The mediating effects of leadership, organizational culture, and nurse factors on the relationship between nursing care and patient satisfaction

Effective leadership and a supportive organizational culture play a crucial role in shaping the quality of nursing care, affecting not only the environment but also nurses’ skills and attitudes. This study explores how various factors related to nurses—such as their competence and attitudes—interact with leadership and organizational culture to impact nursing care and patient satisfaction. We aimed to identify previously overlooked connections that can improve patient outcomes. To conduct this research, we analyzed data from 125 nurses working in inpatient wards at an Islamic Hospital in Indonesia using a cross-sectional design. In August, we gathered information through validated questionnaires and examined the data using SmartPLS 3.2.8 with partial least squares structural equation modeling (PLS-SEM). Our results indicate that organizational factors significantly impact nursing practices (p = 0.000) and the quality of nursing care (p = 0.019). Moreover, the work conditions and experiences of nurses were found to greatly influence both the nurses’ competencies (p = 0.000) and the care they provide (p = 0.002). Additionally, factors related to nursing significantly affect both the quality of care (p = 0.004) and patient satisfaction (p = 0.002), with nursing care having a strong positive impact on patient satisfaction (p = 0.000). Interactions among organizational factors, nursing attributes, and care practices, as well as the working conditions of nurses, played significant roles in boosting patient satisfaction (p = 0.039 and p = 0.0016). Leadership, organizational culture, and nurse factors play significant mediating roles in strengthening the relationship between nursing care and patient satisfaction. These findings highlight the importance of strengthening organizational and nurse-related factors to improve nursing care quality and patient satisfaction.

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