# Satisfaction of Nursing Care and Its Associated Factors Among Patients With Coronary Artery Disease at Jakaya Kikwete Cardiac Institute, Dar es Salaam, Tanzania: A Cross‐Sectional Study

## TL;DR

This study found that most patients with heart disease in Tanzania are satisfied with nursing care, though factors like VIP treatment and education affect satisfaction levels.

## Contribution

The study identifies specific factors associated with nursing care satisfaction among CAD patients in a Tanzanian cardiac institute.

## Key findings

- 85% of patients were satisfied with nursing care at the cardiac institute.
- VIP treatment and higher education were significantly associated with reduced satisfaction.
- Insurance status and other sociodemographic factors were not statistically linked to satisfaction.

## Abstract

Patient satisfaction is a measure of the effectiveness of care, particularly in patients with coronary artery disease (CAD). It has been demonstrated that one of the factors affecting a patient’s quality of life is their satisfaction with the nursing care they receive. Inadequate nursing care can have negative effects on patients’ satisfaction and, if appropriate action is not taken, may deter patients from visiting hospitals. This study aimed to assess the level of satisfaction with nursing care and its associated factors among patients with CAD.

A cross‐sectional hospital‐based study was conducted at the Jakaya Kikwete Cardiac Institute (JKCI) in Dar es Salaam, Tanzania. A total of 150 respondents were recruited using a simple random sampling technique. Data were collected using a standardised questionnaire. Univariate and multivariate logistic regression analyses were performed to assess the association of sociodemographics, level of patient satisfaction and factors associated with patient satisfaction with nursing care. A p value of < 0.05 was considered statistically significant.

The mean age of respondents was 58.78 ± 15.16 years, with the majority, 81 (54%), being males. Most 106 (70.7%) respondents were married, and 103 (68.7%) were peasants. Most respondents, 127 (85%), were satisfied with nursing care. Patients with higher education and treatment category with VIP services had significantly reduced chances of satisfaction with nursing care (adOR 0.478, 95% CI: 0.094–0.632, p = 0.012) and adOR 0.234 of 95% CI: 0.074–0.432, p = 0.002, respectively. Other factors were not statistically associated with satisfaction with nursing care.

The majority of patients were satisfied with the nursing care. Treatment categories by VIP, insurance and higher education were associated with satisfaction with nursing care. Further research is needed to qualitatively assess the aspects of nursing care that lead to the satisfaction among patients with CAD.