Patients’ Perception of Quality Nursing Care in a Federal Medical Centre

International Journal of Nursing and Health Science
© 2018 by SSRG - IJNHS Journal
Volume 4 Issue 1
Year of Publication : 2018
Authors : Theresa O. Agbele, Joshua C. Nwambo, Ukamaka C. Nwankwo
How to Cite?

Theresa O. Agbele, Joshua C. Nwambo, Ukamaka C. Nwankwo, "Patients’ Perception of Quality Nursing Care in a Federal Medical Centre," SSRG International Journal of Nursing and Health Science, vol. 4,  no. 1, pp. 1-7, 2018. Crossref,


Measuring and reporting patient satisfaction has become very important in this era of the health care management system as an evaluator for quality care services. The derogatory remarks, which range from poor quality of care delivery to service delay, discontinuity of care, indifferent attitude of nursing staff, and poor communication skills, when compared with findings of various studies, are rather contradictory. This study explored patient's idea of quality nursing care (QNC) services in congruence with the overall patients' perception of quality nursing care and patients' characteristics. The study used a descriptive survey approach in which structured questionnaires (IPQCN) on a five (5) point Likert scale was used for data collection. Thematic analysis was used to code and describe patients' ideas of quality nursing care. The results of 100 in-patient perceptions of quality care nursing were analyzed using percentages and the chi-square analysis method to compare variables. The finding revealed that the majority of the patients (62%) had deficient knowledge of quality nursing care, while 38% of the respondents' idea of QNC centered on nurses' attributes and the organization of nursing care. Evaluation of the overall patients' perception of QNC shows a high (44.5%) and very high (41.8%) level of satisfaction, while 8.9% showed dissatisfaction with the QNC. The cross-tabulation of patients' characteristics, age, marital status, duration of hospitalization, previous history of hospitalization, health status, educational level, and the perception of QNC shows a high level of significance. These provided further insight into the significance of individualized and holistic care. While the patients' perception of quality nursing care remains high and positive, as seen from this study and various other studies, it is imperative to match it with proper knowledge and recognizable standard of quality to prevent unrealistic expectations, false-positive perception, unwholesome comments, and negative public image of the profession. Sound orientation should be rendered, and expectations of possible outcomes should be well communicated so as to empower patients to be better evaluators of Quality nursing care.


Quality care, patients’ satisfaction, Perception, nursing care, orientation.


[1] Rehan, A., Kanji, Z., J., D., R., R. Perceptions of patients regarding quality nursing care (QNC) at a tertiary hospital in Karachi, Pakistan. Journal of Clinical Research & Bioethics, 6(6) (2015). Available at:
[2] Dozier A, Kitzman H, Ingersoll G, Holmberg S, Schultz A. Development of an instrument to measure patient perception of the quality of nursing care. Research in Nursing & Health. 24 (2001) 506–517.
[3] Dikmen Y, Yılmaz D. Patient’s Perceptions of Nursing Care-A Descriptive Study from Turkey. Ann Nurs Pract, 3(3) (2016) 1048. Retrieved on May 5th, 2017 from ,
[4] American Nurses Association (ANA), Nursing’s social policy statement. In Berman, A.; Synder, S.; Kozier, B.; and Erb, G., Kozier and Erb’s Fundamentals of Nursing: Concepts, Process and Practice. New Jersey. Pearson Prentice Hall, (2008)
[5] Mohammed M.A. and Odetola T. D., Evaluation of patients’ perception of nursing care in selected health institutions in Edo state, Nigeria, Journal of Medicine and Medical Sciences 5(1) (2014) 12-19. DOI:http:/ Available online
[6] Zaletel, M. MANAGEMENT IN HEALTH CARE PRACTICE; Quality in nursing, 2016. Retrieved on May 5th, (2017). from
[7] Zhao, S.H. & Akkadechanunt, T. Patients’ perceptions of quality nursing care in a Chinese hospital, International Journal of Nursing and Midwifery, 3(9) (2011) 145-149. Available online ISSN 2141-2499 ©2011 Academic Journals.
[8] Iloh G, Ofoedu J N, Njoku P U, Odu F U, Ifedigbo C V, Iwuamanam K D., Evaluation of patients' satisfaction with quality of care provided at the National Health Insurance Scheme clinic of a tertiary hospital in South- Eastern Nigeria. Niger J Clin Pract [serial online] 2012 [cited 2017 Aug 12]; 15 (2012) 469-74. Available from:
[9] Muraleeeswaran, R. & Thenuka, M. Patient’s Perceptions Regarding Quality Nursing Care in a Sri Lankan hospital. Imperial Journal of Interdisciplinary Research (IJIR), 2(5) (2016). ISSN: 2454-1362,
[10] Mufti, S., Qadri, G.J., Tabish, S.A., Mufti, S., Riyaz, R. Patient’s Perception of Nursing Care at a Large Teaching Hospital in India. International Journal of Health Sciences, 2(2) (2008). (Jumad’a Thani 1429 H)
[11] Maxwell, M., Mathilda, Z., Clara H., & Augustine, N. Quality Nursing Care: A concept analysis, Journal of Medical and Dental Science Research, 3(1) (2016) 25-30. ISSN(Online) : 2394-076X ISSN (Print):2394-0751 access
[12] De Freitas, Juliana Santana et al., Quality of Nursing Care and Satisfaction of Patients Attended at a Teaching Hospital Revista Latino-Americana de Enfermagem, 22(3) (2014) 454–460. PMC. Web. 19 Dec. 2017.