Nurses’ perception of nursing care quality and associated factors in Jimma Town public hospitals, 2023—A mixed study

  • Birhanu Wogane Ilala orcid

    Department of Nursing, School of Health Sciences, Ambo University, Waliso campus, Waliso P.O. Box 217, Ethiopia
  • Tigist Serawit Bekele

    School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma P.O. Box 378, Ethiopia
  • Duguma Debela Genati

    Department of Nursing, College of Health Sciences, Assosa University, Assosa P.O. Box 18, Ethiopia
  • Lencho Kajela Solbana

    Department of Epidemiology and Biostatistics, Wollega University, Nekemte P.O. Box 395, Ethiopia
  • Diriba Etana Tola

    Department of Midwifery, College of Health Sciences, Assosa University, Assosa P.O. Box 18, Ethiopia
  • Midhagsaa Dhinsa Kitila

    Schools of Nursing, College of Health and Medical Sciences, Dilla University, Dilla P.O. Box 419, Ethiopia
  • Firaol Regea Gelassa

    Department of Nursing, School of Health Sciences, Ambo University, Waliso campus, Waliso P.O. Box 217, Ethiopia
  • Gugsa Nemera Germossa

    School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma P.O. Box 378, Ethiopia
Article ID: 4032
DOI: https://doi.org/10.59400/apr4032
Keywords: nurses perception, perception of quality care, quality of care, Jimma, Ethiopia

Abstract

Nurses’ perceptions of nursing care quality are related to their impression of the quality of care, and various countries emphasize improving it. However, studies from various countries have shown that people perceive the quality of nursing care to be poor. Despite this, there is a paucity of information about nurses’ perceptions of nursing care quality in our country. This study aimed to assess nurses’ perception of nursing care quality and associated factors in Jimma Town public hospitals, Southwest, Ethiopia, 2023. A mixed study design was employed among nurses working in Jimma Town public hospitals. Data were collected using a self-administered questionnaire and a semi-structured interview by simple random and purposive sampling techniques. Data were analysed using SPSS for quantitative data and thematic analysis for qualitative data. Of the total 364 nurses, about 50.50% (95% CI, 45.39, 55.71) of them perceived nursing care quality as good. Work experience of >10 years (AOR = 5.16, 95% CI (1.87, 14.24), having an educational level of BSc and above (AOR = 4.04, 95% CI (1.65, 9.95), working in referral hospital, (AOR = 4.13, 95% CI, (1.72, 9.89)), working in the favorable work environment (AOR = 3.29, 95% CI (1.90, 5.66) and being satisfied on one’s job (AOR = 2.20, 95% CI (1.30, 3.74) were statistically associated with nurses perception of nursing care quality. Nurses working in Jimma Town public hospitals are split in half on their perception of the nursing care quality they render to the patients. Therefore, nurses, hospitals, and nurse managers have to work together to address factors affecting nurses’ perception of nursing care quality.

Published
2026-05-29
How to Cite
Ilala, B. W., Bekele, T. S., Genati, D. D., Solbana, L. K., Tola, D. E., Kitila, M. D., Gelassa, F. R., & Germossa, G. N. (2026). Nurses’ perception of nursing care quality and associated factors in Jimma Town public hospitals, 2023—A mixed study. Applied Psychology Research, 5(2). https://doi.org/10.59400/apr4032
Issue
Vol. 5 No. 2 (2026)
Section
Article

Copyright (c) 2026 Birhanu Wogane Ilala, Tigist Serawit Bekele, Duguma Debela Genati, Lencho Kajela Solbana, Diriba Etana Tola, Midhagsaa Dhinsa Kitila, Firaol Regea Gelassa, Gugsa Nemera Germossa

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

References

[1]Alloubani, A., Akhu-Zaheya, L., & Abdelhafiz, I. M. M. (2018). Leadership styles’ influence on the quality of nursing care. International Journal of Health Care Quality Assurance, 32(6), 1022–1033.

[2]Alshehry, A. S., Alquwez, N., Almazan, J., et al. (2019). Influence of workplace incivility on the quality of nursing care. Journal of Clinical Nursing, 28(23–24), 4582–4594.

[3]Apostolidi, T. P., Apostolidi, N., & Malliarou, M. (2022). How Nurses Perceive Care and Their Relationship with Their Compassion: A Literature Review. International Journal of Caring Sciences, 15(1), 702–709.

[4]Aron, S. (2015). Cornerstone: A Collection of Scholarly and Creative Works for Minnesota State University, Mankato Relationship between Nurses’ Job Satisfaction and Quality of Healthcare They Deliver [Master's thesis]. Minnesota State University.

[5]Aziz, A. R., & Mansi, Q. H. (2017). Assessment Quality of Nursing Care Provided to Neonates with Respiratory Distress Syndrome at Intensive Care Unit in AL-Nasiriyah City Hospitals. Kufa Journal for Nursing Sciences, 7(2), 126–139

[6]Baernholdt, M., Jennings, B. M., & Lewis, E. L. (2013). A pilot study of staff nurses' perceptions of factors that influence quality of care in critical access hospitals. Journal of Nursing Care Quality, 28(4), 352–359.

