chahal H, Mehta S (2014) Modeling patient satisfaction construct in the Indian. Health care context. Int J Pharm Healthc Mark 7(1):75–92

    Google Scholar 

  • Chung K, Yoo H, Choe DE (2020) Ambient context-based modeling for health risk assessment using deep neural network. J Ambient Intell Humaniz Comput 11(4):1387–1395

    Google Scholar 

  • Cockle-Hearne J, Charnay-Sonnek F, Denis L, Fairbanks HE, Kelly D, Kav S et al (2013) The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries. Br J Cancer 109(8):2121–2130

    Google Scholar 

  • Creswell JW, Creswell JD (2017) Research design: qualitative, quantitative, and mixed methods approaches. Sage publications, Thousand Oaks

    MATH  Google Scholar 

  • Dhanasekaran R, Muthusamy H, Li X (2020) Special issue on “Brain computing for healthcare and wellness applications.” J Ambient Intell Humaniz Comput 11:1045. https://doi.org/10.1007/s12652-020-01721-9

    Article  Google Scholar 

  • Dunstan E, Coyer F (2020) Safety culture in two metropolitan Australian tertiary hospital intensive care units: a cross-sectional survey. Aust Crit Care 33(1):4–11

    Google Scholar 

  • Dzomeku VM, Ba-Etilayoo A, Perekuu T, Mantey RE (2013) IN-patient satisfaction with nursing care: a case study at Kwame Nkrumah University of Science and Technology Hospital. Int J Res Med Health Sci 2(1):19–24

    Google Scholar 

  • El Mistiri M, Salati M, Marcheselli L, Attia A, Habil S, Alhomri F et al (2015) Cancer incidence, mortality, and survival in Eastern Libya: updated report from the Benghazi Cancer Registry. Ann Epidemiol 25(8):564–568

    Google Scholar 

  • Fishbein M, Ajzen I (1980) Attitudes and voting behavior: an application of the theory of reasoned action. In: Stephenson GM, Davis JM (eds) Progress in applied social psychology, vol 1. Wiley, London, pp 253–313

    Google Scholar 

  • Fontecha J, González I, Bravo J (2019) A usability study of a mHealth system for diabetes self-management based on framework analysis and usability problem taxonomy methods. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-019-01369-0

    Article  Google Scholar 

  • Ghadi M, Sali Á, Szalay Z et al (2020) A new methodology for analyzing vehicle network topologies for critical hacking. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-020-02522-w

    Article  Google Scholar 

  • Gopal R (2014) Impact of hospital services on outpatient satisfaction in India. Int J Res Bus Manag 2(4):37–44

    Google Scholar 

  • Grondahl VA (2012) Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital. Karlstad University Studies: Dissertation, Karlstad University, pp 978–91

  • Hair JF (2006) Multivariate data analysis. Pearson Prentice Hall, Upper Saddle River

    Google Scholar 

  • Hosseini-Motlagh S, Samani MRG, Homaei S (2020) Blood supply chain management: robust optimization, disruption risk, and blood group compatibility (a real-life case). J Ambient Intell Humaniz Comput 11:1085–1104. https://doi.org/10.1007/s12652-019-01315-0

    Article  Google Scholar 

  • Ibrahim F, Sandström P, Björnsson B, Larsson AL, Drott J (2019) ‘I want to know why and need to be involved in my own care…’: a qualitative interview study with liver, bile duct or pancreatic cancer patients about their experiences with involvement in care. Support Care Cancer 27(7):2561–2567

    Google Scholar 

  • Iversen HH, Holmboe O, Bjertnæs ØA (2012) The Cancer Patient Experiences Questionnaire (CPEQ): reliability and construct validity following a national survey to assess hospital cancer care from the patient perspective. BMJ Open 2(5):743–751

    Google Scholar 

  • Kang S, Oh J (2015) Customer perceptions of health examination service quality: an empirical investigation in South Korea. Int J Soc Sci Humanit 5(3):272

    Google Scholar 

  • Kaya F, Özcan A, Yılmaz M (2013) Comparing communication and empathic ability levels of nurses with patients’ perception of nursing care. Peak J Public Health Manag 1(1):8

    Google Scholar 

  • Khomami HM (2018) The dataset for relationship between the nurses to patients ratio and patients satisfaction with nursing care. Data Brief 21:2149–2154

    Google Scholar 

  • Kim CE, Shin JS, Lee J, Lee YJ, Kim MR, Choi A et al (2017) Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC Complement Altern Med 17(1):174

    Google Scholar 

  • Kim-Soon N, Musbah FA, Ahmad AR (2017) Enhancing of nurse interpersonal skill boosts cancer patient satisfaction. Adv Sci Lett 23(1):326–329

    Google Scholar 

  • Kim-Soon N, Mostafa SA, Nurunnabi M, Chin LH, Kumar NM, Ali RR, Subramaniam U (2020) Quality management practices of food manufacturers: a comparative study between small, medium and large companies in Malaysia. Sustainability 12(18):7725

    Google Scholar 

  • Kui-Son C, Hanjoon L, Chankon K (2014) The service quality dimensions and patient satisfaction relationships in South Korea: comparisons across gender, age and types of service. J Serv Mark 19(3):140–149

    Google Scholar 

  • Lotfi M, Zamanzadeh V, Valizadeh L, Khajehgoodari M (2019) Assessment of nurse–patient communication and patient satisfaction from nursing care. Nurs Open 6(3):1189–1196

