Patient‐Reported Individualized Care on Satisfaction With Nursing Care: Mediating Effects of Patient Perceptions of Safety and Experience of Adverse Events

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Abstract
Background: In the sustainability of quality systems, monitoring patient safety and satisfaction from the patients' perspective contributes to improving the quality of care and providing care in line with the needs and expectations of patients. Objective: This study aimed to explore the relationship between patients' perceptions of individualized care, patient safety, their experiences with adverse events, and satisfaction with nursing care, and the sequential mediating role of patient safety perception and adverse event experience in the relationship between individualized care and satisfaction with nursing care. Methods: A total of 660 patients from the inpatient units of a public hospital in Türkiye were included in this cross‐sectional study. Data collection was conducted between April and July 2024 using the Individualized Care Scale—Patient version, the Patient Measure of Safety‐30, a question assessing the experience of adverse events, and the Newcastle Satisfaction with Nursing Care Scale. Data were analysed using descriptive and correlation analysis, and the hypothesis model was tested using structural equation modeling. Results: The findings show that individualized care is associated with higher levels of patient satisfaction with nursing care and more positive patient safety perceptions, while also contributing to a lower experience of adverse events. In the final model, it was determined that the patient safety perception mediated the effect of individualized care on nursing care satisfaction among both those who experienced adverse events and those who did not. Conclusions: These results suggest that healthcare institutions should place greater emphasis on strengthening individualized care practices by supporting nurses in planning and delivering care tailored to patients' specific needs. In addition, integrating an individualized care approach into nursing education programs and broader healthcare policies may play a key role in improving patient safety and satisfaction with nursing care.

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