[7]Blegen, M. A., Goode, C. J., Park, S. H., et al. (2013). Baccalaureate Education in Nursing and Patient Outcomes. 43(2), 89–94.

[8]Boscart, V. M., Sidani, S., Poss, J., et al. (2018). The associations between staffing hours and quality of care indicators in long-term care. BMC Health Services Research, 18(1), 750.

[9]Darega, B., Dida, N., Letimo, T., et al. (2016). Perceived Quality of nursing Cares Practices in Inpatient Departments of Bale Zone Hospitals, Oromiya Regional State, Southeast Ethiopia Facility-Based Cross Sectional Study. Quality in Primary Care, 24(1), 39–45.

[10]Elayan, R. M., & Ahmad, M. M. (2017). Assessment of the Quality of Nursing Care from Perspectives of Nurses Who Experienced Hospitalization as Patients. Journal of Nursing Care Quality, 32(4), 369–374.

[11]Fahim, F. N., Ahmed, E., & Elwahab, A. (2020). Nursing staff perception about the quality of health-care system in primary health-care centers in Beni Suef Governorate. Egyptian Nursing Journal, 16(3), 141–146.

[12]Farman, A., Kousar, R., Hussain, M., et al. (2017). Impact of Job Satisfaction on Quality of Care Among Nurses on the Public Hospital of Lahore, Pakistan. Saudi Journal of Medical and Pharmaceutical Sciences, 3(6A), 511–519.

[13]FDRE. (2021). Population Size by Sex, Region, Zone and Wereda: July 2021. Addis Ababa: FDRE. Available online: https://www.scribd.com/document/654205476/Population-of-Weredas-as-of-July-2021-Copy

[14]Federal Democratic Republic of Ethiopia MOH. (2017). Implementation, Woreda Transformation. Addis Ababa: Federal Democratic Republic of Ethiopia MOH.

[15]Ferede, A. J., Gezie, L. D., Geda, B., et al. (2024). Nurses’ perceptions of caring behaviors at referral hospitals in Ethiopia: A mixed-methods approach. BMC Nursing, 23(1), 767.

[16]Gedif, G., Sisay, Y., Alebel, A., et al. (2018). Level of job satisfaction and associated factors among health care professionals working at University of Gondar Referral Hospital, Northwest Ethiopia: a cross-sectional study. BMC Research Notes, 11, 824.

[17]Getie, A., Ayenew, T., Amlak, B. T., et al. (2025). Global prevalence and contributing factors of nurse burnout: An umbrella review of systematic review and meta-analysis. BMC Nursing, 24(1), 596.

[18]Go, C. E., Serad, J. B., Bacarisas, J. P., et al. (2025). Clinical Competence on Patient Care Quality with Workplace Support as Mediator among Nurses. International Journal of Research and Scientific Innovation (IJRSI), 12(6), 358–385.

[19]Göktepe, N., Türkmen, E., Fener, İ., et al. (2021). The Effect of Nurses’ Individual, Professional and Work Environment Characteristics on Their Perception of Quality of Nursing Care, Journal of Health and Nursing Management, 8(2), 139–147.

[20]Gür, E., & Ekici, D. (2020). Determining Factors that influence nurses’ perceptions of quality implementations conducted in hospitals in Turkey. Journal of Nursing Research, 28(3), e91. https://doi.org/10.1097/jnr.0000000000000368

[21]Habte, T., Tsige, Y., & Cherie, A. (2020). Survey on the Quality of Care Standards in a Nursing/Midwifery Training Hospital at Tikur Anbessa Specialized Hospital in Addis Ababa, Ethiopia, 2019. Advances in Medical Education and Practice, 2020(11), 763–774.

[22]Hu, H., Chang, S., Tian, G., et al. (2025). The impact of perceived stress on job satisfaction among nurse managers: A moderated mediation model of job burnout and psychological capital, BMC Nursing, 24, 953.

[23]Kenneth, M., Yitambe, A., Nyamari, J., et al. (2019). Nurses’ Perception on Healthcare Services Quality in Mission Hospitals in Kiambu County, Kenya. African Journal of Health Sciences, 32(1), 5–17.

[24]Koy, V., Yunibhand, J., Angsuroch, Y., et al. (2019). Registered nurses’ perceptions of factors influencing nursing care quality: A structural equation modeling study. Nursing & Health Sciences, 22(1), 91–98.

[25]Li, H., Xu, R., Gao, D., et al. (2024). Evidence-based practice attitudes, knowledge and skills of nursing students and nurses, a systematic review and meta-analysis. Nurse Education in Practice, 78, 104024. https://doi.org/10.1016/j.nepr.2024.104024

[26]Liu, Y., & Aungsuroch, Y. (2018). Factors influencing nurse-assessed quality nursing care: A cross-sectional study in hospitals. Journal of Advanced Nursing, 74(4), 935–945.

