Nursing Communication Quality, Culturally Sensitive Communication, and Treatment Satisfaction among Patients: A Cross-Sectional Survey at an International Medical Centre

Enjin Hu; Yun Huang; Tong Liu; Meijuan Wu

doi:10.62177/apjcmr.v2i5.1751

Authors

Enjin Hu The First Affiliated Hospital, Sun Yat-sen University
Yun Huang The First Affiliated Hospital, Sun Yat-sen University
Tong Liu The First Affiliated Hospital, Sun Yat-sen University
Meijuan Wu The First Affiliated Hospital, Sun Yat-sen University

DOI:

https://doi.org/10.62177/apjcmr.v2i5.1751

Keywords:

Nursing Communication Quality, Culturally Sensitive Communication, Patient Trust, Language Concordance, Treatment Satisfaction

Abstract

This study aimed to examine the effects of Nursing Communication Quality (NCQ) and Culturally Sensitive Communication (CSC) on Treatment Satisfaction (TS) among patients in an international medical centre, with particular attention to the mediating role of Patient Trust (PT) and the moderating role of Language Concordance (LC). A convenience sample of 453 patients was recruited from the international medical centre of a tertiary Grade A hospital in Guangzhou between March and May 2026. The results showed that NCQ (β = 0.292) and CSC (β = 0.168) positively predicted PT, while PT positively predicted TS (β = 0.388). PT partially mediated the relationship between NCQ and TS (indirect effect = 0.128, 95% CI [0.086, 0.175]) and fully mediated the relationship between CSC and TS (indirect effect = 0.113, 95% CI [0.075, 0.156]). LC directly predicted TS (β = 0.167) and positively moderated the effect of NCQ on PT (B = 0.196). These findings indicate that the ‘communication–trust–satisfaction’ mechanism is applicable to international healthcare settings, with CSC exerting its effect on TS fully through PT and LC functioning as a boundary condition. Healthcare organisations should strengthen cross-cultural communication training, enhance multilingual resource provision, and implement trust-oriented quality monitoring.

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Author Biography

Meijuan Wu, The First Affiliated Hospital, Sun Yat-sen University

Center for Gastrointestinal Surgery, Unit III

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