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Patient SatisfactionSCORENCT07471581

Patient Satisfaction Study at AOU Maggiore Della Carità (SCORE)

An observational study of Patient Satisfaction and Nursing, run by Università degli Studi del Piemonte Orientale Amedeo Avogadro at 1 site in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The general aim of this study is to assess and analyze the level of patient satisfaction with nursing care among inpatients in the ordinary wards of the AOU Maggiore della Carità in Novara (Italy). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Patient Satisfaction, Nursing, Nursing Care
How many people
250 participants
Where
1 siteItaly
Study dates
9 Apr 2026to 31 May 2026
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: The study population consists of adult inpatients hospitalized in the ordinary wards of AOU Maggiore della Carità in Novara, Italy. Participants are recruited from all wards of the hospital to ensure a representative sample of patients receiving routine nursing care. The population reflects a diverse mix of medical and surgical admissions across the hospital, providing insights into patient experiences and satisfaction with nursing care in a real-world clinical setting.

Who may be able to join

  • Adult inpatients (age ≥ 18 years) admitted to ordinary wards of AOU Maggiore della Carità.
  • Hospitalization for at least 48 hours at the time of questionnaire administration.
  • Able to provide informed consent.
  • Able to understand and speak Italian.

Who cannot join

  • Hospitalization shorter than 48 hours.
  • Age < 18 years.
  • Cognitive impairment or clinical conditions preventing comprehension or autonomous completion of the questionnaire.
  • Refusal or inability to provide informed consent.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Chiara Gallione, PhD contact

+393497004142

chiara.gallione@med.uniupo.it

Rita Maugeri, MSc in Nursing Management contact

003903213732925

rita.maugeri@uniupo.it

Italy1 site
  • AOU Maggiore della Carità

    Novara, Novara, 28100

    Chiara Gallione, PhD, MSN, RN, 3497004142, chiara.gallione@med.uniupo.it

    Rita Maugeri, MSc in Nursing Coordination, 003903213732925, rita.maugeri@uniupo.it

Other trials in Italy

About this study

Official title: Patient Satisfaction With Care: A Cross-Sectional Observational Study at AOU Maggiore Della Carità, Novara (SCORE)

The general aim of this study is to assess and analyze the level of patient satisfaction with nursing care among inpatients in the ordinary wards of the AOU Maggiore della Carità in Novara (Italy). Using the validated Newcastle Satisfaction with Nursing Scales (NSNS), the study intends to produce reliable and comparable data that reflect patients' perceived quality of care across multiple dimensions, including relationships, emotional support, information, and time devoted by nurses. The study aims to provide an updated overview of patient experiences, identifying strengths and areas for improvement. These results will offer guidance for organizational and educational strategies to promote more personalized, human-centered nursing care aligned with international quality and safety recommendations, without altering routine clinical practice.

Read the detailed description

Background:

Patient satisfaction is increasingly recognized as a key indicator of healthcare quality, complementing traditional clinical outcomes. It influences treatment adherence, the patient-provider relationship, length of hospital stay, occurrence of adverse events, and overall trust in healthcare institutions. Satisfaction is a multidimensional construct shaped by individual, environmental, and organizational factors, with communication and relational skills of nursing staff playing a central role. Personalized care and patient empowerment are essential determinants of a positive care experience.

The Newcastle Satisfaction with Nursing Scales (NSNS), in its validated Italian version, provides a systematic and reliable method to assess patient perceptions of nursing care, allowing comparisons across wards and clinical contexts.

Study Objectives:

This study aims to systematically capture patients' perceptions of nursing care in the ordinary wards of AOU Maggiore della Carità, identifying strengths and opportunities for improvement.

Primary Objective: To evaluate overall patient satisfaction with nursing care, exploring how individual characteristics and organizational factors may influence perceived quality.

Secondary Objective: To examine potential differences in patient satisfaction related to organizational and staffing characteristics.

Study Design:

This is a cross-sectional, observational, descriptive study. Data will be collected using the self-administered, anonymous NSNS questionnaire during ordinary hospitalization. Trained personnel will distribute and collect the questionnaires without influencing responses. No experimental interventions or digital tools will be used; the study relies on this standardized instrument to capture patients' experiences.

Data Handling and Analysis:

Data will be managed in accordance with privacy regulations and stored anonymously. Analyses will summarize patient and organizational characteristics and explore relationships between perceived quality of nursing care and relevant influencing factors. Results will be reported in aggregate to identify overall trends and insights useful for improving nursing practice.

