Patients' Perceptions Regarding Nursing Care in the General Surgical Wards at Kenyatta National Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/621210
Category:
Full-text
Format:
Text-based Document
Type:
Thesis
Level of Evidence:
Clinical Experience of Respected Authority
Research Approach:
Mixed/Multi Method Research
Title:
Patients' Perceptions Regarding Nursing Care in the General Surgical Wards at Kenyatta National Hospital
Author(s):
Shawa, Elwin
Advisors:
Omondi, Lilian A.; Ong'any, Anthony Ayieko
Degree:
Master’s
Degree Year:
2012
Grantor:
University of Nairobi
Abstract:

Background: Nursing care is a major component of the health services because it is one of the determinants of quality health services. The anecdotal patients’ care evaluation and media reports have portrayed negative publicity and image regarding nursing care in certain hospitals. Patients’ perceptions regarding nursing care is thought to be the determinant of quality nursing care.
Aim of the study: To explore patients’ perceptions and experiences regarding nursing care in surgical wards.
Methods: A descriptive cross-sectional study was conducted at Kenyatta National Hospital in general surgical wards between April and June, 2012. The study population was adult postoperative patients admitted in the general surgical wards (5A, 5B and 5D). The data collection tool was a structured questionnaire with open and closed questions. Ethical clearance was secured from University of Nairobi and Kenyatta National Hospital Ethics Committee. Participation in the study was voluntary and based on patients’ ability to give informed consent.
Results: A total of 168 adult patients from general surgical wards were approached and 167 of them participated in the study (non-response rate of 0.6%). Most patients agreed that they expected nurses to be knowledgeable with an average response of 86% and strongly disagreed that nurses should be rude and harsh (44%). The elderly reported that they had a better experience of pain management than the younger patients (m>3.36). Almost all patients reported that nurses were usually responding quickly when they needed pain medication. The elderly were very satisfied with nursing care with mean response (m>4.00). Most patients (52.4%) were satisfied with wound dressing. Generally, (50.2%) with a mean response (m>2.50) were satisfied with nursing care provided though some complained that nurses were not introducing themselves (41%), some nurses were rude (16.7%), their privacy was not respected and nurses were not providing adequate
xiv
information. Most participants (40.5%) indicated that they had a good perception of the nursing care and 22.6% recommended that nursing staff should be added and 11.3% reported that quality of nursing care was poor.
Conclusion and recommendation: Patients’ perceptions were influenced by how nurses were conducting themselves towards patients. The need to improve on nurses’ interpersonal skills and relationship, and behaviour towards patients was recommended.

Keywords:
Nursing Care; Care Quality
CINAHL Headings:
Quality of Nursing Care; Quality of Nursing Care--Kenya; Patient Attitudes; Patient Attitudes--Kenya; Kenya
Description:
This dissertation has also been disseminated through Academia.edu. The author still retains copyright.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-02-17T22:02:31Z
Date of Publication:
2017-02-17

Full metadata record

DC FieldValue Language
dc.contributor.advisorOmondi, Lilian A.en
dc.contributor.advisorOng'any, Anthony Ayiekoen
dc.contributor.authorShawa, Elwinen
dc.date.accessioned2017-02-17T22:02:31Z-
dc.date.available2017-02-17T22:02:31Z-
dc.date.issued2017-02-17-
dc.identifier.urihttp://hdl.handle.net/10755/621210-
dc.descriptionThis dissertation has also been disseminated through Academia.edu. The author still retains copyright.en
dc.description.abstract<p>Background: Nursing care is a major component of the health services because it is one of the determinants of quality health services. The anecdotal patients’ care evaluation and media reports have portrayed negative publicity and image regarding nursing care in certain hospitals. Patients’ perceptions regarding nursing care is thought to be the determinant of quality nursing care.<br />Aim of the study: To explore patients’ perceptions and experiences regarding nursing care in surgical wards.<br />Methods: A descriptive cross-sectional study was conducted at Kenyatta National Hospital in general surgical wards between April and June, 2012. The study population was adult postoperative patients admitted in the general surgical wards (5A, 5B and 5D). The data collection tool was a structured questionnaire with open and closed questions. Ethical clearance was secured from University of Nairobi and Kenyatta National Hospital Ethics Committee. Participation in the study was voluntary and based on patients’ ability to give informed consent.<br />Results: A total of 168 adult patients from general surgical wards were approached and 167 of them participated in the study (non-response rate of 0.6%). Most patients agreed that they expected nurses to be knowledgeable with an average response of 86% and strongly disagreed that nurses should be rude and harsh (44%). The elderly reported that they had a better experience of pain management than the younger patients (m>3.36). Almost all patients reported that nurses were usually responding quickly when they needed pain medication. The elderly were very satisfied with nursing care with mean response (m>4.00). Most patients (52.4%) were satisfied with wound dressing. Generally, (50.2%) with a mean response (m>2.50) were satisfied with nursing care provided though some complained that nurses were not introducing themselves (41%), some nurses were rude (16.7%), their privacy was not respected and nurses were not providing adequate<br />xiv<br />information. Most participants (40.5%) indicated that they had a good perception of the nursing care and 22.6% recommended that nursing staff should be added and 11.3% reported that quality of nursing care was poor.<br />Conclusion and recommendation: Patients’ perceptions were influenced by how nurses were conducting themselves towards patients. The need to improve on nurses’ interpersonal skills and relationship, and behaviour towards patients was recommended.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectNursing Careen
dc.subjectCare Qualityen
dc.titlePatients' Perceptions Regarding Nursing Care in the General Surgical Wards at Kenyatta National Hospitalen_US
dc.typeThesisen
thesis.degree.grantorUniversity of Nairobien
thesis.degree.levelMaster’sen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
thesis.degree.year2012en
dc.type.categoryFull-texten
dc.evidence.levelClinical Experience of Respected Authorityen
dc.research.approachMixed/Multi Method Researchen
dc.subject.cinahlQuality of Nursing Careen
dc.subject.cinahlQuality of Nursing Care--Kenyaen
dc.subject.cinahlPatient Attitudesen
dc.subject.cinahlPatient Attitudes--Kenyaen
dc.subject.cinahlKenyaen
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