Assessment of quality of emergency nursing care in selected hospitals in Oyo state, Nigeria

Ogunlade, Alade Aderinto (2016)

xi,96p

Thesis

The study assessed the quality of emergency nursing care in selected hospitals in Oyo State, Nigeria. It also assessed patients’ perception of quality of emergency nursing care in selected hospitals; evaluated the quality of emergency nursing care; compared the quality of emergency nursing care across selected hospitals; and identified factors influencing quality of emergency nursing care in the selected hospitals. A cross sectional descriptive design was adopted. Patients were selected by using a purposive sampling technique and 428 respondents were selected from two hospitals in Oyo State (University College Hospital (UCH) Ibadan and Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Ogbomoso). Data collection was done with the aid of an adapted structured questionnaire and an observation checklist. The adapted structured questionnaire was administered on all the selected patients that were admitted either into emergency department or into other wards via emergency department. Patients’ perception of the quality of emergency nursing care was assessed by using a 5-point Likert’s scale format. A score of 8 – 19 was interpreted as “unsatisfactory/negative perception”, 20 – 29 as “satisfactory/positive”, while a score of 30 – 40 was regarded as very satisfactory/very positive perception”. The checklist was used to validate patients’ assessment. Data collected was analysed using descriptive statistics like percentages, bar charts and pie charts and inferential statistics such as multiple regression and chi square test. Results showed that 62.5% of the patients adjudged the quality of nursing care and treatment they received in A&E unit as high. Similarly, 67% of the patients had satisfactory perception of emergency nursing care. Analysis of the structured observation equally revealed that the two hospitals recorded a moderate/average level of quality on the outcome domain. However, inadequate equipment (25%), overcrowding/congestion (22.4%) and bad attitude of nurses (21.7%) were identified as the major factors influencing the quality of emergency nursing care in the selected A&E units. Further, the study established a significant difference in patients’ perception of quality of emergency nursing care across gender (P = 0.012) and across educational status (P = 0.026). The study however found no significant difference in the quality of emergency nursing care between the selected hospitals (X2 = 0.755; P = 0.686). The outcome of this study had given a good insight into the quality of emergency nursing care rendered in selected hospitals in Oyo state. While the quality of emergency nursing care in the selected hospitals can be described as generally moderate/average, a lot still needs to be done to address the issue of inadequate equipment, overcrowding/congestion, bad attitude of nurses and other factors identified as influencing the quality of emergency nursing care in the selected A&E units. When these factors are given some measure of attention, there will be an improvement in the quality of emergency nursing with attendant reduction in the morbidity and mortality associated with emergency conditions.

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