Observational studyBMJ open2018
Patient satisfaction with hospital care and nurses in England: an observational study.
Observational study in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
116 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Towards a Quality Care Climate Perspective: A Systematic Review of Associations Among Patient Experience, Patient Outcomes, and Organisational Climate Factors in Hospitals.International journal of environmental research and public health · 2026Pooled it
- The Primary Nursing Care Model and Inpatients' Nursing-Sensitive Outcomes: A Systematic Review and Narrative Synthesis of Quantitative Studies.International journal of environmental research and public health · 2023Pooled it
- Impact of the nursing work environment on patient satisfaction with care: A cluster-randomised organisational intervention.International journal of nursing studies advances · 2026Article
- The Relationship Between Transition Shock and Missed Nursing Care Among New Graduate Nurses: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Burnout Among Italian Nurses: Organizational Correlates, Workload Burden, and Workforce Sustainability in a National Cross-Sectional Study.International journal of environmental research and public health · 2026Observational
- Evaluation of intensive care nurses' attitudes toward the importance of care-focused nurse-patient interaction and associated factors.BMC nursing · 2026Article
- Effect of a Nursing Process Training Program on Nurses' Knowledge and Skills in Primary Healthcare in Albania: A Quasi-Experimental Study.Healthcare (Basel, Switzerland) · 2026Article
- From crisis to care: evaluating nursing competencies in pediatric intensive care units through family eyes.BMC nursing · 2026Article
- Contract Labor Reliance and Subsequent Patient Experience Performance: Evidence from U.S. Short-Term Acute Care Hospitals.Healthcare (Basel, Switzerland) · 2026Article
- Optimizing hospice care: A scoping review of staffing strategies to enhance practice.International journal of nursing studies advances · 2026Review
- The mediating role of nursing presence in the relationship between trust in nurses and satisfaction with nursing care in oncology patients.BMC health services research · 2026Article
- Validation of the Family Caregiver Relationship Quality Scale in Long-Term Care Facilities in Taiwan.Healthcare (Basel, Switzerland) · 2026Article
- The Effect of Nursing Practice Environment, Individual and Occupational Characteristics on Nurses' Attitudes Towards Medical Error: A Cross-Sectional Study.Nursing open · 2026Article
- Effectiveness of Plan-Do-Check-Act Approach in Improving Patient Satisfaction and Quality of Care in Parenteral Iron Deficiency Treatment.Global journal on quality and safety in healthcare · 2026Article
- Continence care quality from the perspective of older adults in long-term care or in receipt of home care: a scoping review.BMJ open · 2026Article
- From patient voices to policy: Data analytics reveals patterns in Ontario's hospital feedback.PLOS digital health · 2026Article
- Predictors of patient satisfaction with anesthesia using the Press Ganey patient satisfaction survey.Anaesthesiology intensive therapy · 2026Article
- Low Interest Among Young People in Becoming Nurses in Greece: Contributing Factors According to Academic Staff.Nursing reports (Pavia, Italy) · 2026Article
- Italian Validation of the Patient Satisfaction With Nursing Care Quality Questionnaire (PSNCQQ): A Multicenter Psychometric Study.Journal of nursing management · 2026Article
- Evaluating Nursing Care Quality Through Inpatient Falls and Its Association With the Patient Experience: A Registry Study in Finnish Acute Care Settings.Journal of nursing management · 2026Article
56 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo 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.
designCross-sectional surveys of 66 348 hospital patients and 2963 inpatient nurses.
settingPatients 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.
participantsThe 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.
main outcome measuresPatient 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.
resultsPatients' 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).
conclusionsPatients' 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.