Ethical Considerations:

The study protocol was approved by the Inter-institutional Ethics Committee of AOU Maggiore della Carità. All participants will provide informed consent, and any protocol amendments will be reported to the Ethics Committee.

Conclusions:

This study will provide a systematic assessment of patient satisfaction with nursing care in ordinary wards, generating reliable and comparable data on patient perceptions. Findings will inform organizational strategies and training initiatives aimed at promoting human-centered, personalized, and high-quality nursing care, ultimately enhancing patient experiences and outcomes.

Keywords
Patient Satisfaction, Nursing, Nursing Care, Patient-Centered Care, Cross-Sectional Study, Healthcare Quality, Patient Experience
Medical subject headings
Patient Satisfaction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07471581
Study groupRoleWhat they receive
Ordinary Ward Inpatients CohortThis cohort includes all adult inpatients hospitalized in the ordinary wards of AOU Maggiore della Carità during the study period who meet the inclusion criteria and provide informed consent. All participants complete the validated Newcastle Satisfaction with Nursing Scales (NSNS) questionnaire. This is a single, cross-sectional observational cohort with no follow-up or intervention assignment.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Patient Satisfaction With Nursing Care

    Measured using the validated Italian version of the Newcastle Satisfaction with Nursing Scales (NSNS), including all subscales: Carelessness, Emotional Support, Relationship and Information, and Caring Times. Participants rate items on 7-point and 5-point Likert scales as per NSNS protocol. Scores are summed and transformed to a 0-100 scale, where 100 indicates the highest possible satisfaction.

    Measured: Single assessment during hospitalization, after at least 48 hours of stay in ordinary wards.

Secondary outcomes (10)
  1. Patient age

    Age of the patient at the time of hospitalization. Used to describe associations with overall patient satisfaction.

    Units of Measure: Years

    Measured: Single assessment during hospitalization, after at least 48 hours of stay in ordinary wards

  2. Patient sex

    Biological sex of the patient, recorded to explore associations with overall patient satisfaction. Units of Measure: Categorical (Male / Female)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  3. Employment status

    Current employment status of the patient, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Categorical (Employed / Unemployed / Retired / Other)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  4. Presence of caregiver

    Whether the patient has a primary caregiver available, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Categorical (Yes / No)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  5. Number of comorbidities

    Count of diagnosed comorbid conditions for the patient, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Count

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  6. Number of previous hospitalizations

    Count of prior hospitalizations for the patient, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Count

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  7. Nurse-to-patient ratio

    Average number of nurses per patient on the ward during hospitalization, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Nurses per patient (ratio)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  8. Support staff availability

    Number of support staff available on the ward during hospitalization, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Staff members

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  9. Nursing Care model

    Type of care model implemented in the ward, recorded to explore associations with overall patient satisfaction. Units of Measure: Categorical (Team nursing / Primary nursing / Functional nursing)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

  10. Nursing shift type

    Type of nursing shift pattern in the ward, recorded to explore associations with overall patient satisfaction.

    Units of Measure: Categorical (8-hour / 12-hour / Rotating)

    Measured: Single assessment during hospitalization, after at least 48 hours in ordinary wards

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Mar 2026
  2. Study start9 Apr 2026 (estimated)
  3. Primary completion31 May 2026 (estimated)
  4. Study completion31 May 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Cross-sectional
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07471581
Sponsor's protocol ID
CE 306/2025
Acronym
SCORE
Status last verified
Mar 2026
First submitted
4 Mar 2026
Last updated
13 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Beattie M, Murphy DJ, Atherton I, Lauder W. Instruments to measure patient experience of healthcare quality in hospitals: a systematic review. Syst Rev. 2015 Jul 23;4:97. doi: 10.1186/s13643-015-0089-0.

    PubMed 26202326
  • Twigg D, Duffield C, Bremner A, Rapley P, Finn J. The impact of the nursing hours per patient day (NHPPD) staffing method on patient outcomes: a retrospective analysis of patient and staffing data. Int J Nurs Stud. 2011 May;48(5):540-8. doi: 10.1016/j.ijnurstu.2010.07.013. Epub 2010 Aug 8.

    PubMed 20696429
  • Thomas LH, McColl E, Priest J, Bond S, Boys RJ. Newcastle satisfaction with nursing scales: an instrument for quality assessments of nursing care. Qual Health Care. 1996 Jun;5(2):67-72. doi: 10.1136/qshc.5.2.67.

