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Validation of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) in Albania

Year 2025, Volume: 12 Issue: 23, 1 - 17

Abstract

Patient satisfaction is a vital measure of healthcare quality, particularly regarding nursing care. Albania has lacked a validated tool to assess patient satisfaction with nursing services, limiting quality improvement efforts. This study aimed to validate the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) in the Albanian context. A cross-sectional survey was conducted among hospitalized patients across multiple Albanian hospitals. The PSNCQQ was translated, culturally adapted, and psychometrically analyzed. Reliability, construct validity, and internal consistency were assessed. The PSNCQQ demonstrated excellent psychometric properties, including high internal consistency (Cronbach’s α > 0.9) and a unidimensional factor structure. The tool effectively captured nursing-specific domains such as emotional support and
The validated Albanian version of the PSNCQQ is a reliable, culturally appropriate tool for evaluating nursing care quality. Its adoption can support quality assurance, professional development, and patient-centered healthcare reforms in Albania.

Ethical Statement

Prior to data collection, permission was obtained from the Directorate of Harmonization of Healthcare Services at the Operator of Healthcare Services (Ministry of Health and Social Protection, Albania). The approval, dated 17 December 2024, authorized the study in regional and municipal hospitals under its jurisdiction, provided it complied with national laws, including the Law “On Healthcare in the Republic of Albania” and the Law “On Personal Data Protection,” and institutional regulations. The Directorate specified that study activities must be conducted only with prior consent from hospital staff, ensuring ethical standards and legal compliance.

Supporting Institution

The authors would like to express their sincere gratitude to the hospital administrators, nursing staff, and patients at the six participating regional hospitals for their cooperation and valuable contributions. Special thanks are extended to the Ministry of Health and Social Protection of Albania for facilitating access to the healthcare institutions.

Project Number

na

Thanks

The authors would like to express their sincere gratitude to the hospital administrators, nursing staff, and patients at the six participating regional hospitals for their cooperation and valuable contributions. Special thanks are extended to the Ministry of Health and Social Protection of Albania for facilitating access to the healthcare institutions.

References

  • Al Jaberi, H., Juni, M. H., Mohd Amin, R., & Sulaiman, Z. (2019). Patient satisfaction and the impact of nurse caring behavior in the United Arab Emirates. Journal of Nursing Management, 27(6), 1239–1246. https://doi.org/10.1111/jonm.12802
  • Akbulut, Y., Karabulut, N., & Kaya, N. (2015). The validity and reliability of the Turkish version of the Patient Satisfaction with Nursing Care Quality Questionnaire. Journal of Nursing Research, 23(1), 34–40. https://doi.org/10.1097/jnr.0000000000000057
  • Bleich, S. N., Özaltin, E., & Murray, C. J. (2009). How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization, 87, 271–278. https://doi.org/10.2471/BLT.07.050401
  • Hinno, S., Partanen, P., & Vehviläinen-Julkunen, K. (2012). Hospital nurses’ work environment, quality of care, and patient safety: A cross-sectional survey. International Journal of Nursing Practice, 18(1), 12–19. https://doi.org/10.1111/j.1440-172X.2011.01913.x
  • Laschinger, H. K. S., Hall, L. M., Pedersen, C., & Almost, J. (2005). A psychometric analysis of the Patient Satisfaction with Nursing Care Quality Questionnaire: An actionable approach to patient-centered evaluation. Journal of Nursing Care Quality, 20(3), 220–230. https://doi.org/10.1097/00001786-200507000-00010 Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The patient experience and health outcomes. New England Journal of Medicine, 368(3), 201–203. https://doi.org/10.1056/NEJMp1211775
  • Milutinović, D., Simin, D., Brkić, N., & Brkić, S. (2023). The patient satisfaction with nursing care quality: The psychometric study of the Croatian version of PSNCQQ. Scandinavian Journal of Caring Sciences, 37(1), 598–606. https://doi.org/10.1111/scs.13137
  • Mundfrom, D. J., Shaw, D. G., & Ke, T. L. (2005). Minimum sample size recommendations for conducting factor analyses. International Journal of Testing, 5(2), 159–168. https://doi.org/10.1207/s15327574ijt0502_4 Papastavrou, E., Andreou, P., & Tsangari, H. (2014). Nurses’ emotional intelligence and patient satisfaction. Journal of Nursing Scholarship, 46(1), 30–37. https://doi.org/10.1111/jnu.12037
  • Qirko, S., Prifti, V., Kicaj, E., Çerçizaj, R., & Rogozea, L. M. (2025). Satisfaction levels of ambulatory patients with the quality of nursing care: Validation and application of the Patient Satisfaction with Nursing Care Quality Questionnaire in Albania. Nursing Reports, 15(1), 4. https://doi.org/10.3390/nursrep15010004
  • Smerat, H., Abu Ejheisheh, M., Ayed, A., Aqtam, I., & Batran, A. (2025). Patient satisfaction with the quality of nursing care in critical care units and medical wards in West Bank Hospitals, Palestine: A cross-sectional study. PLOS ONE, 20(4), e0322804. https://doi.org/10.1371/journal.pone.0322804
  • World Health Organization. (2015). WHO global strategy on integrated people-centred health services 2016–2026: Executive summary. Geneva, Switzerland: World Health Organization. Retrieved from https://interprofessional.global/wp-content/uploads/2019/11/WHO-2015-Global-strategy-on-integrated-people-centred-health-services-2016-2026.pdf
  • Wolf, J. A., Niederhauser, V., Marshburn, D., & LaVela, S. L. (2021). Defining patient experience: A critical synthesis. Patient Experience Journal, 8(1), 7–15. https://doi.org/10.35680/2372-0247.1569
  • Wong, F. K. Y., Mok, E., & Wong, D. (2014). The relationship between patient satisfaction and nurse caring behavior in nursing practice. International Journal of Nursing Practice, 20(6), 478–485. https://doi.org/10.1111/ijn.12204

