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

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.