    PubMed 10158594
  • Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood). 2012 Nov;31(11):2501-9. doi: 10.1377/hlthaff.2011.1377.

    PubMed 23129681
  • Sellick KJ, Russell S, Beckmann JL. Primary nursing: an evaluation of its effects on patient perception of care and staff satisfaction. International Journal of Nursing Studies (1983), 20, 265-273. Int J Nurs Stud. 2003 Jul;40(5):545-51; discussion 553-4. doi: 10.1016/s0020-7489(03)00064-6. No abstract available.

    PubMed 12828978
  • Piredda M, Vellone E, Piras G, Fida R, Latour JM, Matarese M, Alvaro R, De Marinis MG. Psychometric evaluation of the Newcastle Satisfaction with Nursing Scales. J Nurs Care Qual. 2015 Jan-Mar;30(1):84-92. doi: 10.1097/NCQ.0000000000000078.

    PubMed 25098915
  • Parreira P, Santos-Costa P, Neri M, Marques A, Queiros P, Salgueiro-Oliveira A. Work Methods for Nursing Care Delivery. Int J Environ Res Public Health. 2021 Feb 21;18(4):2088. doi: 10.3390/ijerph18042088.

    PubMed 33669955
  • Palese A, Gonella S, Fontanive A, Guarnier A, Barelli P, Zambiasi P, Allegrini E, Bazoli L, Casson P, Marin M, Padovan M, Picogna M, Taddia P, Salmaso D, Chiari P, Frison T, Marognolli O, Canzan F, Ambrosi E, Saiani L; ESAMED Group. The degree of satisfaction of in-hospital medical patients with nursing care and predictors of dissatisfaction: findings from a secondary analysis. Scand J Caring Sci. 2017 Dec;31(4):768-778. doi: 10.1111/scs.12396. Epub 2017 May 16.

    PubMed 28509365
  • Obaidi A, Rahmani A, Khader Y, Negarandeh R. Comparison of Patient Satisfaction with the Nursing Care Quality in Medical and Surgical Wards between Developed and Developing Countries: A Systematic Review. Iran J Nurs Midwifery Res. 2025 May 8;30(3):275-282. doi: 10.4103/ijnmr.ijnmr_38_24. eCollection 2025 May-Jun.

    PubMed 40520389
  • Naef R, Ernst J, Petry H. Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross-sectional descriptive study. J Adv Nurs. 2019 Oct;75(10):2133-2143. doi: 10.1111/jan.13995. Epub 2019 Apr 5.

    PubMed 30843241
  • Mulugeta H, Wagnew F, Dessie G, Biresaw H, Habtewold TD. Patient satisfaction with nursing care in Ethiopia: a systematic review and meta-analysis. BMC Nurs. 2019 Jul 8;18:27. doi: 10.1186/s12912-019-0348-9. eCollection 2019.

    PubMed 31320836
  • Milutinovic D, Simin D, Brkic N, Brkic S. The patient satisfaction with nursing care quality: the psychometric study of the Serbian version of PSNCQ questionnaire. Scand J Caring Sci. 2012 Sep;26(3):598-606. doi: 10.1111/j.1471-6712.2012.00969.x. Epub 2012 Jan 24.

    PubMed 22272735
  • Leppanen T, Toyry E, Vehvilainen-Julkunen K. [Patients' viewpoint about the most importants aspects of the Humane Caring Scale]. Hoitotiede. 1997;9(4):178-85. Finnish.

    PubMed 9429345
  • Larsen DL, Attkisson CC, Hargreaves WA, Nguyen TD. Assessment of client/patient satisfaction: development of a general scale. Eval Program Plann. 1979;2(3):197-207. doi: 10.1016/0149-7189(79)90094-6. No abstract available.

    PubMed 10245370
  • Hinshaw AS, Atwood JR. A Patient Satisfaction Instrument: precision by replication. Nurs Res. 1982 May-Jun;31(3):170-5, 191.

    PubMed 6918923

Questions about this trial

What is this clinical trial studying?

An observational study of Patient Satisfaction and Nursing, run by Università degli Studi del Piemonte Orientale Amedeo Avogadro at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 13 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Chiara Gallione, PhD (+393497004142, chiara.gallione@med.uniupo.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Patient Satisfaction With Nursing Care (time frame: Single assessment during hospitalization, after at least 48 hours of stay in ordinary wards.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07471581, which also lists 26 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Mar 2026.

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