[27]Losty, L. S., Pascale, A., & Warshawsky, N. E. (2026). Staffing and leadership as drivers of nurse retention: A work environment analysis. Nursing Management, 57(2), 19–26.

[28]Martins, M. M., Gonçalves, M. N., Ribeiro, O. M., et al. (2016). Quality of nursing care: Instrument development and validation. 69(5), 920–926.

[29]Mert Boğa, S., Aydin Sayilan, A., Kersu, Ö., et al. (2020). Perception of care quality and ethical sensitivity in surgical nurses. Nursing Ethics, 27(3), 673–685.

[30]Moreno-Casbas, M. T., Alonso-Poncelas, E., Gómez-García, T., et al. (2018). Perception of the quality of care, work environment and sleep characteristics of nurses working in the National Health System. Enfermería Clínica (English Edition), 28(4), 230–239.

[31]Nakano, Y., Tanioka, T., Yokotani, T., et al. (2021). Nurses’ perception regarding patient safety climate and quality of health care in general hospitals in Japan. Journal of Nursing Management, 29(4), 749–758.

[32]Neves, T. M. A., Parreira, P. M. S. D., Graveto, J. M. G. N., et al. (2020). Nurse managers’ perceptions of nurse staffing and nursing care quality: A cross-sectional study. Journal of Nursing Management, 28(3), 625–633. https://doi.org/10.1111/jonm.12966

[33]Nursing Quality. (2023). Available online: https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality/ (accessed on 31 July 2025).

[34]Odunaiya, N. A., Akinpelu, A. O., Ogwu, S., et al. (2019). Healthcare professionals’ perception of quality of care of patients with cardiac disease in Nigeria: Implication for clinical guideline, inter-professional education and team work. Malawi Medical Journal, 31(1), 31–38.

[35]Peršolja, M. (2021). The quality of nursing care as perceived by nursing personnel: Critical incident technique. Journal of Nursing Management, 29(3), 432–441.

[36]Peyton, T., & Zigarmi, D. (2024). Employee perceptions of their work environment, work passion, and work intentions: A replication study using three samples. BRQ Business Research Quarterly, 27(2), 121–143.

[37]Ryan, C., Powlesland, J., Phillips, C., et al. (2017). Nurses’ perceptions of quality care. Journal of Nursing Care Quality, 32(2), 180–185.

[38]Spence, H. K., & Fida, R. (2015). Linking Nurses’ Perceptions of Patient Care Quality to Job Satisfaction: The role of authentic leadership and empowering professional practice environments. Journal of Nursing Administration, 45(5), 276–283.

[39]Stavropoulou, A., Rovithis, M., Kelesi, M., et al. (2022). What Quality of Care Means? Exploring Clinical Nurses’ Perceptions on the Concept of Quality Care: A Qualitative Study. Clinical and Practical, 12(4), 468–481.

[40]Tenza, I. S., Blignaut, A. J., Ellis, S. M., et al. (2024). Nurse perceptions of practice environment, quality of care and patient safety across four hospital levels within the public health sector of South Africa. BMC Nursing, 23, 324.

[41]Terefe, B., Mekonnen, B. A., & Limenih, M. A. (2024). Evaluation of Quality of Prevention of Mother to Child Transmission of HIV Service Provision and Its Determinants: The Case of Health Facility Readiness and Mothers’ Perspectives. 17, 93–110.

[42]Transactional model of stress and coping. (2020). Available online: https://www.ebsco.com/research-starters/psychology/transactional-model-stress-and-coping (accessed on 23 April 2026).

[43]Tsai, Y., Wu, S. W., & Tsai, Y. H. (2018). Employee Perceptions Of Service Quality Based On Hospital Quality Improvement Strategy. International Journal of Management, Economics and Social Sciences (IJMESS), 7(S1), 13–25.

[44]Weldetsadik, A. Y., Gishu, T., Tekleab, A. M., et al. (2019). Quality of nursing care and nurses’ working environment in Ethiopia: Nurses’ and physicians’ perception. International Journal of Africa Nursing Sciences, 10, 131–135.

[45]Yamamoto-Mitani, N., Saito, Y., Takaoka, M., et al. (2018). Nurses’ and Care Workers’ Perception of Care Quality in Japanese Long-Term Care Wards: A Qualitative Descriptive Study. Global Qualitative Nursing Research, 5, 2333393618812189.

[46]You, L. M., Aiken, L. H., Sloane, D. M., et al. (2013). Hospital nursing, care quality, and patient satisfaction: Cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), 154–161.

[47]Zhao, Y., Lu, H., Zhu, X., et al. (2025). Job satisfaction among hospital nurses: An updated literature review. International Journal of Nursing Studies, 162, 104964. https://doi.org/10.1016/j.ijnurstu.2024.104964