Arnavutluk'ta Hemşirelik Bakım Kalitesi Anketi (PSNCQQ) ile Hasta Memnuniyetinin Doğrulanması

Year 2025, Volume: 12 Issue: 23, 1 - 17

Abstract

Hasta memnuniyeti, özellikle hemşirelik bakımıyla ilgili olarak sağlık hizmeti kalitesinin hayati bir ölçüsüdür. Arnavutluk'ta, hemşirelik hizmetleriyle ilgili hasta memnuniyetini değerlendirmek için geçerli bir araç eksikti ve bu da kalite iyileştirme çabalarını sınırladı. Bu çalışma, Arnavutluk bağlamında Hasta Hemşirelik Bakımı Kalite Anketi'ni (PSNCQQ) doğrulamayı amaçladı. Birden fazla Arnavutluk hastanesinde yatan hastalar arasında kesitsel bir anket gerçekleştirildi. PSNCQQ çevrildi, kültürel olarak uyarlandı ve psikometrik olarak analiz edildi. Güvenilirlik, yapı geçerliliği ve iç tutarlılık değerlendirildi. PSNCQQ, yüksek iç tutarlılık (Cronbach'ın α > 0,9) ve tek boyutlu bir faktör yapısı dahil olmak üzere mükemmel psikometrik özellikler gösterdi. Araç, duygusal destek ve
PSNCQQ'nun geçerli Arnavut versiyonu, hemşirelik bakımı kalitesini değerlendirmek için güvenilir ve kültürel olarak uygun bir araçtır. Benimsenmesi, Arnavutluk'ta kalite güvencesini, profesyonel gelişimi ve hasta merkezli sağlık hizmeti reformlarını destekleyebilir.