    Google Scholar 

  • Makhlouf A, Boudouane I, Saadia N, Cherif AR (2019) Ambient assistance service for fall and heart problem detection. J Ambient Intell Humaniz Comput 10(4):1527–1546

    Google Scholar 

  • Mntonintshi O, Mtembu V (2018) When performance management fails: attitudes and perceptions of staff at a Higher Education Institution. J Econ Behav Stud 10(6A (J)):131–140

    Google Scholar 

  • Mohammed MA, Al-Khateeb B, Rashid AN, Ibrahim DA, Abd Ghani MK, Mostafa SA (2018) Neural network and multi-fractal dimension features for breast cancer classification from ultrasound images. Comput Electr Eng 70:871–882

    Google Scholar 

  • Mostafa M (2014) An empirical study of patients’ expectations and satisfactions in Egyptian hospitals. Int J Health Care Qual Assur 2005(18):516–532

    Google Scholar 

  • Nallathamby R, Robin CR, Miriam DH (2020) Optimizing appointment scheduling for out patients and income analysis for hospitals using big data predictive analytics. J Ambient Intell Humaniz Comput. https://doi.org/10.1007/s12652-020-02118-4

    Article  Google Scholar 

  • Nelson D (2016) Examining the impact of Emergency Department (ED) registered nurse (RN) staffing on ED patient experience Doctoral dissertation, The University of Alabama at Birmingham

  • Obaid OI, Mohammed MA, Ghani MKA, Mostafa A, Taha F (2018) Evaluating the performance of machine learning techniques in the classification of Wisconsin Breast Cancer. Int J Eng Technol 7(436):160–166

    Google Scholar 

  • Oliver RL (1980) A cognitive model of the antecedents and consequences of satisfaction decisions. J Mark Res 17:460–469

    Google Scholar 

  • Paguio JT, Yu DSF (2020) A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses’ work environment. J Adv Nurs 76(2):664–675

    Google Scholar 

  • Peprah AA, Atarah BA (2014) Assessing patient’s satisfaction using servqual model: a case of Sunyani Regional Hospital, Ghana. Int J Bus Soc Res 4(2):133–143

    Google Scholar 

  • Robinson CA, Fyles G, McKenzie M (2017) Oncologist experience implementing goals of care discussions in everyday ambulatory oncology practice: implications for education. J Cancer Educ 32(2):301–307

    Google Scholar 

  • Roy SS, Samui P, Nagtode I et al (2020) Forecasting heating and cooling loads of buildings: a comparative performance analysis. J Ambient Intell Humaniz Comput 11:1253–1264. https://doi.org/10.1007/s12652-019-01317-y

    Article  Google Scholar 

  • Salam AA, Alshekteria AA, Alhadi HA, Ahmed M, Mohammed A (2010) Patient satisfaction with quality of primary health care in Benghazi. Libyan J Med, Libya. https://doi.org/10.3402/ljm.v5i0.4873

    Book  Google Scholar 

  • Senarath NS, Gunawardena BS, Arosha S, Sachintha L, Anushka S, Madushan J, Dilshan W (2013) Patient satisfaction with nursing care and related hospital services at the National Hospital of Sri Lanka. Leadersh Health Serv 26(1):63–67

    Google Scholar 

  • Shinde M, Kapurkar K (2014) Patient satisfaction with nursing care provided in selected areas of Tertiary care hospital. Int J Sci Res 3(2):150–161

    Google Scholar 

  • Susan J (2004) Likert scales: how to (ab) use them. Med Educ 38:1217–1218

    Google Scholar 

  • Tavakol M, Dennick R (2011) Testing reliability and validity of the Oulu patient classification instrument—the first step in evaluating the RAFAELA system in Norway. Making sense of Chronbach’s alpha. Int J Med Educ 2:53–55

    Google Scholar 

  • Topaz M, Doron I (2013) Nurses’ attitudes toward older patients in acute care in Israel. OJIN Online J Issues Nurs 18(2):46

    Google Scholar 

  • Tracy E, Madsen MD, Alison Riese MD, Ester K, Choo MD, Megan L, Ranney MD (2014) Effects of a web-based educational module on pediatric emergency medicine physicians’ knowledge. Attitudes Behav Regarding Youth Violence 15(5):615–622

    Google Scholar 

  • Wang X, Jiang R, Li J, Chen J, Burström B, Burström K (2018) What do patients care most about in China’s public hospitals? Interviews with patients in Jiangsu Province. BMC Health Serv Res 18(1):1–9

    Google Scholar 

  • Zienawi G, Birhanu A, Demeke W, Haile K, Chaka A (2019) Patient’s satisfaction and associated factors towards outreach mental health services at health centers Addis Ababa, Ethiopia 2017. Austin J Psychiatry Behav Sci 6(1):1–7

    Google Scholar 

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The authors would like to thank the Universiti Tun Hussein Onn Malaysia for supporting this research.

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Correspondence to Ng Kim-Soon or Salama A. Mostafa.

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Kim-Soon, N., Abdulmaged, A.I., Mostafa, S.A. et al. A framework for analyzing the relationships between cancer patient satisfaction, nurse care, patient attitude, and nurse attitude in healthcare systems. J Ambient Intell Human Comput 13, 87–104 (2022). https://doi.org/10.1007/s12652-020-02888-x

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