ArticleNursing open2026
The Mediating Role of Patient Satisfaction With Nursing Care Quality in the Association Between Provision of Compassionate Care and Patient Loyalty: A Cross-Sectional Study.
Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo examine the association between the provision of compassionate care and patient loyalty and to assess the mediating role of patient satisfaction with nursing care quality in this association between the provision of compassionate care and patient loyalty.
designA correlational cross-sectional study.
methodsA total of 508 hospitalized patients were recruited using stratified proportional random sampling from five hospitals affiliated with Hamadan University of Medical Sciences, Iran, between November 2023 and July 2024. Participants completed the Compassionate Care Assessment Tool, the Patient Satisfaction with Nursing Care Questionnaire, and a patient loyalty questionnaire. Data were analysed using SPSS version 24 for descriptive and inferential statistics, including Pearson's correlation, independent-samples t-tests, one-way analysis of variance and linear regression. Mediation analysis was conducted using AMOS version 24.
resultsStructural equation modelling showed that provision of compassionate care was positively associated with patient satisfaction (β = 0.751, p < 0.001) and patient loyalty (β = 0.230, p < 0.001). Patient satisfaction with nursing care quality was positively associated with patient loyalty (β = 0.493, p < 0.001) and partially mediated the association between provision of compassionate care and patient loyalty (indirect β = 0.370, p < 0.001). The model explained 49% of the variance in patient loyalty (R
conclusionHigher levels of perceived compassionate care were positively associated with greater patient loyalty, both directly and indirectly through higher patient satisfaction with nursing care quality. These findings highlight the pivotal role of compassionate care in improving patient satisfaction and fostering patient loyalty. IMPLICATIONS FOR NURSING PRACTICE: Healthcare organisations should implement evidence-informed strategies to strengthen compassionate nursing care by addressing barriers and enhancing facilitators at the individual, patient and family and organisational levels. Nurses should promote compassionate communication and patient-centred, expectation-sensitive care to improve patient experience, satisfaction and loyalty.
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