An Evaluation of The Quality of Breast Cancer Chemotherapy Service in Dr. Kariadi General Hospital

Abstract

Background:  Dr. Kariadi General Hospital is the main provincial referral hospital in Central Java, serving a population of over 33 million. The oncology center of the hospital serves as the forefront service, which requires evaluation to ensure quality assessment and improvements. Therefore, this study aimed to provide valuable insights into chemotherapy nursing quality and level of patient satisfaction. Methods: This descriptive study assessed the quality of chemotherapy services given to breast cancer patients. The level of patient satisfaction was measured using the Worthing Chemotherapy Satisfaction Questionnaire (WCSQ). The questionnaire was used to evaluate patient satisfaction in six distinct components, which included patient education, the technical aspect of care, the interpersonal of the health worker, multidisciplinary teamwork, treatment environment, and hospital accessibility. The data obtained were collected by handing out questionnaires to eligible participants in the oncologic center. Results: The level of patient satisfaction was significantly affected by information received from medical personnel regardless of the sociodemographic characteristics. Other factors such as waiting time, treatment privacy, nursing skills, and efficiency of chemotherapy delivery also significantly improved patient satisfaction. Conclusions: The results showed that oncologists played a significant role in patient education. Furthermore, chemotherapy nurses were expected to deliver care and education, which positively correlated with patient satisfaction. Although the general level of satisfaction was acceptable, some areas still required further improvements to enhance the quality of service, specifically patient education.