Project Number

na

References

  • Al Jaberi, H., Juni, M. H., Mohd Amin, R., & Sulaiman, Z. (2019). Patient satisfaction and the impact of nurse caring behavior in the United Arab Emirates. Journal of Nursing Management, 27(6), 1239–1246. https://doi.org/10.1111/jonm.12802
  • Akbulut, Y., Karabulut, N., & Kaya, N. (2015). The validity and reliability of the Turkish version of the Patient Satisfaction with Nursing Care Quality Questionnaire. Journal of Nursing Research, 23(1), 34–40. https://doi.org/10.1097/jnr.0000000000000057
  • Bleich, S. N., Özaltin, E., & Murray, C. J. (2009). How does satisfaction with the health-care system relate to patient experience? Bulletin of the World Health Organization, 87, 271–278. https://doi.org/10.2471/BLT.07.050401
  • Hinno, S., Partanen, P., & Vehviläinen-Julkunen, K. (2012). Hospital nurses’ work environment, quality of care, and patient safety: A cross-sectional survey. International Journal of Nursing Practice, 18(1), 12–19. https://doi.org/10.1111/j.1440-172X.2011.01913.x
  • Laschinger, H. K. S., Hall, L. M., Pedersen, C., & Almost, J. (2005). A psychometric analysis of the Patient Satisfaction with Nursing Care Quality Questionnaire: An actionable approach to patient-centered evaluation. Journal of Nursing Care Quality, 20(3), 220–230. https://doi.org/10.1097/00001786-200507000-00010 Manary, M. P., Boulding, W., Staelin, R., & Glickman, S. W. (2013). The patient experience and health outcomes. New England Journal of Medicine, 368(3), 201–203. https://doi.org/10.1056/NEJMp1211775
  • Milutinović, D., Simin, D., Brkić, N., & Brkić, S. (2023). The patient satisfaction with nursing care quality: The psychometric study of the Croatian version of PSNCQQ. Scandinavian Journal of Caring Sciences, 37(1), 598–606. https://doi.org/10.1111/scs.13137
  • Mundfrom, D. J., Shaw, D. G., & Ke, T. L. (2005). Minimum sample size recommendations for conducting factor analyses. International Journal of Testing, 5(2), 159–168. https://doi.org/10.1207/s15327574ijt0502_4 Papastavrou, E., Andreou, P., & Tsangari, H. (2014). Nurses’ emotional intelligence and patient satisfaction. Journal of Nursing Scholarship, 46(1), 30–37. https://doi.org/10.1111/jnu.12037
  • Qirko, S., Prifti, V., Kicaj, E., Çerçizaj, R., & Rogozea, L. M. (2025). Satisfaction levels of ambulatory patients with the quality of nursing care: Validation and application of the Patient Satisfaction with Nursing Care Quality Questionnaire in Albania. Nursing Reports, 15(1), 4. https://doi.org/10.3390/nursrep15010004
  • Smerat, H., Abu Ejheisheh, M., Ayed, A., Aqtam, I., & Batran, A. (2025). Patient satisfaction with the quality of nursing care in critical care units and medical wards in West Bank Hospitals, Palestine: A cross-sectional study. PLOS ONE, 20(4), e0322804. https://doi.org/10.1371/journal.pone.0322804
  • World Health Organization. (2015). WHO global strategy on integrated people-centred health services 2016–2026: Executive summary. Geneva, Switzerland: World Health Organization. Retrieved from https://interprofessional.global/wp-content/uploads/2019/11/WHO-2015-Global-strategy-on-integrated-people-centred-health-services-2016-2026.pdf
  • Wolf, J. A., Niederhauser, V., Marshburn, D., & LaVela, S. L. (2021). Defining patient experience: A critical synthesis. Patient Experience Journal, 8(1), 7–15. https://doi.org/10.35680/2372-0247.1569
  • Wong, F. K. Y., Mok, E., & Wong, D. (2014). The relationship between patient satisfaction and nurse caring behavior in nursing practice. International Journal of Nursing Practice, 20(6), 478–485. https://doi.org/10.1111/ijn.12204
There are 12 citations in total.

Details

Primary Language English
Subjects Environmental Management (Other)
Journal Section Research Article
Authors

Daniela Bimi 0009-0008-9440-1118

Project Number na
Early Pub Date July 14, 2025
Publication Date
Submission Date June 8, 2025
Acceptance Date June 30, 2025
Published in Issue Year 2025 Volume: 12 Issue: 23

Cite

APA Bimi, D. (2025). Validation of the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) in Albania. Science and Technique in the 21st Century, 12(23), 1-17.